Escolar Documentos
Profissional Documentos
Cultura Documentos
A. STOP THE INFUSION: REMMOVE ANY REMAINING DRUG IN THE TUBING OR NEEDLE AND
A. Cold compression are indicated for DOXORUBICIN extravasation but are no benefit for Taxone or Oxaliplatin
(Eloxatin) extravasation.
B. Warm compression are recommended for VINCA ALKALOID extravasation.
C. Dependimg on the guidelines for specific agent, extravasation management may include aspiration of any
infiltrated meds from the tissues and injection of a neutralizing solutions into the area to reduce tissue damage.
D. Dexrazoxane(Totect) IV infusion for 3days has benefit in treatment of anthracycline (i.e doxorubicin) extravasation
with prevention of tissue necrosis.
Note: vesicant chemo should never be administered in peripheral veins involving the hand and wrist. Peripheral
administration is permitted for short duration infusion only and placement of venipuncture site should be on the forearm
using a soft plastic catheter.
IONIZING AGENT
Priciples:
RADIATION DOSAGE:
BETA – particles can’t pass through the skin but somehow penetrating the alpha
- Mostly USED
- EXAMPLE: ETERNAL BEAM RADIATION (EBT)
1. TELETERAPHY (EBT)
2. BRACHYTHERAPHY (internal radiation/ implant therapy)
3. SYSTEMIC ( unsealed source, radiopharmaceutical or radioisotope)
4. Contacts or surface molds
NURSING PRIORITIES:
Clients who receive radiation therapy should not be gathered with soap over the radiation site and should avoid
use of lotions and powders.
ETERNAL RADIATION
INTERNAL RADIATION
IMPLANT THERAPY
o SKIN REACTIONS
Skin erythema
dry squamation of the skin
wet desquamation of the skin
loss of hair on the skin
skin pigmentation and discoloration
o GI DISTURBANCE
o OTHERS: FATIGUE – chemo; radiation
C: Hands
D: Abdomen
E: Ear
F: Nail pitting
G: Forehead
H: Knee, plaque form