Collaborative Intravenous Nursing Service (CINS) Guidelines

7CONTENTSPAGENUMBER1 Introduction 32 Definition 33 Scope 44 Evidence Base 45 Causes 46 Risk Reduction 477.1RecognitionSymptoms458 General Procedure for the Management of Extravasation orsuspected Extravasation59 Further notes on treatments for cytotoxic extravasations 61010.110.21111.111.2Extravasation KitsContentsLocationDocumentation & ReportingLocal ProceduresGreen Card Reporting88888812 References & Suggested Further Reading 9Appendix 1 Classification of Cytotoxic Drugs according to their Potential 10to cause severe necrosis when extravasatedAppendix 2 Specific Antidotes in the management of peripheral11extravasationAppendix 3 Extravasation – Evidence behind recommendations 12The CINs group hereby assert their moral rights tothe works herein in accordance with the Data Protection Act 1988.Policy review date 01/10/10