[Metabolic emergencies in critically ill cancer patients].

Abstract:

:Severe metabolic alterations frequently occur in critically ill cancer patients; hypercalcemia, hypocalcemia, hyponatremia, tumor lysis syndrome, metabolic complications of renal failure and lactic acidosis. Cancer patients with metabolic emergencies should be treated in a medical oncology department or an intensive care unit. Most metabolic emergencies can be treated properly when they are identified early. The clinician should consider that the prognosis of critically ill cancer patients depends on their primary disease, comorbidities and organ failure. :Las alteraciones metabólicas graves que ocurren con frecuencia en pacientes oncológicos críticamente enfermos incluyen: hipercalcemia, hipocalcemia, hiponatremia, síndrome de lisis tumoral, alteraciones metabólicas asociadas a insuficiencia renal y acidosis láctica. Los enfermos oncológicos con urgencias metabólicas deben ser tratados en un departamento de oncología médica o en una unidad de cuidados intensivos. La mayor parte de las urgencias metabólicas se pueden tratar de forma adecuada cuando son identificadas de forma temprana. El clínico debe considerar, que el pronóstico de los pacientes oncológicos críticamente enfermos depende de su enfermedad primaria, las comorbilidades y las fallas orgánicas.

journal_name

Nutr Hosp

journal_title

Nutricion hospitalaria

authors

Namendys-Silva SA,Hernández-Garay M,García-Guillén FJ,Correa-García P,Herrera Gómez A,Meneses-García A

doi

10.3305/nutr hosp.v28in06.6959

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1851-9

issue

6

eissn

0212-1611

issn

1699-5198

journal_volume

28

pub_type

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