Reply To: extravasation measures

  • Mary Lynn Rae

    Member
    July 15, 2019 at 10:57 am

    Hello:

     

    For vinca alkaloids that might have extravasated through the port you want to leave the Huber needle in to give the antidote hyaluronidase in the port pocket then remove the needle; if the port extravasated something like daunorubicin then you can do the normal SLAPP and give the antidote dexrazoxane at another IV access point (it will go to the extravasation site)  

     

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    NPD Practitioner/Clinical Educator Hem/Onc/SCT

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

    APHON Chicago Chapter President

    image006.jpg@01D455CA.162671C0

     

    ——Original Message——

    ​​Hello I am interested to know about the new evidences regarding extravasation measures from an implanted port. it was previously stated in our policy that whenever we have an extravasation we keep the cathteter in place in order to administer antidote.

    However , I found now that we need to remove the catheter.

    Please can you provide me with the best practice and if possible with a reference.

    Thank you

    ——————————
    Sarah Hakim, MSN
    Clinical Educator
    Lebanon
    ——————————