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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 45987
Experience:  Board Certified Oncologist
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My husband had a short chemotherapy session last week (1/2

Customer Question

My husband had a short chemotherapy session last week (1/2 hr) he complained of it hurting at the time. Now his lower arm is inflamed and has large blisters on it.

The oncologist said it was a natural reaction to the drug - and prescribed antibiotics and cold compresses - I think they did not get the cannula into the vein correctly and it went into his tissues not his blood stream.

I am an ex-nurse and know the importance of once inserting a cannula you establish it is correct by withdrawing some blood apparently the nurse did not do that.

What are the dangers of the chemo going into immediate tissue rather than the blood stream?
Submitted: 3 years ago.
Category: Oncology
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

his IV could have infiltrated into the soft tissues.

Dr. David :

what type of chemotherapy did they give him.

Dr. David :

this is quite dangerous and very very irritating. for chemotherapy to go into the soft tissues.

Dr. David :

this can cause a lot of bad inflammation and irritation of the soft tissues if the chemo infiltrated into the tissues.

Dr. David :

hello?

Customer:

Vinorelbin 25mg/m2

Dr. David :

Vinorelbin is also navelbine.

Customer:

Can this cause necrosis?

Dr. David :

most likely won't cause necrosis.

Dr. David :

continue the cold compresses and ice packs on the arm.

Dr. David :

the body can help absorb it. and get rid of the chemo in the soft tissues.

Customer:

what do you recommend I do to relieve the pain and swelling?

Dr. David :

ice the arm.

Dr. David :

he can take tylenol or ibuprofen to help decrease pain.

Dr. David :

ice the arm all day.

Customer:

Will this course of chemo have still worked even though it did not enter the blood stream?

Customer:

They have told us ibuprofen is bad during chemo also diclafenic

Dr. David :

it would have depended on how much got into the blood stream.

Dr. David :

so no ibuprofen.

Dr. David :

just use tylenol.

Dr. David :

hello?

Dr. David :

do you have any other questions?

Customer:

Does that have a Brand name - I live in North Cyprus and they are a little out of the loop as regards drugs!

Dr. David :

also called acetomenophen.

Dr. David :

acetaminophen

Customer:

Thank you for your time. No more questions. That is my man concern.

Dr. David :

you are welcome

Dr. David :

best of luck to you

Dr. David :

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Dr. David :

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Dr. David :

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