Nursing action on the extravasation of chemotherapeutic agents: literature review
The chemotherapeutic agents’ administration by intravenous route consists of the systemic treatment method chosen for most malignant neoplasms, combined or not with other therapeutic agents. One of its main complications is the extravasation of anti-neoplastic agents to tissues adjacent to the cannu...
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Universidade Estadual de Campinas (UNICAMP)
2016
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| Online Access: | https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9156 |
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| author | Suguimoto, Juliana Coutinho de Paula Sureto, Emiliana Bittencourt Machado, Raquel Rodrigues |
| author_facet | Suguimoto, Juliana Coutinho de Paula Sureto, Emiliana Bittencourt Machado, Raquel Rodrigues |
| author_sort | Suguimoto, Juliana Coutinho de Paula |
| collection | Portal de Eventos Científicos da UNICAMP |
| container_reference | Resumo dos trabalhos do SIMTEC Simpósio dos Profissionais da UNICAMP; v. 6 (2016): Temática: UNICAMP 50 ANOS - Memórias, Experiências e Trajetórias profissionais; 143-143 |
| description | The chemotherapeutic agents’ administration by intravenous route consists of the systemic treatment method chosen for most malignant neoplasms, combined or not with other therapeutic agents. One of its main complications is the extravasation of anti-neoplastic agents to tissues adjacent to the cannulated vessel, which may cause from swelling and patient discomfort to severe injury and necrosis, constituting a real oncology emergency in the most severe cases. Goal: Review the literature to prepare a master's degree project, which may base the professional practice and check the nurse and the team's action given an extravasation. Method: Descriptive, document study. A search was performed on the bases: Scielo and Medline with the keywords "diagnostic and therapeutic material extravasation"; "chemotherapy"; "nursing care", "antineoplastic agents and extravasation", "nursing". From the data from the first search, a master's degree research project was preparing, contemplating the preparation of a prevention protocol, identification, handling and follow-up of extravasation cases. Results: The search resulted in 10 articles, which discuss this topic in 16 years (from 2001 to 2016) and observe the need of deeper studies on this subject. Conclusion: The nursing team is responsible for searching for strategies and implementing measures to ensure to the patient a risk-free assistance and, when this side effect occurs, it promotes proper service to mitigate the damage generated. |
| first_indexed | 2025-10-08T14:03:21Z |
| format | Online |
| id | ojs-article-9156 |
| institution | Universidade Estadual de Campinas |
| issn | 2525-5398 |
| language | por |
| last_indexed | 2026-09-15T21:01:08Z |
| publishDate | 2016 |
| publisher | Universidade Estadual de Campinas (UNICAMP) |
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| spelling | ojs-article-91562026-09-15T14:17:40Z Nursing action on the extravasation of chemotherapeutic agents: literature review Elaboração da triagem pré-quimioterapia por profissionais de enfermagem Suguimoto, Juliana Coutinho de Paula Sureto, Emiliana Bittencourt Machado, Raquel Rodrigues Quimioterapia. Cuidados de enfermagem. Oncologia. The chemotherapeutic agents’ administration by intravenous route consists of the systemic treatment method chosen for most malignant neoplasms, combined or not with other therapeutic agents. One of its main complications is the extravasation of anti-neoplastic agents to tissues adjacent to the cannulated vessel, which may cause from swelling and patient discomfort to severe injury and necrosis, constituting a real oncology emergency in the most severe cases. Goal: Review the literature to prepare a master's degree project, which may base the professional practice and check the nurse and the team's action given an extravasation. Method: Descriptive, document study. A search was performed on the bases: Scielo and Medline with the keywords "diagnostic and therapeutic material extravasation"; "chemotherapy"; "nursing care", "antineoplastic agents and extravasation", "nursing". From the data from the first search, a master's degree research project was preparing, contemplating the preparation of a prevention protocol, identification, handling and follow-up of extravasation cases. Results: The search resulted in 10 articles, which discuss this topic in 16 years (from 2001 to 2016) and observe the need of deeper studies on this subject. Conclusion: The nursing team is responsible for searching for strategies and implementing measures to ensure to the patient a risk-free assistance and, when this side effect occurs, it promotes proper service to mitigate the damage generated. Agentes antineoplásicos administrados por via endovenosa tem ação sistêmica, atingindo todos os tecidos do organismo e não apenas no tumor, ocasionando efeitos adversos que podem ser agravados de acordo com o quadro clínico do paciente antes do início da terapêutica1-2. Recomenda-se a realização de uma triagem3 que identifique alterações clínicas que possam alterar o tratamento proposto. Objetivo: Prevenir e identificar situações que possam comprometer a saúde e a segurança do paciente antes da sessão de quimioterapia. Estudo descritivo, documental. Construiu-se instrumento baseado em artigo sobre critérios de toxicidade4 contendo principais toxicidades provocadas pelos quimioterápicos e registro de sinais vitais para a tomada de decisão do enfermeiro quanto a necessidade de avaliação médica e da suspensão ou prorrogação do tratamento. O instrumento é aplicado antes do início de cada sessão de quimio pelo enfermeiro ou técnico de enfermagem em consultório privativo antes da entrada no ambulatório de quimioterapia. O enfermeiro também verifica os resultados de exames solicitados pela equipe médica. Em junho de 2015, iniciou-se a triagem pré-quimioterapia, e observou-se: uma redução nas queixas e eventos adversos durante a infusão de medicamentos; estreitamento e fortalecimento do vínculo entre paciente, acompanhantes e equipe de enfermagem. Em Junho/2016 foram suspensas 33 sessões após a triagem e no mês 07/2016, houve 48 suspensões. Conclusão: A avaliação do paciente antes da quimioterapia guiada pelo instrumento elaborado possibilitou melhora na assistência e com menor possibilidade de ocorrência de complicações durante a infusão e piora do quadro clínico em decorrência das toxicidades provocadas pelos agentes antineoplásicos. Universidade Estadual de Campinas (UNICAMP) 2016-10-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Análise lógica Analytical Research application/pdf https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9156 10.20396/simtec.v6.2016.9156 Resumo dos trabalhos do SIMTEC Simpósio dos Profissionais da UNICAMP; v. 6 (2016): Temática: UNICAMP 50 ANOS - Memórias, Experiências e Trajetórias profissionais; 143-143 2525-5398 por https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9156/12563 Copyright (c) 2016 Juliana Coutinho de Paula Suguimoto, Emiliana Bittencourt Sureto, Raquel Rodrigues Machado https://creativecommons.org/licenses/by/4.0 |
| spellingShingle | Suguimoto, Juliana Coutinho de Paula Sureto, Emiliana Bittencourt Machado, Raquel Rodrigues Quimioterapia. Cuidados de enfermagem. Oncologia. Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title | Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title_full | Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title_fullStr | Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title_full_unstemmed | Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title_short | Nursing action on the extravasation of chemotherapeutic agents: literature review |
| title_sort | nursing action on the extravasation of chemotherapeutic agents: literature review |
| topic | Quimioterapia. Cuidados de enfermagem. Oncologia. |
| url | https://econtents.sbu.unicamp.br/eventos/index.php/simtec/article/view/9156 |
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