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Vinorelbine and venous irritation: optimal parenteral administration
1Provincial Systemic Therapy Program, British Columbia Cancer Agency, Vancouver, BC V5Z 4E6, Canada. mdelemos@bccancer.bc.ca
Abstract:
Vinorelbine is a vesicant associated with extra-vasation hazards and injection site reactions, which can be alleviated by shortening of infusion time and flushing of intravenous fluid. A critical review of the current evidence showed that the optimal administration is to flush >or= 75-124 mL of intravenous fluid after vinorelbine infusion. Intravenous push administration over 1-2 min does not seem to offer significant improvement over rapid intravenous infusion over 6-10 min.
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