ايه هي ال peripheral large vein
اللي ادي فيها الادوية عالية التركيز
وايه التصرف الصحيح لو حصل extravasation
و امتي اعمل كمدات دافية و امتي كمادات باردة
هل بتختلف حسب الادوية مثلا
You will find this article covers the topic of extravasation in pediatrics in details:
The following guidelines approach with heat or cold compression according to the medication properties.
..
For extreme pH and some extreme osmolarity drugs: Cold induces vasoconstriction and limits damage to
surrounding tissue.
..
For some extreme osmolarity drugs and for vasopressors: Warm increases blood circulation and encourages drug
dispersal away from affected area.
..
https://edu.cdhb.health.nz/Hospitals-Services/Health-Professionals/pdu/Documents/ManagementExtravasationnon-toxicflowchart.pdf
“… There is some controversy concerning the application of heat and cold, especially with the extravasation of irritant and vesicant substances. Cold can reduce the inflammatory reaction and further diffusion of the substance into the tissue. However, degradation of the substance and the healing process may also be delayed, while heat increases tissue perfusion and the associated absorption of the extravasated fluid. On the other hand, heat can also lead to more rapid metabolization and accelerated tissue damage. …”