Transcription of Extravasation Table– Non Chemotherapy
1 Infiltration / Extravasation Treatment Table Non Chemotherapy Approved by Pharmacy, Therapeutics, and Diagnostics Committee June 2016 Refer to the Standard Operating Procedure for Infiltration/ Extravasation Management: Non Chemotherapy For Chemotherapy medications, refer to the Extravasation Treatment Table Chemotherapy /Biotherapy Contact the Pharmacy for information on medications not listed below Antidote, if indicated, to be administered by Vascular Access Team or provider Medication Recommended Treatment Compresses Vesicants DOBUT amine DOPamine EPINEPH rine Norepinephrine Phenylephrine Vasopressin Phentolamine x 5 doses SQ Alternatives Terbutaline mL x 5 doses SQ Nitroglycerin 2% Apply 1 inch strip Q8H WarmAcyclovir Calcium salts Contrast media Dextrose > 10% Mannitol > 20% Phenytoin Potassium (> 60 mEq/L) Promethazine Sodium bicarbonate > Sodium chloride > 3% Total Parenteral Nutrition (TPN) Hyaluronidase (Hylenex)
2 3 mL x 5 doses SQ Cold Irritants Aminophylline Diazepam Nafcillin Penicillin Potassium < 60 mEq/L Vancomycin May consider utilizing hyaluronidase: Hyaluronidase (Hylenex) 3 mL x 5 doses SQ Cold Alteplase (tPA) Amiodarone Amphotericin B Digoxin Doxycycline Erythromycin Esmolol Foscarnet Ganciclovir Metronidazole Metoprolol Milrinone PHEN obarbital Piperacillin/tazobactam None None Blood Products N/A NoneColdNon Irritating Includes but not limited to: Routine Maintenance fluids and Normal Saline It is still important to perform hourly site checks on all continuous infusions References: 1.
3 Reynold, PM, MacLaren R, Mueller SW, et al. Management of Extravasation injuries: A focused evaluation of noncytotoxic medications. Pharmacotherapy. 2014 Jun;34(6):617 32. 2. Le A, Patel S. Extravasation of noncytotoxic drugs: A review of the literature. Ann Pharmacother. 2014 Apr 8;48(7):870 886. 3. Lexi Drugs. Management of drug extravasations. Wolters Kluwer. Updated 11/16/15.
