Tumor Lysis Syndrome

 Strictly

measure and monitor intake and output and maintain dietary restrictions.
rest to facilitate diuresis and until renal function test levels normalize. monitor fluid balance and and replace fluids according to patient’s fluid losses. Get daily weight.

 Encourage

 Carefully

 Discontinue

medications that increase blood potassium levels.
the importance of avoiding foods high in potassium to prevent or control hyperkalemia. serum potassium and ECG closely during treatment. causes of hyperkalemia and the relationship between hemodialysis and hyperkalemia.

 Discuss

 Monitor

 Teach

Assess for paresthesia and tetany with positive Chvostek and Trousseau signs, anxiety, carpal and pedal spasms, bronchospasm, paresthesia and numbness Assess airway, breathing and circulation.
Use padded siderails to prevent injury.


   

Keep away and avoid sharp objects.
Use slipper when walking. Use assistive devices to support mobilization.

 Assess

for depression, impaired memory and confusion. As the condition continues, delirium and hallucinations may be present.

Monitor patient’s level of consciousness.
Institute safety measures for seizures.

Administer pain medication and other comfort measures.
Monitor for bleeding and respiratory failure. Teach patient about phosphorus-rich foods and over-the-counter drugs that contain aluminum hydroxide.

 Adjust
 Assist

and limit activities to avoid fatigue.

with activities and provide assistive devices such as wheelchair and walker when mobilizing. mobilizing, stay with the client and encourage to take rest periods. client in learning and demonstrating appropriate safety measures to prevent injuries.

 When

 Assist

 Relieve

sensation of nausea by providing any of the following: Ice chips, hot tea with lemon, hot ginger ale, dry toast or crackers.
small frequent feeding for nausea and vomiting.

 Provide

 Re-orient

patient always for mild mental confusion and difficulty concentrating.

 Provide

comfort measures when patient feels pain especially on joints.
foods that are low in uric acid. Avoid beans like baguio beans and monggo. water-based lotions and petroleum jelly for pruritus.

 Provide

 Provide

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