Extravasation Management Reference Sheet - NACNS

Extravasation Management Reference Sheet

Medication

Amino acids (4.25%) Aminophylline Calcium chloride (>10%) Calcium gluconate Contrast media

Dextrose (>10%) Diazepam

Digoxin

Dobutamine Dopamine Epinephrine Esmolol Mannitol (>5%)

Thermal Therapy

Heat

Antidote

Dose

Hyaluronidase 150 units

Treatment Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Heat x 20 min, then

ice Heat

Hyaluronidase 150 units Hyaluronidase 150 units

Give via 5-10 SQ or TD injections into area of extravasation Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

OR

Hydrocortisone 50-200 mg Dilute with NS, Inject SQ or TD at give via 5-10 SQ or TD injections into area of

extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

OR

Hydrocortisone 50-200 mg Dilute with NS, Inject SQ or TD at give via 5-10 SQ or TD injections into area of

extravasation

Heat Nitroglycerin n/a

Apply thin layer to area of extravasation q 6 hr x 24 hr

2% paste

Heat Nitroglycerin n/a

Apply thin layer to area of extravasation q 6 hr x 24 hr

2% paste

Heat Nitroglycerin n/a

Apply thin layer to area of extravasation q 6 hr x 24 hr

2% paste

Cold Hydrocortisone 50-200 mg Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Metoprolol

Cold Hydrocortisone 50-200 mg Give via 5-10 SQ or TD injections into area of extravasation

Medication

Nitroglycerin

Norepinephrine

Phenytoin

Phenylephrine

Potassium chloride (>2mEq/mL) Promethazine

Sodium bicarbonate (8.4%)

Sodium chloride (>1%) Vasopressin

Thermal Antidote

Dose

Treatment

Therapy

Cold Hydrocortisone 50-200 mg Give via 5-10 SQ or TD injections into area of extravasation

Heat Nitroglycerin n/a

Apply thin layer to area of extravasation q 6 hr x 24 hr

2% paste

Heat Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Heat Nitroglycerin n/a

Apply thin layer to area of extravasation q 6 hr x 24 hr

2% paste

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Heat

Hyaluronidase 150 units Give via 5-10 SQ or TD injections into area of extravasation

Cold Hydrocortisone 50-200 mg Give via 5-10 SQ or TD injections into area of extravasation

Cold Hydrocortisone 50-200 mg Give via 5-10 SQ or TD injections into area of extravasation

Heat Nitroglycerin n/a 2% paste

Apply thin layer to area of extravasation q 6 hr x 24 hr

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