What are the common oncologic emergencies seen in patients with multiple myeloma? — Name withheld on request

Multiple myeloma is a plasma cell neoplasm is characterized by malignant transformation and clonal expansion of mature plasma cells, which results in overproduction of monoclonal proteins. Treatment goals are centered on detection of progressive disease and adverse events.

Oncologic emergencies that may arise due to adverse events include myelosuppression, with anemia being the most common (97%); hypercalcemia; spinal cord compression; and acute renal failure.

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Goals of care in this patient population should focus on prevention and progression of these end-organ processes. — Jiajoyce R. Conway, DNP, CRNP, AOCNP

Reference

Becze E. Manage oncologic emergencies with multiple myeloma. ONS Voice. https://voice.ons.org/news-and-views/manage-oncologic-emergencies-with-multiple-myeloma. Published November 7, 2017. Accessed January 3, 2018.