Prevenção e tratamento de lesão cutânea provocada por extravasamento e infiltração de medicamento

Abstract

INTRODUCTION: The extravasation of chemotherapeutic drugs administered intravenously can occur in several clinical contexts, and is predominantly associated with peripheral venous catheters. OBJECTIVE: To identify, in the literature, scientific evidence on the prevention and treatment of skin lesions caused by infiltration and leakage of chemotherapy drugs, seeking methods that guide the practices practiced by nurses, in order to improve the care provided to patients undergoing venipuncture. METHOD: Integrative review study carried out on the VHL portal, in the PubMed, Lillacs, Medline and BDENF databases. The following inclusion criteria were used: articles published without limit of dates, in Portuguese, English and Spanish. In turn, the exclusion criteria were: duplicate studies, review studies, animal studies, those whose theme did not fit the guiding question and studies unavailable for reading. RESULTS AND DISCUSSION: The sample consisted of eight studies developed in different countries. Intervention in the face of overflow requires updated theoretical and practical foundation, since safety in the administration process of chemotherapeutic agents is part of the nursing routine, being its responsibility. In this sense, it is essential to monitor the quality of care, reflect on clinical practice based on what is observed and reinforce the patient safety culture. FINAL CONSIDERATIONS: Although there are no uniform recommendations on the best strategy to adopt in order to prevent infiltration and leakage of drugs, adequate diagnosis and treatment may prevent long-term sequelae