Supplement for Mader et al., Extravasation of Cytotoxic Agents, 2nd edition. © Springer-Verlag/Wien 2010 EXTRAVASATION KIT Information leaflet for ward staff Storage location and contents of extravasation kit Storage location of extravasation kit (please define accordingly; for example: in-patient ward): ...................................................................................................................................................... 1×10 ampoules hyaluronidase (in-house product) and 2 cold-hot packs in refrigerator: ...................................................................................................................................................... Product Number Conditions of storage Disposable syringes 1 ml 2 ml 5 ml 3 3 3 Room temperature Disposable cannulas 18 G 26 G 5 5 Room temperature Cold-hot packs in-house product........................................................................... 2 for warm compresses 2 for cold compresses Room temperature Cold: 2−8°C Gauze pads, sterile, plum size in-house product........................................................................... 2 sets at 4 each Room temperature Gauze dressings, sterile, approx. 10 3 10 cm in-house product........................................................................... 1 set at 5 pieces Room temperature Adhesive plaster in-house product........................................................................... 1 roll Room temperature Gloves, sterile (medium and large) Protective gloves for handling cytotoxic agents, sterile (medium and large) in-house product........................................................................... 1 pair each 1 pair each Room temperature Hyaluronidase in-house product........................................................................... 1500 IU Cold: 2–8°C Dimethylsulfoxide (DMSO) 99% in-house product........................................................................... 2 3 100 ml Room temperature List 1: Substances List 2: General measures List 3: Substance specific measures List 4: Contents of extravasation kit 1 Extravasation documentation form, 1 tape measure
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Supplement for Mader et al., Extravasation of Cytotoxic Agents, 2nd edition. © Springer-Verlag/Wien 2010
EXTRAVASATION KIT
Information leafl et for ward staff
Storage location and contents of extravasation kit
Storage location of extravasation kit (please defi ne accordingly; for example: in-patient ward):......................................................................................................................................................
1×10 ampoules hyaluronidase (in-house product) and 2 cold-hot packs in refrigerator: ......................................................................................................................................................
Product Number Conditions of storage
Disposable syringes 1 ml 2 ml 5 ml
333
Room temperature
Disposable cannulas 18 G 26 G
55 Room temperature
Cold-hot packs
in-house product...........................................................................
2 for warmcompresses
2 for coldcompresses
Room temperature
Cold: 2−8°C
Gauze pads, sterile, plum size
in-house product...........................................................................
2 sets at 4 each Room temperature
Gauze dressings, sterile,approx. 10 3 10 cm
in-house product...........................................................................
1 set at 5 pieces Room temperature
Adhesive plaster
in-house product...........................................................................
1 roll Room temperature
Gloves, sterile (medium and large)Protective gloves for handling cytotoxic agents, sterile (medium and large)
in-house product...........................................................................
1 pair each1 pair each Room temperature
Hyaluronidase
in-house product...........................................................................
1500 IU Cold: 2–8°C
Dimethylsulfoxide (DMSO) 99%
in-house product...........................................................................
2 3 100 ml Room temperature
List 1: SubstancesList 2: General measures
List 3: Substance specifi c measuresList 4: Contents of extravasation kit
1 Extravasation documentation form, 1 tape measure
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