A Cancer Patient With a Bloody Cough

Hemoptysis, a condition presenting with varying degrees of severity, can be a result of a wide variety of conditions. Its comprehensive assessment requires evaluating patient stability, airway patency, and implementing an extensive diagnostic protocol. Critical to patient management is a broad diffe...

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Bibliographic Details
Published in:Journal for nurse practitioners 2023-11, Vol.19 (10), p.104788, Article 104788
Main Authors: Kazanjian, Karen, Kuhnly, Nicole, Chen, Leon
Format: Article
Language:English
Subjects:
Airway management
angiography
Blood tests
Bronchoscopy
Cancer
Cancer therapies
Case studies
Chemotherapy
Chronic obstructive pulmonary disease
Clinical deterioration
Cough reflex
Deterioration
Diagnostic tests
Endoscopy
Etiology
Fungal infections
Hemodynamics
Hemoptysis
Interdisciplinary aspects
Life threatening
Medical diagnosis
Medical imaging
Nurse practitioners
Oncology
Patients
Pulmonary arteries
Pulmonary embolisms
Pulmonology
Thoracic surgery
Thrombocytopenia
Tomography
Tuberculosis
Veins & arteries
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Summary:Hemoptysis, a condition presenting with varying degrees of severity, can be a result of a wide variety of conditions. Its comprehensive assessment requires evaluating patient stability, airway patency, and implementing an extensive diagnostic protocol. Critical to patient management is a broad differential diagnosis, accurate targeting of the identified etiology, and vigilant monitoring for signs of clinical deterioration. Although life-threatening manifestations necessitate multidisciplinary intervention, mild hemoptysis may be managed with only supportive measures. Nurse Practitioners can provide impactful care for hemoptysis patients and should expand their education on its presentation, causes, and management. •Hemoptysis can range from mild to life-threatening and requires thorough and prompt evaluation to determine its origin.•A broad differential diagnosis is vital when managing hemoptysis, considering conditions including infections, cancer, and bronchiectasis. computed tomography scans, bronchoscopy, respiratory cultures, and other more invasive modalities.•Management of hemoptysis is tailored based on diagnosis and may include antibiotics, bronchial arterial embolization, and specialist referrals.•Life-threatening hemoptysis requires a targeted multidisciplinary approach, whereas mild cases may only require supportive care and vigilant monitoring.
ISSN:1555-4155
1878-058X
DOI:10.1016/j.nurpra.2023.104788