Chemotherapy extravasation guideline - …

Chemotherapy extravasation guideline . written by: WOSCAN Cancer Nursing and Pharmacy Group date written: September 2009. approved by: West of Scotland Cancer Advisory Network Clinical Leads Group review date: September 2012. Chemotherapy extravasation guideline WOSCAN September 2009 page 1. Contents page 3 Introduction Aims of this guideline Scope Responsibilities 4 Definitions 5 Classification of cytotoxic drugs 6 Prevention of extravasation Staff Patient Canullation site Administration via peripheral lines Administration via central lines 9 Detection of extravasation 10 General principles for the treatment of extravasation Peripheral lines Central lines Application of heat or cold to the area Flush-out technique 12 Pharmacological management of extravasation Corticosteroids Antidotes 14 Summary of management of peripheral extravasation General treatment instructions Neutrals Inflammitants Irritants Exfoliants Vesicants 18 Non-pharmacological management of extravasation Heat application Topical cooling Surgery 19 extravasation kit Location Contents Maintenance 20 Documentation and information Patient information Documentation 21 Follow-up and long term

Chemotherapy extravasation guideline WOSCAN September 2009 page 3 Introduction Aims of this guideline > To provide evidence-based guidance or best practice in the absence of evidence, on all aspects of extravasation

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