A nurse suspects that the IV line infusing vincristine (Oncovin) ...

[Jramos095]

A nurse suspects that the IV line infusing vincristine (Oncovin) has infiltrated. The nurse discontinued the line. Which other actions are indicated?
 
  1. Apply local ice packs.
  2. Inject hyaluronidase per protocol.
  3. Place a tourniquet on the client's arm above the IV site.
  4. Place warm compresses on the site.
  5. Administer prednisone per protocol.

Question 2

A nurse suspects that the IV line through which doxorubicin (Adriamycin) is infusing has infiltrated. The nurse has discontinued the IV site. What additional action should be taken?
 
  1. No special action is necessary.
  2. A warm wet compress should be placed on the site.
  3. Wash the area thoroughly with soap and water.
  4. Apply ice packs to the area immediately.

[Smiles0805]

Answer to Question 1

Correct Answer: 2,4
Rationale 1: Cold compresses will significantly increase the toxicity of vinca alkaloids.
Rationale 2: Hyaluronidase is used as treatment for vincristine extravasation.
Rationale 3: There is no need to place a tourniquet on the client's arm.
Rationale 4: Warm compresses are recommended as treatment.
Rationale 5: Prednisone is not given concurrently with vincristine due to increased bone marrow toxicity.

Answer to Question 2

Correct Answer: 4
Rationale 1: Special actions are indicated.
Rationale 2: This is not the recommended treatment.
Rationale 3: Washing the surface will not treat the extravasation.
Rationale 4: Ice packs will help to reduce the absorption of the drug.

[Jramos095]

Thank you!

[Smiles0805]

Always glad to help...