Please enable it to take advantage of the complete set of features! 2006;12(2):113-8. www.hospira.com/Images/434047_32-91799_1.pdf, http://opp.sagepub.com/content/early/2014/01/13/1078155213517729, Medication Safety Officers Society (MSOS). Gorski LA, Stranz M, Cook LS, et al. The site is secure. Avoid the "blame game.". Inject 5 mL subcutaneously using a 25 gauge needle, changing needles between each injection, into affected area in a pinwheel fashion. No formal recommendation, but depending on clinical condition could consider extrapolating from management of other vinca alkaloids: Apply cold pack initially for 30 to 60 minutes, then repeat every 15 minutes on day 1 only. Would you like email updates of new search results? 3/10/2014, 6. Apply ice to the area for 15 to 20 minutes each hour for 4 hours. government site. The minibag of vinCRIStine, using a short infusion set, is connected to the Y-site closest to the patient. Development of an evidence-based list of noncytotoxic vesicant medications and solutions. Vesicant: Medication that may causes severe and/or irreversible tissue injury and necrosis. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Determinations regarding the administration of drugs via midline catheter should consider properties of each drug individually because no definitive guidance is available to list the appropriateness of all drugs. Avoiding the use of infusion pumps for vesicant administration via short infusion using a peripheral vein (Polovich et al., 2009) www2.ons.org/ClinicalResources/Vincristine/Safety This decision must be weighed in light of certain death if the drug is administered via the wrong route. Federal government websites often end in .gov or .mil. This site needs JavaScript to work properly. Your institution can use them to inform practice policies and procedures, internal quality assessment, and external quality monitoring. Sauerland C, Engelking C, Wickham R, Corbi D. Oncol Nurs Forum. Pittsburgh, PA 15275 Two important safety features are important here. All rights reserved. Knowledge Level on Administration of Chemotherapy through Peripheral and Central Venous Catheter among Oncology Nurses. Cold - If using sodium thiosulfate, apply cold pack for 6 to 12 hours after administration of sodium thiosulfate. 2008 Mar;13(3):284-8. doi: 10.1634/theoncologist.2007-0191. In contrast, the Chemotherapy and Biotherapy Guidelines and Recommendations for Practice recommended against infusing vesicant agents peripherally for more than 30-60 min, but they also fail to categorize specifically chemotherapeutic agents as vesicants or irritants [Polovich et al. In order from most likely to least likely to cause damage when extravasation occurs: vesicants (most likely), exfoliants, irritants, inflammitants, and neutrals (least likely). 1990 Mar;4(1):41-60. doi: 10.1016/0268-960x(90)90015-k. Wang Y, Tian H, Chen X, Zhang J, Wang L, Fan H, Zhang Y, Qi X, Hu S, Yang Y. 3/10/2014, Institute for Safe MedicationPractices Based on the range of pH values generally considered appropriate for midline administration, vancomycin would be excluded because of its pH of 4. Kapucu S, zkaraman A, Uysal N, Bagcivan G, eref F, Elz A. Asia Pac J Oncol Nurs. Clinical Associate Professor, Drug Information Specialist, Updated by: No solid research exists regarding IV chemotherapy administration setups, because they can vary greatly based on the regimen, equipment availability, and patient status. **Some case reports of extravasation and injection site reactions or inflammation have been reported. R*#;Wv777UtB4o"*v fgf?m[q\.>:TM=U)!f7STG.(Ky\B/Uc>L3}4d##0 ~!m I/>fwo8X p#D:}(edI? *(rC?Qe<=O%cfkkdsWq(u ?|b1k#^b!*tne{R^i5 }ikSbRI{xlQYSgAoKmgx~f 3. Unable to load your collection due to an error, Unable to load your delegates due to an error. Courtney Krueger, PharmD, BCPS 2009 Aug;13(4):395-8. doi: 10.1188/09.CJON.395-398. Please. In, For more information on nurses, chemotherapy, and pregnancy, watch. To update the ASCO/Oncology Nursing Society (ONS) Chemotherapy Administration Safety Standards and to highlight standards for pediatric oncology. Antidote and treatment recommendations of vesicant chemotherapy manufacturers, antidotes and treatments approved by the U.S. Food and Drug Administration (FDA), and guidelines and recommendations made by professional oncology organizations are useful resources in this process. 2088 0 obj <> endobj Caparas JV, Hu JP. Section V: Immediate Complications of cytotoxic therapy, p.105. 4. Safe Administration of Chemotherapy: Safety During Chemotherapy Ordering, Transcribing, Dispensing, and Patient Identification Safe Administration of Systemic Cancer Therapy: Administration of Chemotherapy and Management of Preventable Adverse Event Cloudflare Ray ID: 7c0b26d1e9b36bd5 Griffiths V. Midline catheters: indications, complications and maintenance. Nurses, Chemotherapy, and Pregnancy: What Do We Know?
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