Severe phlebitis and cutaneous necrosis following peripheral administration of high-concentration potassium chloride: A case report and vascular access management implications

Science Progress, Journal Year: 2025, Volume and Issue: 108(1)

Published: Jan. 1, 2025

Electrolyte imbalance management is crucial in diverse clinical scenarios, with intravenous potassium repletion often required. High-concentration infusions can pose severe complications if extravasation occurs, leading to phlebitis, local tissue damage, or cases, cutaneous necrosis. This risk elevated geriatric patients due factors like reduced elasticity and sensitivity. We report a case of phlebitis skin necrosis an elderly woman after peripheral KCl infusion (6% [800 mmol/L]). A her early 70 s presented obstructive jaundice critically low levels. administration 6% was initiated rectify hypokalemia. Due superficial venous site selection the patient's sensitivity, developed unnoticed, Management involved medication discontinuation, cannula removal, application magnesium sulfate dressing, limb elevation, hydrogel dressing. Despite initial necrosis, wound debridement, ongoing dressings, moderate hand exercises led complete resolution. underscores importance careful monitoring sites during irritant solutions concentrated KCl, particularly patients. Patient-specific factors, pharmacological implications, necessity for adequate vascular assessment are emphasized. Further, highlights prompt multifaceted strategies handle complications, including patient caregiver education, management, proactive nursing care. The event need established protocols regarding high-risk drugs prevent sequelae.

Language: Английский

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Acceptance of Virtual Reality Training for Chemotherapy Administration Among Nursing Students

CIN Computers Informatics Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 24, 2025

Virtual reality technology offers an extended and repeatable environment for delivering digital learning training. This study investigated the acceptance of a smartphone virtual training program among nursing students chemotherapy administration using modified Technology Acceptance Model. The teaching materials process were designed to provide prelicensure with opportunity learn procedural steps in controlled, risk-free environment. A total 56 students, both undergraduate postbaccalaureate, participated completed questionnaires assessing their perceptions usefulness, ease use, intention use technology. Three factors Model had positive correlations overall complexity (skill complexity): perceived usefulness ( r = 0.27, P .04), 0.38, .004). No significant correlation was observed between attitude toward skill complexity. In subsequent path analysis, model explained 63.4% variance reality. Positive found five hypotheses: γ 0.586) age 0.244) 0.749), 0.595) 0.176) use. Nursing showed high willingness practice through reality, particularly when techniques skills inherently difficult or dangerous. suggests that can be effective medium complex high-risk procedures education.

Language: Английский

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Chemotherapy extravasation: diagnosis, prevention and management

Journal of Chemotherapy, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 13

Published: April 9, 2025

Chemotherapy extravasation, the unintended leakage of cytotoxic drugs into surrounding tissues, is a significant complication in oncological treatments, potentially leading to severe tissue damage and long-term consequences. This review explores factors influencing extravasation risk, including infusion site, patient comorbidities physicochemical properties drugs. Early detection crucial prevent irreversible damage. Treatment strategies vary based on type drug involved, ranging from topical dimethyl sulfoxide hyaluronidase specific antidotes like dexrazoxane for anthracycline extravasations. Preventive measures, proper catheter placement, dilution monitoring, are essential mitigate risks. Effective management requires multidisciplinary approach, combining prompt recognition, intervention ongoing education healthcare providers improve safety outcomes chemotherapy administration. Enhanced training early signs advancements treatment modalities offer critical support minimizing adverse effects, ensuring timely appropriate care.

Language: Английский

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Addressing and mitigating the high costs of extravasation and infiltration to patients and healthcare organisations

British Journal of Nursing, Journal Year: 2024, Volume and Issue: 33(21), P. S4 - S14

Published: Nov. 21, 2024

Infiltration and extravasation injuries are a common complication of intravenous therapy vascular access practice. However, there remains lack awareness understanding surrounding these injuries. The first two articles (Barton, 2024) reported on data from study showing that the use ivWatch infusion site surveillance technology can dramatically reduce number infiltration injures with peripheral infusions vesicant preparations, which improve patient safety have positive financial impact. This second examines academic burdens.

Language: Английский

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Addressing and mitigating the high costs of extravasation and infiltration to patients and healthcare organisations

British Journal of Nursing, Journal Year: 2024, Volume and Issue: 33(Sup7), P. S13 - S23

Published: April 3, 2024

Infiltration and extravasation injuries are a common complication of intravenous therapy vascular access practice. However, there remains lack awareness understanding surrounding these injuries. The first two articles ( Barton, 2024 ) reported on data from study showing that the use ivWatch infusion site surveillance technology can dramatically reduce number infiltration injures with peripheral infusions vesicant preparations, which improve patient safety have positive financial impact. This second examines academic burdens.

Language: Английский

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