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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: European Oncology Nursing Society extravasation guidelines
Authors: Wengstrom, Yvonne
Margulies, Anita
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Keywords: Vesicants
Evidence-based practice
Issue Date: Sep-2008
Publisher: Elsevier
Citation: Wengstrom Y & Margulies A (2008) European Oncology Nursing Society extravasation guidelines, European Journal of Oncology Nursing, 12 (4), pp. 357-361.
Abstract: An infrequent, but potential complication of chemotherapy is vesicant chemotherapy extravasation. Vesicants have the potential to cause blistering and ulceration when they extravasate from the vein or are inadvertently administered into the tissue. In 2007, the European Oncology Nursing Society published guidelines for extravasation prevention, detection, and management. Recommended management includes topical heating for plant alkaloid extravasations and topical cooling for anthracycline and other antitumor antibiotic vesicants. For treatment of antracycline extravasations topical dimethylsulfoxide (DMSO), sodium thiosulfate, and hyaluronidase have been described in the literature but due to lack of evidence to support their use as vesicant extravasation antidotes, it is recommended that these agents are studied further. Furthermore, Savenes (dexrazoxane) is the only registered drug for the treatment of antracycline extravasation. Nurses need to be aware of current evidence-based guidelines for detecting and managing vesicant extravasations and need to be prepared to administer evidence-based treatment.
Type: Journal Article
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Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Notes: No. 3-Most downloaded paper from European Journal of Oncology Nursing
Affiliation: Cancer Care Research Centre
University Hospital Zurich

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