How should a nurse respond if extravasation occurs during chemotherapy?

When extravasation occurs during chemotherapy, it is crucial to stop the infusion immediately and follow established institutional protocols. This response is essential because extravasation can lead to significant tissue damage, complications, and pain for the patient. Prompt action helps minimize the extent of injury and allows for timely intervention.

Following institutional protocols is vital as these protocols typically outline the necessary steps to manage extravasation effectively, including assessing the site, using appropriate treatments (such as applying heat or cold), and potentially administering antidotes to counteract the effects of the chemotherapeutic agent involved. This approach ensures that the patient receives the best possible care under the circumstances and that any further damage is minimized.

Continued infusion could allow the chemotherapy agent to leak further into surrounding tissue, exacerbating complications. Notifying the patient without taking appropriate action could leave them unprotected against serious outcomes. Similarly, simply documenting the incident without taking corrective measures disregards the immediate need for patient safety and care. Therefore, following the correct procedure after extravasation is imperative in providing safe and effective nursing care.