Phentolamine administration for extravasation
[DOC File]UNDERSTANDING CODE DRUGS
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Extravasation leads to necrosis- phentolamine infiltration minimizes sloughing Potassium chloride Low serum K+, low Cl -; digitalis toxicity. Monitor K+ and Cl-. Monitor for signs of hyperkalemia (wide QRS complex, tall, peaked T waves, disappearing P wave and asystole. Watch for phlebitis, pain or redness at IV site. Procainamide
[DOC File]Jones & Bartlett Learning
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e. Phentolamine (Regitine) i. Catecholamines and sympathomimetics can cause profound tissue necrosis if extravasation occurs. (a) Phenatolamine can be subcutaneously injected to reverse vasoconstriction in affected tissue. f. Labetalol (Trandate) i. Has …
Extravasation - Pitt Pharmacy Portfolio
Phentolamine*administration: Use within 12 hours following the extravasation. Withdraw 2 mL (5 mg) of reconstituted phentolamine solution using a 10 mL syringe. Add 0.9% sodium chloride for injection for a total of 5 mL (1 mg/mL).
[DOC File]Medication Formulary
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Heparin IV Drip Administration – transport ONLY, not stocked. 8. Ketamine. 9. Levophed (norepinephrine) IV Drip Administration – transport ONLY, not stocked. 9. Lidocaine. 9. Lidocaine Drip IV Drip Administration – transport ONLY, not stocked. 10. Magnesium Sulfate. 10
[DOC File]Activated Charcoal (Actidose)
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Extravasation of dopamine infusions require discontinuation of the drug and immediate subcutaneous infiltration of 5 mg of phentolamine in 10 ml of saline. Administration of infusion should be by a control device and monitoring of blood pressure, ECG and pulse oximetry should be maintained as a minimum.
[DOC File]TITLE:
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Clean the extravasated area with alcohol. Inject 5ml of the phentolamine into the catheter then infiltrate the area of the extravasation with multiple small injections subcutaneously using a different syringe and needle for each skin entry. (Blanching should reverse immediately.) Additional injections may be required if blanching returns.
[DOC File]Self-Study:
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To treat extravasation, consider injecting phentolamine 5 to 10mg (diluted in 10 to 15 mL normal saline) into the site of extravasation. Phenylephrine (Neo-Synephrine) What is Phenylephrine?
[DOC File]NAPLEX Review - DrofRx
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Extravasation: give phentolamine . Milrinone (Primacor): MOA: inhibits phosphodiesterase III, increases cAMP, resulting in positive inotropic & vasodilating effects . Use: short-term IV therapy of CHF; calcium antagonist intoxication Dosage: 50 mcg/kg LD over 10 min; followed by 0.375 mg/Kg/min
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Tissue sloughing if extravasation (antidote is phentolamine mesylate, Regitine) Tachycardia, ectopic beats, hypotension, gangrene. Safe (therapeutic) Dose Range: Renal vasodilation- 1-5 mcg/kg/min; beta-adrenergic (/\ cardiac output and contractility) 5-15 mcg/kg/min; alpha-adrenergic (increased peripheral vascular resistance to /\ BP) >15 mcg ...
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