Emergency room nurse with patient on gurney

Recognition and Management of Oncologic Emergencies in the Emergency Department

Oncology patients present unique and complex challenges in the emergency department due to the effects of cancer, treatment-related toxicities, and compromised immune and hematologic function. Conditions that may appear routine in the general population can rapidly escalate to life-threatening emergencies in this medically fragile group. Emergency nurses must be prepared to recognize early warning signs, initiate timely interventions, and escalate care to prevent adverse outcomes.

This continuing nursing education (CNE/CEU) course provides nurses with a comprehensive review of oncology foundations, common urgent presentations, and high-risk oncologic emergencies encountered in the emergency department setting. Content focuses on rapid assessment, prioritization, nursing interventions, and clinical decision-making across a wide range of cancer-related scenarios. Learners will explore symptom management, metabolic disturbances, infection and sepsis in the immunocompromised patient, neurologic and cardiovascular oncologic emergencies, and the impact of modern cancer therapies on emergency care.

The course also incorporates implicit bias education to promote equitable, patient-centered care and improved outcomes for oncology patients presenting to emergency settings. Upon completion, nurses will be better equipped to provide safe, evidence-based emergency care for patients with cancer across the continuum of treatment and survivorship.

Objectives

Upon completion of this course, participants should be able to:

  1. Differentiate between common oncology treatment modalities.
  2. Identify which cancer therapies may cause immune-related adverse events.
  3. State which factors increase the risk of dehydration in oncology patients.
  4. Recognize urgent oncology-related symptoms.
  5. Identify which laboratory abnormalities are characteristic of tumor lysis syndrome.
  6. State the most appropriate nursing intervention for suspected increased intracranial pressure.
  7. List the signs/symptoms indicative of SIADH.

Curriculum

Chapter 1: Oncology Foundations for Emergency Nurses

  • Oncology Terminology Refresher
  • Immunosuppression & Neutropenia Risk
  • High-risk Oncology Populations in the ED
  • Importance of Triage Prioritization
  • Central Venous Access Devices:
    • Ports, PICCs, Tunneled Catheters
    • Infection Prevention
    • Accessing Ports in Emergent Situations
  • Legal & Safety Considerations in Emergent Oncology Care
Chapter 2: Common Urgent Presentations in Oncology Patients
  • Chemotherapy-Induced Nausea and Vomiting (CINV)
  • Diarrhea & Colitis
  • Dehydration & Electrolyte Imbalance
  • Cancer-Related Pain
  • Anemia & Transfusion Thresholds
  • Thrombocytopenia & Bleeding Risk
  • Hypersensitivity and Infusion Reactions
  • Immunotherapy-Related Adverse Events (irAEs)

Chapter 3: Oncologic Emergencies

  • Sepsis & Septic Shock
  • Neutropenia & Neutropenic Fever
  • Tumor Lysis Syndrome (TLS)
  • Spinal Cord Compression
  • Increased Intracranial Pressure
  • Disseminated Intravascular Coagulation (DIC)
  • Cardiac Tamponade
  • Superior Vena Cava Syndrome (SVCS)
  • Hypercalcemia of Malignancy
  • SIADH
  • Clinical Decision-Making, Red Flags, and Escalation Pathways

Price: $18.00

Contact Hours: 1.5

Emergency room nurse with patient on gurney

Course Author

Author photo for Kendall Moore

Kendall Moore

Kendall is a 2022 Magna Cum Laude graduate from Tyler Junior College with an Associate Degree in Nursing. She has a deep passion for nutrition and hormone health, is a member of the American Holistic Nurses Association, and is currently enrolled in Pacific College's RN-to-BSN in Holistic Nursing program. Upon graduation, Kendall intends to begin a Nutritional Therapy Practitioner program to further expand her expertise.

In addition to her academic and professional pursuits, Kendall serves as the Chief Operating Officer of Pedagogy, where she manages the day-to-day operations of the company while simultaneously attending school and authoring educational courses. Her unique blend of leadership, clinical knowledge, and dedication to holistic health reflects her commitment to advancing both patient care and healthcare education.

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