A nurse suspects that the IV line through which doxorubicin (Adriamycin) is infusing has infiltrated. The nurse has discontinued the IV site. What additional action should be taken?
1. No special action is necessary.
2. A warm, wet compress should be placed on the site.
3. Wash the area thoroughly with soap and water.
4. Apply ice packs to the area immediately.
4
Rationale 1: Special actions are indicated.
Rationale 2: This is not the recommended treatment.
Rationale 3: Washing the surface will not treat the extravasation.
Rationale 4: Ice packs will help to reduce the absorption of the drug.
Global Rationale: Ice packs will help to reduce the absorption of the drug. Special actions are indicated. Warm wet compresses are not the recommended treatment. Washing the surface will not treat the extravasation.
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