Oncology
Oncology
Cancer and oncology conditions, evidence, coding, and nursing diagnoses.
Major cancer conditions
TLS
TLS: metabolic emergency from rapid malignant cell death releasing intracellular contents. Hyperuricemia, hyperkalemia, hyperphosphatemia, hypocalcemia. Most common: high-grade lymphoma, ALL. Prevention is key.
Chemo Side Effects
Major chemotherapy side effects: myelosuppression (nadir day 10-14), CINV (chemotherapy-induced nausea/vomiting), mucositis, alopecia, peripheral neuropathy, cardiotoxicity. Prophylactic antiemetics are standard.
Cancer Pain
Cancer pain affects 70-80% of patients with advanced cancer. WHO analgesic ladder: Step 1 (non-opioid) → Step 2 (mild opioid) → Step 3 (strong opioid). Adjuvants enhance analgesia. Regular around-the-clock dosing preferred.
Immunotherapy Toxicity
Immune-related adverse events (irAEs) from checkpoint inhibitors (PD-1, PD-L1, CTLA-4) affect any organ. Most common: dermatitis, colitis, pneumonitis, hepatitis, endocrinopathies. Steroids are primary treatment.
Related nursing diagnoses
Nursing Diagnoses & Care Plans
Open the NANDA tool to review nursing diagnoses and care-plan concepts related to cancer conditions.