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Sagot :
Watch for indications of extravasation; stay with the patient and check blood return each 5 to 10 minutes.
Vincristine is a cytotoxic chemotherapy agent classified as an antitumor alkaloid and is part of the vinca alkaloid family. Vincristine's mechanism of action is to primarily repress mitosis of the cancer cell and is given by IV course only for treatment. Accidental intrathecal administration of vincristine has lethal ramifications for patients. To limit the gamble of accidental intrathecal administration of vincristine, 14 implantation places participated in a quality improvement venture to change the practice of vincristine administration from IV push to IV piggyback via minibag and gravity. After 90 days, all mixture places successfully implemented the practice.
- Vincristine administration utilizing minibag with IV piggyback via gravity increases patient safety and forestalls adverse occasions.
- A vincristine minibag policy was developed utilizing a quality improvement technique to standardize administration.
- A prearranged video and checklist, including a demonstration of skills for nurturing training, eliminates the gamble of oblivious trainer bias.
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