Pancoast Tumor
- Apical Lung Tumor
- Non-small Cell Lung Cancer
- Axillary or Shoulder Pain
- Hoarseness
- Horner Syndrome
- Superior Vena Cava Syndrome
- Sensorimotor Deficits
- Hemidiaphragm Paralysis
Superior Vena Cava Syndrome
- Obstruction of Superior Vena Cava
- Tumor
- Thrombosis
- Upper Extremity and Facial Edema
- Venous Engorgement over Upper Extremity, Face, and Chest
- Increased Intracranial Pressure
- Treat Underlying Disorders
First Generation Antihistamines
- Histamine H1 Receptor Antagonist
- Allergies
- Nausea and Vomiting
- Motion Sickness
- Anaphylaxis
- Diphenhydramine (Benadryl)
- Promethazine (Phenergan)
- Chlorpheniramine
- Sedation
- Anticholinergic Effects
Second Generation Antihistamines
- Allergies
- Lipophobic
- Histamine H1 Receptor Antagonist
- Azelastine + Fluticasone (Dymista)
- Intranasal Spray
- Cetirizine (Zyrtec)
- Loratadine (Claritin)
- Fexofenadine (Allegra)
- Fewer Anticholinergic Effects
- Fewer CNS Effects
Dextromethorphan
- Codeine Analog
- Weak Opioid
- NMDA Receptor Antagonist
- Cough Suppressant
- Serotonin Syndrome
- Drug Overdose
- Naloxone
Anaphylaxis Intervention
- Assess Airway and Oxygen Needs
- Reassure Patient with Anxiety
- Supine Position
- Methylprednisolone (Solu-medrol)
- Epinephrine
- Diphenhydramine (Benadryl)
- Medical Alert Bracelet