Glycemic crises in patients with hematologic malignancies.
Persons with hematologic malignancies such as leukemia, lymphoma, or myeloma often have coexisting medical conditions. Among these may be diabetes mellitus. The physiologic and psychologic stress of diagnosis and treatment may precipitate the life-threatening complications of DKA or HHNS in this group of patients. People with personal risk factors may develop diabetes mellitus secondary to diagnosis and treatment and present with either DKA or HHNS. It is essential that the health care team have a heightened awareness of potential complications. These are complex syndromes involving severe hyperglycemia, metabolic acidosis, fluid and electrolyte imbalances, and neurologic and cardiovascular collapse. Working collaboratively with the critical care team to provide optimal care, nurses play an essential role in the management of these challenging complications of diabetes mellitus.
Daniel
B T
BT
Division of Nursing, University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
D000893:Anti-Inflammatory Agents / Q000009:adverse effects; D003422:Critical Care / Q000379:methods; D016883:Diabetic Ketoacidosis / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism / Q000628:therapy; D005440:Fluid Therapy / Q000379:methods; D019337:Hematologic Neoplasms / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D006944:Hyperglycemic Hyperosmolar Nonketotic Coma / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism / Q000628:therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D009859:Oncology Nursing / Q000379:methods; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods; D012307:Risk Factors; D013256:Steroids
D000893:Anti-Inflammatory Agents; D007004:Hypoglycemic Agents; D007328:Insulin; D013256:Steroids