Intra‐arterial administration of cytotoxic drugs

View in context

23.12 Intra‐arterial administration of cytotoxic drugs

Sterile dressing pack
Infusion pump containing the prescribed drug in a clinically clean tray (delivered from pharmacy reconstitution unit)
Disposable gown and gloves
Luer‐Lok extension set with clamp
Three‐way tap

1.
Explain and discuss the procedure with the patient.
To ensure that the patient understands the procedure and gives their valid consent (Griffith et al. [91], E; NMC [177], C).
2.
Check the patient's prescription chart.
To ensure that the patient is given the correct drug and dose (NMC 2010b, C).

3.
Close room door or curtains if appropriate.
To ensure patient privacy and dignity. E
4.
Assist the patient into the required position.
To allow access to the arterial device. E
5.
Check confirmation of patency with the medical and radiological team as necessary.
To confirm patency and to ensure that the catheter is in the correct position (Wilkes [268], E).
6.
Use aseptic technique at all manipulations.
To minimize the risk of cross‐infection (Wilkes [268], E).
7.
Attach the medication to the extension set, ensuring that the equipment is securely connected.
To minimize risk of air entry to the device or artery (Wilkes [268], E).
8.
Administer chemotherapy.
To ensure the patient receives therapy as prescribed. E
9.
Ensure that the dressing is secure.
To prevent dislodgement of the catheter (Wilkes [268], E).

10.
Record the administration on the appropriate charts.
To maintain accurate records, provide a point of reference in the event of any queries and prevent any duplication of treatment (NMC [178], C; NPSA [167], C).
11.
Observe for signs of bleeding.
To prevent haemorrhage (Wilkes [268], E).

View in context