化疗药物外渗的护理（The nursing of chemical recuperation）.doc

化疗药物外渗的护理（The nursing of chemical recuperation） Regular medicine and olai (sodium aescinate), external use, smear. The soil medicine has: the potato chip outside apply a day change 4-5 times, the effect is good. The treatment of drug extravasation The most effective way to deal with extravasation is to prevent infiltration. Step 1: stop the chemotherapy 2 keep the needle and get the arm brake 3. Take out the drug that remains in the needle, the drug in the infusion tube or the drug that is suspected to be infiltrating 4 unplug the needle Avoid the external infiltration area under pressure In case of extravasation of special chemical therapy, the corresponding antidote should be given The use of special drugs for extravasation, for hot or cold treatment 8 elevating upper extremities Inform the doctor and discuss whether the external infiltration area needs further processing and filming ps Vincristine, vincristine and vincristine should be applied for at least 15-20 minutes per day for 24 to 48 hours and raise the affected extremities Adriamycin and so on should be partially cooled Pathogenesis: chemotherapeutic drug enters the surrounding tissue and causes tissue degeneration, necrosis and even ulcer formation. Clinical manifestations: congestion, pain, swelling and even rupture of injection site. First aid measures: 1. Immediate termination of the injection; 2. Local procaine + physiological saline subcutaneous injection may slow the absorption and analgesia of chemotherapy drugs; 3. Restricted area of local ice packs; 4. Locally obvious swelling can be used to remove swelling by wet application of magnesium sulfate; Surgical treatment of an ulcer or blister; 6. Physiotherapy can be used to promote recovery after an acute phase of inflammation. Preventive measures: 1. Select blood vessels from the distal end; 2. Alternate injection of multiple parts to restore blood vessels; To make sure that the blood vessels are open and then take care of the drug, and then use a