Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Stabilization priorities
Airway protection triggers
Depressed mental status from severe electrolyte abnormality
Refractory seizures
Cardiac monitoring
Continuous telemetry for dysrhythmia risk
Defibrillator pads for wide-complex rhythm or severe hyperkalemia
Vascular access
2 large-bore IVs
Central access if poor peripheral access or anticipated dialysis
Bedside escalation triggers
Ventricular dysrhythmia
Potassium 6.0 mmol/l or ECG changes
Symptomatic hypocalcemia
Rising creatinine or oliguria
Lactate rising with shock physiology
Early TLS recognition
Pattern recognition
Recent cytotoxic therapy
Chemotherapy initiation within 12-72 hours
Corticosteroid initiation in high-grade lymphoma or ALL
High tumor burden context
Bulky lymphadenopathy or massive splenomegaly
Very high LDH
Classic lab cluster
Hyperkalemia
Hyperphosphatemia
Hyperuricemia
Hypocalcemia
Acute kidney injury
Monitoring and targets
Monitoring cadence
Electrolytes frequency
Every 4-6 hours for active TLS or high risk on therapy
Every 8-12 hours for intermediate risk prophylaxis
Urine output tracking
Hourly urine output with strict input output
Foley catheter if critically ill or unreliable measurements
ECG surveillance
Repeat ECG with potassium rise
Repeat ECG with symptomatic hypocalcemia
Hemodynamic and renal targets
Perfusion targets
MAP 65 mmHg or baseline for chronic hypertension
Lactate trend down
Renal protection targets
Urine output 1-2 ml/kg/hour if feasible
Avoid nephrotoxins
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.