2088 0 obj <> endobj Also, dilution of the vinca alkaloid likely reduces the impact of any extravasation that might occur. Clin J Oncol Nurs. endstream endobj startxref ASCO/ONS Chemotherapy Administration Safety Standards Drug Safety and Administration - Cancer Care Ontario Gilbar P, Chambers CR, Larizza M. Medication safety and the administration of intravenous vincristine: International survey of oncology patients. doi: 10.4081/pr.2012.e28. Generally, drugs that are vesicants or have extremes of pH or osmolarity should not be administered via midline catheters. The information presented is current as of August 2, 2021. 3/10/2014, 6. and transmitted securely. 3/10/2014, Institute for Safe MedicationPractices Administering Vesicants | ONS Question:Will administering vinCRIStine in a minibag increase the risk of extravasation? Disclaimer. government site. European Oncology Nursing Society extravasation guidelines. David V, Christou N, Etienne P, et al. Best Practice #1 FAQ | Institute For Safe Medication Practices 833 S. Wood St., Suite B12, College of Pharmacy, (MC 886), Chicago, IL 60612, 2023 The Board of Trustees of the University of Illinois, UI Health is UICs academic health enterprise. Ex: Name & date of birth 2. Conclusion If an antidote is not going to be used, the venous access can be removed after aspiration of the extravasated fluid has been attempted. Question: Our pediatric department is reluctant to administer vinCRIStine via a minibag through a peripheral IV line since many of our patients do not have a peripherally inserted central catheter (PICC) or central venous access device. In some regimens, enough data support sequencing of agents, but in others, data are lacking. Antidote and treatment recommendations of vesicant chemotherapy manufacturers, antidotes and treatments approved by the U.S. Food and Drug Administration (FDA), and guidelines and . What are other facilities doing to avoid excessive drug loss in the tubing? PDF Vesicant Chemotherapy Extravasation Antidotes and Treatments - ResearchGate Clinical Associate Professor, Drug Information Specialist, Updated by: The minibag of vinCRIStine, using a short infusion set, is connected to the Y-site closest to the patient. Accessibility 2,23 Documentation of Events Each incident of extravasation must be thoroughly documented and reported. References: 1. The ASCO/ONS Chemotherapy Administration Safety Standards are intended to reduce the risk of error when providing adult patients with chemotherapy, and to provide a framework for best practices in cancer care.
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