Carefully observing and monitoring pediatric oncology
patients for initial clinical signs and symptoms is crucial
to minimizing the severity and life-threatening complications
associated with TLS. As hyperkalemia is often the
first life-threatening abnormality, it is crucial for pediatric
oncology nurses to monitor patients for any cardiac problems.
If it is clinically indicated, pediatric patients should
be assessed for symptoms of cardiac arrhythmias by using
a cardiac monitor. Pediatric oncology nurses should carefully
monitor potassium levels, with attention to possible exogenous sources of potassium such as dietary supplements
or other medications (Cantril & Haylock, 2004;
Mackiewicz, 2012; Swami et al., 2009)