Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]

Extravasation is a problem for patient receiving chemotherapy. This will cause pain, ulcer, necrosis and might be a permanent disability. Extravasation is a leakage of a fluid or medicine to the surrounding subcutaneous tissue of the vein or vascular, that may cause skin or tissue necrotic. There wa...

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Main Authors: Nur Nubli Julian Parade, Isnu Pradjoko
Format: Article
Language:English
Published: Universitas Airlangga 2019-01-01
Series:Jurnal Respirasi
Subjects:
Online Access:https://e-journal.unair.ac.id/JR/article/view/13937
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author Nur Nubli Julian Parade
Isnu Pradjoko
author_facet Nur Nubli Julian Parade
Isnu Pradjoko
author_sort Nur Nubli Julian Parade
collection DOAJ
description Extravasation is a problem for patient receiving chemotherapy. This will cause pain, ulcer, necrosis and might be a permanent disability. Extravasation is a leakage of a fluid or medicine to the surrounding subcutaneous tissue of the vein or vascular, that may cause skin or tissue necrotic. There was a wide span of incidence data of extravasation on the literature, between 0,01% and 11% reported from child to adult. Management of extravasation was based on proper maintenance of the intravenous (IV) line and application of cold or warm compresses, plus the use of antidotes when available. Antidotes for extravasation that have been shown to be useful are sodium thiosulfate for nitrogen mustard, dimethylsulfoxide for anthracyclines and mitomycin, and hyaluronidase for the vinca alkaloids. New treatments include dexrazoxane, sargramostim, and hyperbaric oxygen for doxorubicin extravasations. In order to improve patient service quality and reduce morbidity, every medical staff handle cancer patient receiving chemotherapy should have sufficient knowledge about how to manage extravasation event.
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spelling doaj.art-37822a8f7e65499aa69de6eb286740c92022-12-22T00:40:04ZengUniversitas AirlanggaJurnal Respirasi2407-08312621-83722019-01-01511521https://doi.org/10.20473/jr.v5-I.1.2019.15-21Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]Nur Nubli Julian Parade0Isnu Pradjoko1Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Hospital, Surabaya, Indonesia.Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo General Hospital, Surabaya, Indonesia.Extravasation is a problem for patient receiving chemotherapy. This will cause pain, ulcer, necrosis and might be a permanent disability. Extravasation is a leakage of a fluid or medicine to the surrounding subcutaneous tissue of the vein or vascular, that may cause skin or tissue necrotic. There was a wide span of incidence data of extravasation on the literature, between 0,01% and 11% reported from child to adult. Management of extravasation was based on proper maintenance of the intravenous (IV) line and application of cold or warm compresses, plus the use of antidotes when available. Antidotes for extravasation that have been shown to be useful are sodium thiosulfate for nitrogen mustard, dimethylsulfoxide for anthracyclines and mitomycin, and hyaluronidase for the vinca alkaloids. New treatments include dexrazoxane, sargramostim, and hyperbaric oxygen for doxorubicin extravasations. In order to improve patient service quality and reduce morbidity, every medical staff handle cancer patient receiving chemotherapy should have sufficient knowledge about how to manage extravasation event.https://e-journal.unair.ac.id/JR/article/view/13937extravasationchemotherapydimethylsulfoxidehyaluronidase
spellingShingle Nur Nubli Julian Parade
Isnu Pradjoko
Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
Jurnal Respirasi
extravasation
chemotherapy
dimethylsulfoxide
hyaluronidase
title Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
title_full Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
title_fullStr Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
title_full_unstemmed Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
title_short Manajemen Ekstravasasi Kemoterapi Manajemen Ekstravasasi Kemoterapi [Extravasasion Chemoteraphy Management]
title_sort manajemen ekstravasasi kemoterapi manajemen ekstravasasi kemoterapi extravasasion chemoteraphy management
topic extravasation
chemotherapy
dimethylsulfoxide
hyaluronidase
url https://e-journal.unair.ac.id/JR/article/view/13937
work_keys_str_mv AT nurnublijulianparade manajemenekstravasasikemoterapimanajemenekstravasasikemoterapiextravasasionchemoteraphymanagement
AT isnupradjoko manajemenekstravasasikemoterapimanajemenekstravasasikemoterapiextravasasionchemoteraphymanagement