Nursing management for ICANS of CAR T-cell therapy in B cell acute lymphoblastic leukemia†

Figures & Tables

Variety	Items
Pre-ICANS care
Nurse preparation	□ Know the latest research progress and guidelines □ Understand the patient’s condition as deeply as possible □ Rescue equipment in standby state □ CAR T-cell therapy-related training
Communication with patients	□ Introduce the presentation, identification, and management of ICANS to patients □ To communicate with the patients and their families as much as possible
Relevant evaluation and baseline data collection	□ Do the ICE score for patients as basic data □ ICANS risk factor observation table □ Evaluate the psychological status □ Administration of antiepileptic drugs □ Personalized nursing plans
During-ICANS care	□ ICE score
Symptomatic treatment of ICANS	□ Correct and timely administration □ Report the condition timely to the doctor □ Keep records □ Dietary nursing interventions
Management of other complications	□ Activity care □ Round-the-clock monitoring □ Safety care □ Nursing of other complications
Post-ICANS care
Continue to pay attention to the follow-up of the patient	□ Follow-up of toxicities
Reflect on the areas that still need improvement in the whole process	□ Keep an eye on the potential side effects □ Distribute symptoms and contact cards

Variety	Items	Maximum points
Orientation	Year	1
	Month	1
	City	1
	Hospital	1
Naming	Object 1 (e.g. clock)	1
	Object 2 (e.g. pen)	1
	Object 3 (e.g. button)	1
Following Commands	Ability to follow a simple command (e.g. “Show me 2 fingers” or “Close your eyes and stick out your tongue”)	1
Writing	Ability to write a standard sentence (e.g. “Our national bird is the bald eagle”)	1
Attention	Ability to count backward from 100 by 10	1