Nursing intervention before cytostat extravasation – a contribution to the prevention of tissue injury
Keywords:
Extravasation, Cytostatic agentes, Nursing care, International classification for nursing practiceAbstract
Currently, oncology treatments are increasingly complex, demanding more qualified nurses that are able to detect and act early in the event of extravasation with cytostatics, as well as to classify and document them in a systematic way.
Objective: To analyze the nursing performance facing cytostatic extravasation and its contribution to the prevention of chemical burns.
Methodology: Descriptive retrospective study, based on qualitative descriptive research, in the period 2017-2021, which included all users undergoing treatment with cytostatics.
Results: The nursing performance allowed that 78.6% of these incidents did not develop chemical burns, and 66.7% recovered from this burn on the 7th day, without functional or sensory impairment at the site.
Conclusion: Procedures and algorithms based on good practices provide safer care and prevent complications associated with extravasation that can be very complex for patients and compromise their quality of life. The CIPE® language allows a systematic, uniform registration and data collection.
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References
Direção-Geral da Saúde. Programa Nacional para as Doenças Oncológicas. 2020.
Melo JMA, de Oliveira PP, Rodrigues AB, Souza RS, da Fonseca DF, Gontijo TF, et al. Bundle construction and assessment before antineoplastic extravasation: A methodological study. Acta Paulista de Enfermagem. 2020; 33:1–12.
Miranda, N., Gonçalves, M. B., Andrade, C., Santos G. Programa Nacional para as Doenças Oncológicas 2017. Direção-Geral da Saúde. 2017;1–24.
Kreidieh FY, Moukadem HA, el Saghir NS. Overview, prevention and management of chemotherapy extravasation. World Journal of Clinical Oncology. 2016;7(1):87–97.
Boulanger J, Ducharme A, Dufour A, Fortier S, Almanric K. Management of the extravasation of anti-neoplastic agents. Supportive Care in Cancer [Internet]. 2015;23(5):1459–71. Available from: http://link.springer.com/10.1007/s00520-015-2635-7
Gozzo TO, Almeida TD de, Cruz LAP da. Notificação de extravasamento de agentes quimioterápicos em um hospital universitário -Notification of extravasation of chemotherapeutic agents in a university hospital. Ciência, Cuidado e Saúde. 2018 Jul 13;17(2).
Molas-Ferrer G, Farré-Ayuso E, Dopazo-Oubiña F, Deandrés-Lázaro A, Guell-Picazo J, Borrás-Maixenchs N, et al. Level of adherence to an extravasation protocol over 10 years in a tertiary care hospital. Clinical Journal of Oncology Nursing. 2015;19(2):E25–30.
Kreidieh, Firas; Moukadem, Hiba; El Saghir NS. Overview, prevention and management of chemotherapy extravasation. World Journal of Clinical Oncology [Internet]. 2016;7(1):87. Available from: http://www.wjgnet.com/2218-4333/full/v7/i1/87.htm
Kim JT, Park JY, Lee HJ, Cheon YJ. Guidelines for the management of extravasation. Vol. 17, Journal of Educational Evaluation for Health Professions. Korea Health Personnel Licensing Examination Institute; 2020.
Roe H. Anthracycline extravasations: prevention and management. British Journal of Nursing [Internet]. 2011;20(Sup10):S16–22. Available from: http://link.springer.com/10.1007/978-3-319-06118-4_6
Pérez Fidalgo JA, García Fabregat L, Cervantes A, Margulies A, Vidall C, Roila F. Management of chemotherapy extravasation: ESMO–EONS Clinical Practice Guidelines. Annals of Oncology [Internet]. 2012;23(SUPPL. 7):vii167–73. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0923753419376756
Schulmeister L. Safe Management of Chemotherapy: Infusion-Related Complications. Clinical Journal of Oncology Nursing [Internet]. 2014;18(3):283–7. Available from: http://cjon.ons.org/cjon/18/3/safe-management-chemotherapy-infusion-related-complications
Souza NR de, Bushatsky M, Figueiredo EG de, Melo JT da S, Freire D de A, Santos ICRV. Oncological emergency: the work of nurses in the extravasation of antineoplastic chemotherapeutic drugs. Escola Anna Nery - Revista de Enfermagem. 2017;21(1):1–10.
Gonzalez T. Chemotherapy extravasations: Prevention, identification, management, and documentation. Clinical Journal of Oncology Nursing. 2013;17(1):61–6.
Gozzo T de O, Santos LAC, Cruz LAP da. Knowledge of the Nursing Team on the Prevention and Management of Extravasation of Chemotherapy Drugs. Revista de Enfermagem UFPE on line. 2017;11(12):4789–97.
Harrold K, Gould D, Drey N. The management of cytotoxic chemotherapy extravasation: A systematic review of the literature to evaluate the evidence underpinning contemporary practice. European Journal of Cancer Care (Engl). 2015;24(6):771–800.
Sociedade Brasileira de Farmacêuticos em Oncologia - SOBRAFO; Agência Nacional de Vigilância Sanitária - ANVISA. Guia para Notificação de Reações Adversas em Oncologia 2011, 2.a Edição. São Paulo: Conectfarma Publicações Científicas, 2011. p.17.
Castro H. Copyright © 2013 pelo ICN – Conselho Internacional de Enfermeiros 3, Place Jean-Marteau, 1201 Genebra (Suíça). 2013. 45, 45–97, 97 p.
Direção-Geral da Saúde. Abordagem Hospitalar das Queimaduras em Idade Pediátrica e no Adulto. Norma no 022/2012 de 26/12/2012, atualizada a 13/07/2017.2017;p.20.
Wengström Y, Margulies A. European Oncology Nursing Society extravasation guidelines. European Journal of Oncology Nursing. 2008;12(4):357–61.
Rodrigues CC, Guilherme C, Costa Júnior ML da, Carvalho EC de. Fatores de risco para trauma vascular durante a quimioterapia antineoplásica: contribuições do emprego do risco relativo. Acta Paulista de Enfermagem. 2012;25(3):448–52.
Jackson-Rose J, del Monte J, Groman A, Dial LS, Atwell L, Graham J, et al. Chemotherapy Extravasation: Establishing a National Benchmark for Incidence Among Cancer Centers. Clinical Journal of Oncology Nursing [Internet]. 2017;21(4):438–45.
Available from: http://link.springer.com/10.1007/978-3-319-06118-4_6
Gonzalez T. Chemotherapy extravasations: Prevention, identification, management, and documentation. Clinical Journal of Oncology Nursing. 2013;17(1):61–6.
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