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Reducing Risk of Harm From Extravasation: A 3-Tiered Evidence-Based List of Pediatric Peripheral Intravenous Infusates

Journal of infusion nursing : the official publication of the Infusion Nurses Society | 29 Dec 2012

E Clark, BK Giambra, J Hingl, D Doellman, B Tofani and N Johnson
Abstract
Extravasation of medications during peripheral intravenous (PIV) therapy can result in harm to pediatric patients. These medications have physical and/or biologic factors that cause tissue damage. To assist in clinical decisions when using these infusates, an evidence-based table of medications stratified by their relative risk of causing harm if extravasated was developed. Local data and experience, a systematic review of the pediatric literature, and measured pH and osmolality of common pediatric preparations of PIV infusates were used to create a 3-tiered table of PIV infusates categorized by relative risk of causing harm if extravasated.
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Concepts
Evidence-based medicine, Extravasation, Relative risk, Medical statistics, Result, Number needed to harm, Causality, Medicine
MeSH headings
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