Documenting of extravasation of cytotoxic agents

As a potential complication of a systemic administration of cytotoxic agents, extravasation requires particular caution of all health practitioners involved in treatments of oncological patients. In the light of the fact that more than 100.000 doses of chemotherapy are indicated worldwide and more t...

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Main Authors: Savić Maja, Stanisavljević Sanja, Tadić Dušanka
Format: Article
Language:srp
Published: Association of Nurses Technicians and Midwives 2020-01-01
Series:Sestrinska reč
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0354-8422/2020/0354-84222080032S.pdf
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author Savić Maja
Stanisavljević Sanja
Tadić Dušanka
author_facet Savić Maja
Stanisavljević Sanja
Tadić Dušanka
author_sort Savić Maja
collection DOAJ
description As a potential complication of a systemic administration of cytotoxic agents, extravasation requires particular caution of all health practitioners involved in treatments of oncological patients. In the light of the fact that more than 100.000 doses of chemotherapy are indicated worldwide and more than 1.000.000 intravenous infusion of cytostatic drugs are administered on daily bases, it is upsetting that in the case of cytostatic administration through peripheral intravenous cannulas extravasation occurs in 0,5 to 6% of oncological patients, while in the case of administration through central venous lines it occurs in 6% of the cases. Each extravasation results in tissue damage and depending on type and features of the administered substance can be manifested in different forms, from skin reaction to tissue necrosis. By highlighting the multiple significance of documenting and accident reporting, the authors state the necessary elements and propose the form of a nurse documenting list for the cases of extravasation of cytostatic agents. A nurse must document the following data on an accident: patient's name and surname, date of birth, name of the clinics, primary oncological diagnosis, date and time of extravasation, name of the cytotoxic drug, symptoms and signs of extravasation and the measures undertaken. The accurate documenting and reporting of accidents are legally binding for health practitioners, particularly nurses, as a result of the need to map the risk factors of their occurrence, to assess compliance of the standard nursing procedures in administration of cytostatic therapy, to follow up the course of the management of complications, outcomes and the undertaken measures but also to improve the existing and develop new preventive strategies.
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spelling doaj.art-8efd91083f5d4265b4ebb4e0caa591072023-12-03T04:37:14ZsrpAssociation of Nurses Technicians and MidwivesSestrinska reč0354-84222466-51262020-01-01238032360354-84222080032SDocumenting of extravasation of cytotoxic agentsSavić Maja0Stanisavljević Sanja1Tadić Dušanka2Vojnomedicinska akademija, SerbiaAkademija strukovnih studija, Odsek Visoka zdravstvena škola, Beograd, SerbiaAkademija strukovnih studija, Odsek Visoka zdravstvena škola, Beograd, SerbiaAs a potential complication of a systemic administration of cytotoxic agents, extravasation requires particular caution of all health practitioners involved in treatments of oncological patients. In the light of the fact that more than 100.000 doses of chemotherapy are indicated worldwide and more than 1.000.000 intravenous infusion of cytostatic drugs are administered on daily bases, it is upsetting that in the case of cytostatic administration through peripheral intravenous cannulas extravasation occurs in 0,5 to 6% of oncological patients, while in the case of administration through central venous lines it occurs in 6% of the cases. Each extravasation results in tissue damage and depending on type and features of the administered substance can be manifested in different forms, from skin reaction to tissue necrosis. By highlighting the multiple significance of documenting and accident reporting, the authors state the necessary elements and propose the form of a nurse documenting list for the cases of extravasation of cytostatic agents. A nurse must document the following data on an accident: patient's name and surname, date of birth, name of the clinics, primary oncological diagnosis, date and time of extravasation, name of the cytotoxic drug, symptoms and signs of extravasation and the measures undertaken. The accurate documenting and reporting of accidents are legally binding for health practitioners, particularly nurses, as a result of the need to map the risk factors of their occurrence, to assess compliance of the standard nursing procedures in administration of cytostatic therapy, to follow up the course of the management of complications, outcomes and the undertaken measures but also to improve the existing and develop new preventive strategies.https://scindeks-clanci.ceon.rs/data/pdf/0354-8422/2020/0354-84222080032S.pdfextravasationcytostaticsdocumentingnurses
spellingShingle Savić Maja
Stanisavljević Sanja
Tadić Dušanka
Documenting of extravasation of cytotoxic agents
Sestrinska reč
extravasation
cytostatics
documenting
nurses
title Documenting of extravasation of cytotoxic agents
title_full Documenting of extravasation of cytotoxic agents
title_fullStr Documenting of extravasation of cytotoxic agents
title_full_unstemmed Documenting of extravasation of cytotoxic agents
title_short Documenting of extravasation of cytotoxic agents
title_sort documenting of extravasation of cytotoxic agents
topic extravasation
cytostatics
documenting
nurses
url https://scindeks-clanci.ceon.rs/data/pdf/0354-8422/2020/0354-84222080032S.pdf
work_keys_str_mv AT savicmaja documentingofextravasationofcytotoxicagents
AT stanisavljevicsanja documentingofextravasationofcytotoxicagents
AT tadicdusanka documentingofextravasationofcytotoxicagents