Nursing Care of Oncology Patients with Sepsis

Tavakoli, Aran; Carannante, Alia

doi:10.1016/j.soncn.2021.151130

Cited by 4 publications

(7 citation statements)

References 25 publications

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“…21 Also, it's crucial that nurses communicate any abnormal findings to the provider for appropriate ongoing management. 24 If ICU admission is required, it's important that it be timely to avoid longer hospital stays and greater risk of mortality. 21 Clinical scenario conclusion.…”

Section: Patients Should Be Treated With a First Dose Of Antibiotics ...mentioning

confidence: 99%

“…24,25 It's important for patients undergoing chemotherapy to be informed of the timing of neutropenia development, 27 learn how to monitor for signs and symptoms of infections, and understand the urgency of seeing a health care provider if they develop a fever. 24 Signs of infection may be subtle, and overlooking the most mundane symptom could have catastrophic results. Symptoms to note include chills or sweating; abdominal pain; diarrhea; cough; sore throat; anal pain; pain, burning, or frequency (or a combination of these) with urination; and redness, swelling, or pain (or a combination of these) at a wound or catheter site.…”

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

“…27 It's important that oncology patients have consistent caregivers present during information sessions who are aware of the subtle changes that indicate infection in the absence of a fever and that require immediate attention. 24 Additional infection prevention measures for the patient undergoing chemotherapy involve protecting the patient from infections in their own environment. 25 Hand hygiene is important after using the bathroom and before handling food, as are good personal hygiene and oral care.…”

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

“…Nursing interventions to support a patient with sepsis and septic shock should adhere to sepsis guidelines: ensure that blood cultures and lactate level are obtained and antibiotics are administered within one hour; administer oxygen and vasopressors to support vital signs; assess for adequate perfusion by measuring urine output; and assess temperature of extremities, skin mottling, and capillary refill time on an ongoing basis 21. Also, it's crucial that nurses communicate any abnormal findings to the provider for appropriate ongoing management 24. If ICU admission is required, it's important that it be timely to avoid longer hospital stays and greater risk of mortality 21…”

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

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CE: Febrile Neutropenia in the Chemotherapy Patient

Foley

Hoffman

2023

AJN, American Journal of Nursing

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Febrile neutropenia is a serious complication of chemotherapy treatment and may present as the only clinical sign of infection. If not addressed in a timely manner, it may progress to multisystem organ failure and may be fatal. Initial assessment of fever in those receiving chemotherapy requires prompt administration of antibiotics, ideally within one hour of presentation. Depending on the clinical status of the patient, antibiotic treatment may occur in the inpatient or outpatient setting. Nurses play an important role in the identification and treatment of patients at high risk for febrile neutropenia through assessment and adherence to clinical practice guidelines. In addition, nurses play an active role in patient education regarding risk factors, protective measures, and signs and symptoms of infection in the immunocompromised oncology patient.

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Section: Patients Should Be Treated With a First Dose Of Antibiotics ...mentioning

confidence: 99%

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

Section: From Febrile Neutropenia To Septic Shockmentioning

confidence: 99%

See 2 more Smart Citations

CE: Febrile Neutropenia in the Chemotherapy Patient

Foley

Hoffman

2023

AJN, American Journal of Nursing

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“…In about two-thirds of patients with sepsis, infection will be recognized as a dominant cause ( 7 ). In the other third of the patients, no infection is detected; the sepsis is ascribed to one or more non-infectious inflammatory disorders e.g., pancreatitis, burns, severe trauma, head injury, or ischemia-reperfusion ( 1 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Human Chorionic Gonadotropin and Related Peptides: Candidate Anti-Inflammatory Therapy in Early Stages of Sepsis

et al. 2021

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Sepsis continues to be a major cause of morbidity, mortality, and post-recovery disability in patients with a wide range of non-infectious and infectious inflammatory disorders, including COVID-19. The clinical onset of sepsis is often marked by the explosive release into the extracellular fluids of a multiplicity of host-derived cytokines and other pro-inflammatory hormone-like messengers from endogenous sources (“cytokine storm”). In patients with sepsis, therapies to counter the pro-inflammatory torrent, even when administered early, typically fall short. The major focus of our proposed essay is to promote pre-clinical studies with hCG (human chorionic gonadotropin) as a potential anti-inflammatory therapy for sepsis.

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