breast cancer patient receiving first FEC. Administered through PIV. Feels the injection of saline first, but then nothing. Also feels bitter taste on injection of palonoterone. Excellent flow and blood return and no signs of extravasation. About 80% in into the epirubicin infusion she complained of pain in the entire arm, from a decimeter above the PIV and up including the shoulder. Still perfect flow and return and pain goes away completely with stopping of infusion and flushing with some saline. We waited infusing more saline and administered the rest of the dose in the other arm eventless. Back today after 2 weeks for blood transfusion, she reports having had some pain in the arm on and off and is being treated with topical Hirudoid creme.
The doctor I contacted at the event agreed with me that it most likely was a phlebitis and not an extravasation. What do you say - did we do right?
Mats in Stockholm