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Extravasation/Infiltration Management Chart

JHH Extravasation/Infiltration Policy: procedures for compresses/antidotes: Compresses (**should not be used in neonates)Cold Compresses (**should not be used in neonates)HyaluronidasePhentolamineDexraz oxaneSodium ThiosulfateAcyclovir*XX * Vesicants are highlighted in this colorAllopurinolXAminophylline*XXAmiodar oneXAmphotericin BXArginine HCLXXA rsenic TrioxideXXBleomycinX Infiltration Grading ScaleBusulfanXXGradeClinical CriteriaCalcium Chloride*XX0 No symptomsCalcium Gluconate*XX1 Skin blanchedCARBO platinX With or without painCarmustineX Cool to touchCISplatin*XX Edema <1" in any directionCladribineXX Skin blanchedCyclophosphamideXX With or without painCytarabineXX Cool to touchDacarbazineX Edema 1-6" in any directionDactinomycin*X Skin blanched.

Etoposide X X Phlebitis Grading Scale Fluorouracil X X Grade Clinical Criteria Gemcitabine X X 0 € No symptoms Gemtuzumab X X 1 € Erythema at access site +/- pain Idarubicin* X X 2 € Pain at access site with erythema +/- edema Ifosfamide X € Pain at access site with erythema +/- edema Iohexol* (see contrast agent extravasation

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