A client receiving pembrolizumab reports frequent watery sto… | MyMerci
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Adverse Effects/Contraindications/Interactions

A client receiving pembrolizumab reports frequent watery stools above baseline. Classify each finding by the decision it supports.

Matrix

Choose your responses, then check the answer.

Immune-mediated colitis cueVolume-loss cueRequires prompt treatment-team escalation
Frequent watery stools above baseline during the past 24 hours
New cramping abdominal pain
Dry mucous membranes with HR 112/min
Creatinine increased from 0.8 to 1.4 mg/dL
Diarrhea began after pembrolizumab treatment
A formed stool after oral hydration
Explanation
New frequent diarrhea and abdominal pain suggest immune-mediated colitis; dry mucosa, tachycardia, and creatinine rise show volume loss; the pattern requires prompt oncology evaluation rather than self-treatment alone.
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