RESUMO
Tumor lysis syndrome (TLS) is a life-threatening disorder that is an oncologic emergency. Risk factors for TLS are well-known, but the current literature shows case descriptions of unexpected acute TLS. Solid tumors and untreated hematologic tumors can lyse under various circumstances in children and adults. International guidelines and recommendations, including the early involvement of the critical care team, have been put forward to help clinicians properly manage the syndrome. Advanced practice nurses may be in the position of triaging and initiating treatment of patients with TLS, and need a thorough understanding of the syndrome and its treatment.
Assuntos
Hiperfosfatemia/diagnóstico , Hiperfosfatemia/fisiopatologia , Hiperuricemia/fisiopatologia , Enfermagem Oncológica/normas , Síndrome de Lise Tumoral/diagnóstico , Síndrome de Lise Tumoral/fisiopatologia , Desequilíbrio Hidroeletrolítico/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Humanos , Hiperfosfatemia/enfermagem , Hiperuricemia/diagnóstico , Hiperuricemia/enfermagem , Lactente , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Fatores de Risco , Síndrome de Lise Tumoral/enfermagem , Desequilíbrio Hidroeletrolítico/diagnóstico , Desequilíbrio Hidroeletrolítico/enfermagem , Adulto JovemRESUMO
Patient history, physical findings, and laboratory and diagnostic tests can assist in efficient and effective assessments of adults with leukemia who are undergoing conventional chemotherapy and follow-up monitoring. A systematic approach can enhance assessment and improve early detection of common problems that impact complications, care, and cost.
