Join/Renew     Contact ONS     Terms of Use    FAQ 
HOME
CNE Central Clinical Practice
Membership
Patient Education
Publications
PEP/Research
Oncology Nursing Forum
Clinical Journal of Oncology Nursing
ONS Connect
Books
ONS Positions
Library and Archives
Publishing Opportunities

Untitled Document
ONS Profile

Understanding and Managing Oncologic Emergencies: A Resource for Nurses

Buy Book

Contents

Foreword............................................................................................................................. ix
Prefact................................................................................................................................. xi
   
Chapter 1. Cardiac Tamponade........................................................................................ 1
Introduction........................................................................................................................... 1
Incidence............................................................................................................................... 1
Risk Factors.......................................................................................................................... 2
Pathophysiology.................................................................................................................... 4
Clinical Manifestations........................................................................................................... 7
Patient Assessment................................................................................................................ 10
Diagnostic Evaluation............................................................................................................. 12

Treatment Modalities..............................................................................................................

16
Nursing Management............................................................................................................. 24
Patient and Caregiver Educationt.......................................................................................... 26
Conclusion............................................................................................................................ 27
References............................................................................................................................ 27
   
Chapter 2. Disseminated Intravascular Coagulation ..................................................... 31
Introduction............................................................................................................................ 31
Incidence................................................................................................................................ 32
Risk Factors........................................................................................................................... 35
Pathophysiology..................................................................................................................... 36
Clinical Manifestations............................................................................................................ 39
Patient Assessment................................................................................................................ 40
Diagnostic Evaluation............................................................................................................. 40
Treatment Modalities.............................................................................................................. 45
Nursing Management............................................................................................................. 47
Patient and Caregiver Education............................................................................................ 48
Conclusion.............................................................................................................................. 48
References............................................................................................................................. 48
   
Chapter 3. Hypercalcemia of Malignancy.......................................................................... 51
Introduction............................................................................................................................. 51
Incidence................................................................................................................................. 51
Risk Factors............................................................................................................................ 52
Normal Calcium Homeostasis.................................................................................................. 52
Normal Bone Remodeling and Effects of Metastatic Disease.................................................. 61
Pathophysiology...................................................................................................................... 64
Clinical Manifestations............................................................................................................ 69
Patient Assessment................................................................................................................ 72
Diagnostic Evaluation............................................................................................................. 73
Treatment Modalities............................................................................................................... 74
Nursing Management.............................................................................................................. 90
End-of-Life Considerations..................................................................................................... 93
Patient and Caregiver Education............................................................................................ 93
Conclusion.............................................................................................................................. 94
References............................................................................................................................. 94
   
Chapter 4. Increased Intracranial Pressure..................................................................... 99
Introduction............................................................................................................................. 99
Incidence................................................................................................................................. 99
Risk Factors............................................................................................................................ 101
Normal Brain Physiology.......................................................................................................... 103
Pathophysiology...................................................................................................................... 106
Clinical Manifestations............................................................................................................. 108
Patient Assessment................................................................................................................. 110
Diagnostic Evaluation.............................................................................................................. 112
Treatment Modalities............................................................................................................... 114
Nursing Management............................................................................................................... 117
Patient and Caregiver Education............................................................................................. 120
Conclusion............................................................................................................................... 120
References.............................................................................................................................. 120
   
Chapter 5. Malignant Pleural Effusion............................................................................... 123
Introduction.............................................................................................................................. 123
Incidence.................................................................................................................................. 123
Risk Factors............................................................................................................................ 125
Pathophysiology...................................................................................................................... 127
Clinical Manifestations............................................................................................................. 128
Patient Assessment ................................................................................................................. 129
Diagnostic Evaluation............................................................................................................... 130
Treatment Modalities............................................................................................................... 135
Nursing Management............................................................................................................... 149
Patient and Caregiver Education............................................................................................. 152
Conclusion............................................................................................................................... 153
References.............................................................................................................................. 153
   
Chapter 6. Sepsis and Septic Shock................................................................................... 159
Introduction.............................................................................................................................. 159
Definitions................................................................................................................................ 159
Incidence................................................................................................................................. 161
Risk Factors............................................................................................................................ 162
Pathophysiology...................................................................................................................... 162
Clinical Manifestations............................................................................................................. 165
Patient Assessment................................................................................................................. 166
Diagnostic Evaluation.............................................................................................................. 169
Treatment Modalities................................................................................................................ 173
Nursing Management............................................................................................................... 185
Patient and Caregiver Education............................................................................................. 190
Conclusion............................................................................................................................... 191
References.............................................................................................................................. 191
   
Chapter 7. Syndrome of Inappropriate Antidiuretic Hormone Secretion...................... 197
Introduction.............................................................................................................................. 197
Incidence................................................................................................................................. 197
Normal Physiology of Water Regulation................................................................................... 198
Pathophysiology...................................................................................................................... 200
Risk Factors ........................................................................................................................... 201
Clinical Manifestations............................................................................................................. 204
Patient Assessment.................................................................................................................. 206
Diagnostic Evaluation.............................................................................................................. 207
Treatment Modalities............................................................................................................... 208
Nursing Management............................................................................................................... 211
Patient and Caregiver Education............................................................................................. 215
Conclusion............................................................................................................................... 215
References.............................................................................................................................. 216
   
Chapter 8. Spinal Cord Compression................................................................................. 219
Incidence.................................................................................................................................. 220
Risk Factors............................................................................................................................. 221
Pathophysiology....................................................................................................................... 222
Clinical Manifestations.............................................................................................................. 229
Prognostic Factors................................................................................................................... 234
Patient Assessment.................................................................................................................. 235
Diagnostic Evaluation............................................................................................................... 241
Treatment Modalities................................................................................................................ 242
Nursing Management............................................................................................................... 248
Patient and Caregiver Education............................................................................................. 255
Conclusion............................................................................................................................... 256
References.............................................................................................................................. 256
   
Chapter 9. Superior Vena Cava Syndrome........................................................................ 261
Introduction.............................................................................................................................. 261
Incidence................................................................................................................................. 261
Risk Factors............................................................................................................................. 263
Pathophysiology...................................................................................................................... 263
Clinical Manifestations............................................................................................................. 266
Patient Assessment.................................................................................................................. 268
Prognosis................................................................................................................................ 269
Diagnostic Evaluation.............................................................................................................. 270
Treatment Modalities .............................................................................................................. 271
Nursing Management.............................................................................................................. 278
Patient and Caregiver Education ............................................................................................ 281
Conclusion............................................................................................................................... 281
References.............................................................................................................................. 282
   
Chapter 10. Tumor Lysis Syndrome.................................................................................... 285
Introduction.............................................................................................................................. 285
Incidence.................................................................................................................................. 285
Risk Factors............................................................................................................................. 286
Pathophysiology....................................................................................................................... 289
Clinical Manifestations.............................................................................................................. 190
Patient Assessment.................................................................................................................. 292
Treatment Modalities................................................................................................................ 292
Nursing Management............................................................................................................... 299
Patient and Caregiver Education............................................................................................. 303
Conclusion............................................................................................................................... 304
References............................................................................................................................... 304
   
Index........................................................................................................................................ 307