Non-hodgkin's lymphoma--an overview.
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Biomedical subjects
Publications and source records attributed to P A Akers.
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Patients experiencing acute tumor lysis syndrome require expert and immediate medical and nursing intervention. Attempts are made to minimize possible complications by early management of metabolic abnormalities. The patient who presents with renal failure before treatment may require dialysis before chemotherapy begins. The metabolic disturbances resulting from tumor lysis syndrome usually endure 5 to 7 days because of the "finite period of cytolysis." Proactive preventative therapy may minimize or avert the life-threatening complications of tumor lysis syndrome.
Nursing care often jumps from problem identification to proposed interventions, bypassing information gathering and inclusion of all pertinent clinical factors. To promote improvement in medical oncology patient outcomes, two algorithms were developed. Algorithm use does not guarantee a positive outcome, but it does ensure that a standard of care appropriate to a clinical problem will be instituted. Two algorithms for commonly encountered problems of elevated body temperature (hyperthermia) and fluid volume excess are presented. When used, they demonstrated that this purposeful method of decision making led to a more thorough patient assessment and a more informed nursing response. Any or all of these outcomes ultimately result in better patient management.