Em basic- heme Onc Part 1- oncology Emergencies

PEARL: Mnemonic for sources of infection

LUCAS- Lung Urine CNS Abdomen Skin
Labs and Rads

-CBC with differential, CMP, UA, Urine Culture, Blood cultures x2

-If patient has a port, be sure that one blood culture is drawn from the port

-Chest x-ray

Optional/as indicated labs:

-Coags- if patient is taking Coumadin (warfarin)

-VBG and lactate- if patient is sick to help rule out severe sepsis

-Flu swab- if suspecting influenza- may consider using Tamiflu (oseltamivir)

Any concern for meningitis- CT and LP (patient is immune-compromised so routine CT prior to LP is indicated)