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Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

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Thesis TitleExtravasation as a complication of intravenous administration of chemotherapy drugs: the role and responsibility of the nurse
NameBasiricò Agata Maria
Supervisor(s)Monti Cinzia
Academic Year2021/22
Thesis typeNon research thesis

Abstract

Cancer is a constantly increasing disease, which means that more and more patients will have to undergo chemotherapy. Intravenously administered antineoplastic drugs are the most effective treatment, but they cannot be considered free from complications. In particular, the review of the literature carried out for the writing of this thesis, it is clear that the extravasation from chemotherapy is one of the most feared complications during the administration of therapy. Extravasation is the accidental release of a blistering solution or drug, capable of causing damage to local tissues, from the vascular system to the surrounding subcutaneous tissues, up to also involve deeper tissues and organs such as nerves, tendons and joints. The extravasation is often underestimated and frequently not recognized: consequently not treated nor reported in time. The aim of this thesis is, therefore, centered on the fundamental role that plays the nurse in the various phases of the management of the extravasation including identifying early, reduce risk and manage, according to protocol, this complication. It is therefore crucial that nurses are properly educated and up to date with the latest clinical practice guidelines. In addition to extravasation, are considered the most common psychological disorders in cancer patients: anxiety, depression, psychological stress and post-traumatic stress disorder. Among the various resources available, psychological support and the management of side effects of chemotherapy, implemented by the multidisciplinary team, they are fundamental interventions to address the disease and facilitate the psychophysical path of the person with cancer.