No research on multiple drugs such as you have described and very
little research on a single drug extravasation. I would immediately
recommend that a plastic surgeon be consulted to evaluate for a
wash-out procedure and would not rely on a topical or injected
antidote. Surgical incision and washing out the tissue may be your
only chance at this point. Lynn
At 12:17 PM -0400 6/5/06, [EMAIL PROTECTED] wrote:
Dear all,
I am currently involved in the process of evaluating and updating
our Extravasation P/P. Earlier this morning I received a phone call
from a pharmacist at our sister facility requesting any info
available on extravasation. It seems there was a "Code" in one of
our system areas - multiple drugs with vesicant potentials were
pushed via peripheral line. The peripheral line was lost but not
caught and drugs continued to be pushed. The list of drugs pushed
vary as to Wydase or Regitine use as the antedote, as well as heat
vs cold. The patient is now in ICU but her arm is "purple" from
the elbow down. I have not been able to visualize the site as this
facility is about 25 miles from us and I am only involved, "as a
consultant", because the pharmacist there knows that I am involved
in the revision of our current extravasation policy and was in need
of resources.
So, the issue(s) . . . multiple drugs (Calcium Gluconate, Na
Bicarb, Epi, Amiodarone, Calcium Chloride), no knowledge of when the
line was lost, the line was pulled without aspiration or expression,
questions as to treat with antedote, if so, which antedote, heat vs.
cold . . .
Photos are to be taken, documentation should be up to standards from
this point forward, ect. But.... what is your process if the above
occurs?
Naturally, you and I will all agree that things should have been
done differently from "go", but that didn't happen. Have any of you
any experience with multiple drugs and the lack of knowledge as to
what has infiltrated/extravasated? What did you do? How did you
handle it?
Thanks in advance!
Lorrie Fender, RN
Georgetown Memorial Hospital
Georgetown, SC
--
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
