1、Nursing RoundIn-patient Ward of Radiation Oncology Department Ren WeiPreventing and Treating the Exosmosis Of Chemotherapy drugs Learning TargetSummary The Treatment of ExosmosisThe Classification of Exosmosis drugsThe Cause of ExosmosisThe Prevention of ExosmosisCompany LogoPhlebitis caused by chem

2、otherapy drugsLocal Tissue Necrosis Caused by Epirubicin Company Logo二、Classification of Exosmosis drugsClassificationInjures for tissueBlisterLocal tissue necrosisStimulantMild phlebitis but no necrosisNon-blisterNo obvious blistering or stimulation Company LogoBlister DrugsCompany Logo二、Classifica

3、tion of Exosmosis drugsClassificationInjures for tissueBlisterLocal tissue necrosisStimulantMild phlebitis but no necrosisNon-blisterNo obvious blistering or stimulation Company LogoStimulant DrugsCompany Logo二、Classification of Exosmosis drugsClassificationInjures for tissueBlisterLocal tissue necr

4、osisStimulantMild phlebitis but no necrosisNon-blisterNo obvious blistering or stimulation Company Logo三、The Cause of ExosmosisPatient factorsIatrogenic factors Pharmacal factorsCompany Logo三、The Cause of Exosmosis1、Pharmacal factors Stimulation Concentration Osmotic Pressure pH Company Logo三、The Ca

5、use of Exosmosis 2、Patient factors Vein Activities ComplianceCompany Logo三、The Cause of Exosmosis 3、Iatrogenic factors（1）Choice of transfusion instrument.（2）Assessment is insufficient .（3）Without careful observation.（4）Nursing staff lack experience of treating exosmosis.Company Logo四、 The Prevention

6、 of ExosmosisOperate by trained nurse specialismCompany Logo四、 The Prevention of ExosmosisChoose veins reasonablyCompany Logo四、 The Prevention of ExosmosisEstablish intravenous access Company Logo五、The Treatment of ExosmosisStop transfusion Suck residual liquid Company Logo局部封閉五、The Treatment of ExosmosisCompany LogoCold compress hot compress五、The Treatment of ExosmosisCompany Logo五、The Treatment of ExosmosisPhysiotherapy Observe and recordCompany Logo藥物外滲 觀察療效并記錄停止給藥，回抽靜脈血 局部封閉根據(jù)藥物性質(zhì)冷、熱敷 12天可配以理療藥物外滲處理流程參考