Diagnosis and management of
chemotherapy-induced anemia (CIA)
Watch for declining Hb levels and the onset of signs and symptoms
Below, you will find an example of an approach to the management of CIA.
During the first visit for initiation of chemotherapy, interaction with the patient can be broken up into two general categories: education and assessment. In follow-up visits, the medical team may assess the patient’s hematologic parameters and condition, both by checking lab results and by asking the patient about his or her ability to perform basic life functions. In this algorithm example, it’s likely to be a nurse who first notices the onset and/or worsening of anemia that triggers intervention.
Example of diagnosis and management process
RBC = red blood cell
Hb = hemoglobin
Hct = hematocrit
References: 1. Camp-Sorrell D. Chemotherapy toxicities and management. In: Yarbro CH, Wujcik D, Gobel BH, eds. Cancer Nursing: Principles and Practice. 7th ed. Sudbury, MA: Jones and Bartlett; 2011:458-503. 2. Hurter B, Bush NJ. Clin J Oncol Nurs. 2007;11:349-359. 3. Mitchell SA, Beck SL, Hood LE, et al. Clin J Oncol Nurs. 2007;11:99-113. 4. Jacobson JO, Polovich M, McNiff KK, et al. J Clin Oncol. 2009;27:5469-5475. 5. National Comprehensive Cancer Network. Cancer- and Chemotherapy-Induced Anemia Guidelines. v2.2012. Available at: www.nccn.org. Accessed September 19, 2011.
