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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