Myelosuppression, Bone Disease, and Acute Renal Failure: Evidence-Based Recommendations for Oncologic Emergencies

Clin J Oncol Nurs. 2017 Oct 1;21(5 Suppl):60-76. doi: 10.1188/17.CJON.S5.60-76.

Abstract

Background: Oncologic emergencies associated with multiple myeloma include myelosuppression (anemia, neutropenia, and thrombocytopenia), bone-related emergencies, and acute renal failure. .

Objectives: This article reviews the pathophysiology of these multiple myeloma-associated oncology emergencies and provides a framework for assessment and effective intervention. .

Methods: A comprehensive review of the levels of evidence, focusing on assessment, diagnosis, comorbidities, treatment, ongoing monitoring, and patient education, are presented to support the plan of care for at-risk patients. .

Findings: Attention to signs and symptoms is the foundation for preventing these emergencies or managing additional escalation of symptoms.

Keywords: hypercalcemia; multiple myeloma; myelosuppression; oncologic emergencies; renal failure.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / etiology*
  • Anemia / etiology
  • Bone Diseases / complications*
  • Bone Marrow / drug effects*
  • Evidence-Based Medicine
  • Humans
  • Multiple Myeloma / complications*
  • Multiple Myeloma / physiopathology
  • Multiple Myeloma / therapy
  • Neutropenia / etiology
  • Thrombocytopenia / etiology