Scribd Logo
Upload

Welcome to Scribd!

  • 6 views

    Care Pathway On Extravasation Management

    Uploaded by

    Shuchi Rai
    This document outlines a care pathway for managing extravasation, which is the unintentional administration of drugs into the surrounding tissue instead of a vein. It provides steps to take immediately if extravasation is suspected, including stopping the injection, withdrawing as much drug as possible, elevating the arm, and informing the physician. It then describes further steps depending on whether the extravasated drug is DNA-binding, vesicant, or non-DNA binding and non-vesicant. The goal is to localize and neutralize vesicants through cooling and antidotes, or disperse and dilute non-vesicants through heat and agents to increase resorption. All incidents should be properly documented

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content

    You might also like

    Care Pathway On Extravasation Management

    Uploaded by

    Shuchi Rai
    6 views1 page
    This document outlines a care pathway for managing extravasation, which is the unintentional administration of drugs into the surrounding tissue instead of a vein. It provides steps to take immediately if extravasation is suspected, including stopping the injection, withdrawing as much drug as possible, elevating the arm, and informing the physician. It then describes further steps depending on whether the extravasated drug is DNA-binding, vesicant, or non-DNA binding and non-vesicant. The goal is to localize and neutralize vesicants through cooling and antidotes, or disperse and dilute non-vesicants through heat and agents to increase resorption. All incidents should be properly documented

    Original Description:

    Original Title

    Care pathway on Extravasation management

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document outlines a care pathway for managing extravasation, which is the unintentional administration of drugs into the surrounding tissue instead of a vein. It provides steps to take immediately if extravasation is suspected, including stopping the injection, withdrawing as much drug as possible, elevating the arm, and informing the physician. It then describes further steps depending on whether the extravasated drug is DNA-binding, vesicant, or non-DNA binding and non-vesicant. The goal is to localize and neutralize vesicants through cooling and antidotes, or disperse and dilute non-vesicants through heat and agents to increase resorption. All incidents should be properly documented

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    6 views1 page

    Care Pathway On Extravasation Management

    Uploaded by

    Shuchi Rai
    This document outlines a care pathway for managing extravasation, which is the unintentional administration of drugs into the surrounding tissue instead of a vein. It provides steps to take immediately if extravasation is suspected, including stopping the injection, withdrawing as much drug as possible, elevating the arm, and informing the physician. It then describes further steps depending on whether the extravasated drug is DNA-binding, vesicant, or non-DNA binding and non-vesicant. The goal is to localize and neutralize vesicants through cooling and antidotes, or disperse and dilute non-vesicants through heat and agents to increase resorption. All incidents should be properly documented

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Oncology Nursing Care Pathways

    Care Pathways on Extravasation Management

    1. Suspected extravasation/ classical extravasation 2. Immediate action:


    if
     Patient complaints of burning or stinging  Stop the injection or infusion
    sensation  Withdraw as much of the drug possible using
     There is evidence of swelling, induration, leakage wheel fashion with 16 gauge needle (use
    at insertion site single needle for each aspiration)
     There is resistance on plunger of syringe or  Elevate the arm
    absence of free flow of infusion, or  Inform the treating Physician

    3. Remove Cannula

    Extravasated
    molecule is
    DNA Binding DNA binding / Non DNA binding
    Non-DNA
    binding

    4. a) Vesicant or Irritant 4. a) Vesicant or Irritant


    Localize and neutralize Disperse and Dilute
    Agents: Agents:

     Anthracyclines  Vinka alkaloids


     Antibiotics (Mitomycin/  Taxanes
    Dactinomycin)  Platin salts
     Alkylating agents

    4.a) Localize 4. a) Disperse

    Apply dry cold pack( on and off) for 20 Apply dry hot fomentation(On and Off
    mins 4 times daily for 48 hrs application) for 20 mins 4 times daily for
    48 hrs
    (Avoid alcohol compress)

    4.a) Neutralize 4.a) Dilute


    Use specific antidotes Administer agents increasing resorption

    Anthracyclines  Vinka alkaloids


    Apply:  Taxanes
     Topical DMSO  Platin salts
     Inj Dexamethasone
    Infiltrate with Inj Hyaluronidase 1500 IU
    Mitomycin C
    Apply:
     Topical DMSO

    Document the incident

    You might also like