Hello everyone, One of our pharmacists and I are working on justification for fospheyntoin in our facility. I noticed in a reference of his:
Archives of Internal Medicine/vol159, Dec13/27,1999 Guidelines for Nonemergency Use of Parenteral Phenytoin Products. ---the authors are recommending dry heat application for phenytoin extravasations. They also state: "Continued administration through the same vein or use of a catheter size smaller than 20gauge increases the risk of vascular injury and soft tissue damage." 1999 is an older reference but the recommendation is not footnoted. What is your practice with regards to treatment of extravasation and also cannula size to prevent complications? Jose
