Transcription of MANAGEMENT OF EXTRAVASATION - …
1 MANAGEMENT OF EXTRAVASATIONEXTRAVASATED DRUGLOCALANTIDOTEADMINISTRATIONCOMPRESSH yperosmoticSolutionsCalcium chloideDextrose 10%Patenteral NutritionPotassiumRadiocontrast mediaHyaluronidase(Vitrase,Amphadase,Hyd ase,Hylenex)15 units/mL in chlorideAdminister 5 SQ injections of mL eachNoneNafcillin, Penicillin, AminophyllineHyaluronidase(Vitrase,Ampha dase,Hydase,Hylenex)15 units/mL in chlorideAdminister 5 SQ injections of mL eachCold compress forextravasation ofnafcillinSympathomimeticsDobutamineDop amineEpinephrineMetaraminolNorepinephrin eVasopressinPhenylephrinePhentolamine5mg in 10mL of chlorideInject 1ml of the antidote SQ liberally to the infiltrated areawithin 12 hours of EXTRAVASATION . DO NOT exceed or 5mg dose is effective,normal skin color should return to the blanched area within 1 hourNoneAmiodaroneHyaluronidase(Vitrase, Amphadase,Hydase,Hylenex)Nitropaste 1 15 units/mL in sodium chlorideAdminister 5 SQ injections of mL eachQ1H for the first 4 hours, then Q4H X 48H maxHold for SBP < 90 Cold compressesfor 15 60minutes 3-4 times a day until symptom resolution Patient Care Services Policy reference for SJH, SJE, CCH, SJBC reated 10/08
