Understanding cerebral edema: implications for oncology nurses

The nonspecific disorder cerebral edema is potentially a life-threatening complication of cancer and its treatment. Oncology nurses proficient in neurologic assessment can detect subtle changes and identify early stages of cerebral edema. When cerebral edema is suspected, oncology nurses must administer medications, manage side effects associated with these medications, institute safety and seizure precautions, and prevent complications of immobility. This paper reviews the pathogenesis and medical treatment of cerebral edema, describes a practical neurological assessment tool, and identifies implications for oncology nurses.