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, translucentDAUN orubicin*XX Mild to moderate painDextrose >10%*XX Gross edema >6" in any directionDiazepamX Cool to touchDigoxinXXX Possible numbnessDOBUT amineX Skin blanched, translucentDocetaxelX Moderate to severe painDOPamine*X Skin tight.

Potassium Chl. (>40 meq/L)* X X Promethazine* X X Sodium Benzoate/ Phenylacetate (Ammunol®)* X X Sodium Bicarbonate* X X Sodium Chloride, Hypertonic X X Teniposide X X Thiotepa X X Topotecan X X Vancomycin X X Vasopressin* X VinBLAStine* X X VinCRIStine* X X

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  Potassium, Benzoate

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