Clinical question comments:What is best practice when dispensing and supplying intrathecal therapy?/Introduction

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Thread titleRepliesLast modified
Intrathecal adminstration of chemotherapy - error prevention015:25, 2 June 2017

Intrathecal adminstration of chemotherapy - error prevention

Consider the following reference: Gilbar PJ. Intrathecal chemotherapy: Potential for medication error. Cancer Nursing 2014; 37(4): 299-309 This detailed review covers errors associated with the administration of intrathecal chemotherapy; both overdose errors and those due to the inadvertent intrathecal administration of drugs intended for the parenteral route. Table 3 details recommendations for preventing both types of errors.

Consider adding the statement, "Vincristine and other vinca alkaloids should be prepared for administration ONLY in a small-volume intravenous bag." Eliminating the syringe as a method for administration of these drugs is a guarantied way of preventing fatalities.

Peter Gilbar (talk)15:25, 2 June 2017