Tümör Lizis Sendromunda Hemşirelik Yaklaşımı

Year 2021, , 113 - 122, 18.04.2021

Nazli Öztürk , Fatma Arıkan

https://doi.org/10.38108/ouhcd.782461

Abstract

Tümör lizis sendromu, hızlı hücre ölümünden kaynaklanan onkometabolik acil bir durumdur. Tümör lizis sendromu, tümör hedefli tedavinin bir sonucu olarak veya kendiliğinden ortaya çıkabilmektedir. Bu çalışmanın amacı tümör lizis sendromu ve hemşirelik bakımı ile ilgili literatür bilgisinin derlenmesidir. Tümör lizis sendromunun laboratuvar ve klinik belirti bulguları ile ilgili olarak kanser hastası yakından izlenmeli, yüksek risk grubundaki hastalara yeterli hidrasyon, fosfat bağlayıcıların kullanımı, ürik asit düşürücü tedavi ve hastanın potasyum alımının azaltılması gibi önleyici girişimlerin uygulanması önemlidir. Sağlık profesyoneli olan onkoloji ve yoğun bakım hemşireleri, hastanede yatan her kanser hastasını ve özellikle kemoterapi görenleri tümör lizis sendromu riski açısından sınıflandırarak kanser hastasına destekleyici bakım vermelidir.

Keywords

Tümör lizis sendromu, kanser, hemşirelik

Supporting Institution

Bulunmamaktadır

Nursing Approach in Tumor Lysis Syndrome

Abstract

Tumor lysis syndrome is an oncometabolic emergency caused by rapid cell death. Tumor lysis syndrome can occur spontaneously or as a result of tumor-targeted therapy. The aim of this study is to review the literature on Tumor Lysis Syndrome and nursing care.
The cancer patient should be closely monitored regarding the laboratory and clinical symptoms of tumor lysis syndrome, and preventive interventions such as adequate hydration, use of phosphate binders, uric acid-lowering treatment and reduction of the patient's potassium intake are important in high-risk patients. Oncology and intensive care nurses, who are health professionals, should classify each hospitalized cancer patient and especially those receiving chemotherapy in terms of tumor lysis syndrome risk and provide supportive care to the cancer patient.

Keywords

Tumor lysis syndrome, cancer, nursing

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