Tissue sloughing/necrosis from IV med infiltrate

[exnursie]

My dad was hospitalized earlier this month HTN and hx of a TAA which had enlarged since last f/u. Treated w/ IV esmolol which infiltrated. His hand remaineded swollen but in the past week has developed area of necrotic looking skin, and drainage. This is 3 weeks after the incident. His PCP has him on po AB's, but curious to know what others have seen with this, as far as outcomes, and additional problems.

[NotReady4PrimeTime, RN]

My son has had two extravasation injuries, one on each hand, both from vinblastine. He developed necrotic areas over the injury, they sloughed eventually and healed without much intervention. He has a scar from the worse one which sort of "moved" up his arm as he grew; the area is totally hair-free and looks rather funny since he's been on cyclosporine for 16 1/2 years and is a shaggy beast. :rotfl: Best of luck to your dad that he recovers well and quickly.