Even potassium chloride and sodium bicarbonate can be a vesicant
in some patients. Lynn
At 10:09 PM -0500 2/6/06, [EMAIL PROTECTED] wrote:
Vesicants are not always clearly identified. I can easily call vanc a vesicant, because we have seen the necrosis caused by extravasation of vanc. It may be rare, but it happens. I have also seen one pt with multiple areas of necrosis from peripheral 5FU, at a time when 5FU was not yet being identified as a vesicant. Every time the RN pulled out the PIV, the pt had necrosis at the site. Apparently they were not flushing it properly prior to removal of the cannula. The point is, there is no "Vesicant Idenitification Think Tank," where all decisions about the identification of vesicants are made. Sometimes we have to wait for bad things to happen before this determination is official.
Leigh Ann
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
