emDOCs.net Emergency Medicine (EM) Podcast

Episode 113: Immune Checkpoint Inhibitor Adverse Events

11 snips
Jan 27, 2025
Dive into the world of immune checkpoint inhibitors in cancer therapy. This discussion reveals their fascinating impact on the immune system and the various adverse events they can trigger across organ systems. Learn about essential management strategies and the critical role of early intervention to prevent complications. It's a deep yet engaging examination of a cutting-edge topic in medicine that could change patient outcomes significantly!
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ADVICE

Check Meds and Consult Oncologist

  • Always review medication history for immune checkpoint inhibitor use in cancer patients.
  • Consult the oncologist early to manage adverse events properly.
ADVICE

Manage Immune Colitis Effectively

  • For colitis, grade severity by stool frequency and symptoms.
  • Use stool studies, imaging, and steroids for grade 2+ cases; involve surgery if severe.
ADVICE

Recognize and Treat Pneumonitis

  • Suspect pneumonitis in patients with dyspnea, nonproductive cough within 2-3 months of therapy.
  • Use chest CT for diagnosis; steroids and antibiotics are essential for grade 2+ cases.
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