Members of my Hospital Pharmacy Academy have access to a video-based training on both pharmacologic and non-pharmacologic options for the management of extravasation from a pharmacist’s point of view.
When a warm compress is used, it is applied for the same time and frequency as a cold compress.
Warm compresses may increase blood flow and drug removal of vinca alkaloids (vincristine, vinblastine, vinorelbine), epipodophyllotoxins (etoposide), and vasopressors. When a cold compress is used, the usual recommendation is to apply for 20 min 3 or 4 times/day, for the first 48–72 hrs after extravasation occurs. Exceptions are vinca alkaloids (vincristine, vinblastine, vinorelbine), epipodophyllotoxins (etoposide), and vasopressors since cold may worsen tissue damage caused by these drugs. Nonpharmacologic treatment of extravasation involves the application of cold or warm compresses to the affected area.Ĭold or warm compresses are applied with the following thought process:Ĭold compresses may reduce necrosis and inflammation from most vesicants and irritants. The only difference between infiltration and extravasation is that the former is done with therapeutic intent (such as lidocaine for local anesthesia) and the latter is an unintended event with a harmful medication. Shout out to “Pharmacy BA” for inspiring this episode!Įxtravasation is a complication of IV therapy that refers to the infiltration of tissues with a medication that is an irritant or All Rights Reserved.Subscribe on iTunes, Android, or Stitcher SiteSage and Open Kitchen are currently operational in thousands of restaurants, convenience stores, food retailers, retail stores, and more.ġ Bridge Street, 2nd Floor, Newton, MA 02458 | 617.340.6582 | Dynamics is a Middleby Company. Open Kitchen expands the power of our solution for Food Service and Food Retail organizations by directly connecting with kitchen equipment across all brands, enabling remote monitoring of kitchen operations along with remote recipe creation and distribution, and automating food safety processes and reporting. SiteSage and Open Kitchen connect, analyze, and control equipment to reduce energy and maintenance expenses with intuitive online and mobile interfaces that require minimal staff effort. SiteSage and Open Kitchen use the power of the Internet-of-Things (IoT) to reduce costs, enhance operational efficiencies and deliver additional benefits to portfolios of commercial facilities. The chart on the right shows a better operating unit. For most restaurants, compressors use more than 50 of the time, other than defrost cycles. Unfortunately, the cooling and refrigeration that compressors provide is quite expensive. Compressors are the component of your air conditioning and refrigeration that do the real work to enable the transfer of heat from inside the building to outside. And the heart of this equipment is a modern wonder called the compressor. When it comes to customer satisfaction and guest comfort for businesses like restaurants or retail, getting everything just right can’t be done without your heating, ventilation, cooling, and refrigeration equipment (HVAC/R) performing impeccably. Luckily for the three bears, she didn’t have social media and rating websites like Yelp to broadcast the fact that her first two bowls weren’t to her liking! Today, consumers do have those powerful tools, and it’s even more important to make sure that their needs are met. Just like all consumers, Goldilocks expected that her preferences would be met.
0 kommentar(er)
