Prevenção e tratamento de lesões cutâneas provocadas por infiltração e extravasamento de drogas: revisão integrativa

Abstract

Extravasation of drugs administered intravenously can occur in several clinical contexts and is predominantly associated with peripheral venous catheters. The objective was to identify scientific evidence in the literature on the prevention and treatment of skin lesions, caused by infiltration and leakage of chemotherapeutic drugs, seeking methods that guide the practices practiced by nursing 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. 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. As 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 longterm sequelae.