Infiltrative Emergencies : Cancer

Infiltrative Emergencies : Cancer 150 150 Tony Guo
Infiltrative Emergencies
Cardiac Tamponade
  • Fluid accumulation in pericardium.
  • Caused by constriction of pericardium by tumor or pericarditis secondary to radiation therapy to the chest
  • Heavy feeling over chest, shortness of breath, tachycardia, cough, dysphagia, hiccups, hoarseness.
  • Nausea, vomiting, excessive perspiration.
  • Decreased level of consciousness, distant or muted heart sounds.
  • Extreme anxiety.
  • Decrease fluid around heart using (1) surgery to create a pericardial window or an (2) indwelling pericardial catheter.
  • Administer O2 therapy, IV hydration, and vasopressor therapy
Carotid Artery Rupture
  • Invasion of arterial wall by tumor or erosion following surgery or radiation therapy.
  • Occurs most frequently in patients with head and neck cancer
  • Bleeding: ranges from minor oozing to spurting of blood in the case of a “blowout” of artery.
  • Administer IV fluids and blood products.
  • Surgery: ligation of carotid artery above and below rupture site and reduction of local tumor

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