CHEMOTHERAPY EVIDENCE BASED CARE

Chemotherapy Evidence Based Care

Chemotherapy Evidence Based Care

Article analysis

Care During Chemotherapy And Extravasation Care

Multiple complications due to both local and systemic intravenous chemotherapy. drug extravasation in the skin, the patient side effects, short-and long-term damage is one of the most feared complications that may occur during chemotherapy. Fortunately, you can take steps to reduce the risk of leakage and limiting the results occurs.

Vesicant (causing bladder), chemotherapeutic agents such as doxorubicin, the patient if they are removed or vein tissue necrosis may result in error of this agent was administered into the tissue. Blister doxorubicin and other anthracyclines (daunorubicin, epirubicin, regimen with idarubicin) during extravasation of DNA binding to cells of healthy tissue causing cell death (necrosis). tissues, they may continue for a long time because, in addition to anthracycline is not easily assimilated by the body. Therefore, this extravasation injuries are usually deeper and more painful over time is greater. plant alkaloids (eg vincristine, vinblastine), such as other types of vesicant chemotherapy, and does not bind to the DNA of healthy cells, tissues, is metabolized easily. Therefore, these agents remain localized extravasation injury rule, and a little tender to develop over time.

in rare cases, nurses and health centers, vesicant extravasation occurs, despite the efforts. Published incidence rates of extravasation of chemotherapy varies from 0.01% to 6%. However, many providers because the majority of injuries can be prevented, or even so much as an extravasation injury in the health sector, are aware.

influenced by the severity of the injury type vesicant vesicant extravasation extravasation (or DNA binding [Table 1] is not), concentration and texture, and where the amount of vesicant. The back of the hand and wrist area of extravasation extravasation in this patient group was generally in other areas such as the forearm more damage extravasation. arm hand and wrist basic structures (such as tendons and nerves) is to have more or less tissue.

In this case, the patient, a slight leak and long-term effects (probably because, if caught early), unlike some of the fugitive to hospital for debridement of wounds had a skin graft is required or fin placement and intravenous antibiotics. History is usually chemotherapy, treatment delay and delay caused by psychological stress for the patient. chronic infection, disability and disfigurement and long-term consequences.

Prevention (Table 2) the main method for managing extravasation. Oncology Nursing Society and the Infusion Nurses Association has released guidelines for the management and administration vesicant extravasation. Corporate policies and procedures, hospitals, clinics and offices each year and revise the settings should be used in accordance with these principles.

The first case, the IV device was introduced some difficulties in the management of vesicant went to the nurse, despite the resistance comes from the infusion of saline. Add a piercing through the vessel wall and increases the risk of traumatic IV extravasation. Bubble, only a peripheral IV device should be easily inserted after IV saline flows freely and no evidence of swelling, redness or a return to the ...