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護理師正以周邊靜脈導管投與doxorubicin(血管刺激性化療藥)時，病人主訴IV部位灼熱感。護理師發現腫脹與紅斑。哪些行動適當？請選擇所有適用項目。

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1 Continue the infusion at a slower rate and apply a warm compress to the site, as mild irritation and swelling can commonly occur with doxorubicin administration. 以較慢速度繼續輸注，並於輸注部位熱敷，因為輕微刺激和腫脹在 doxorubicin 投予時經常發生。 2 Notify the oncology provider STAT and obtain the institution-specific extravasation kit; mark the affected area to monitor for spread. 立即通報腫瘤科醫師並取得機構外滲處置包；標記受影響區域以監測擴散。 3 STOP the infusion immediately but DO NOT remove the IV catheter; aspirate any residual drug from the line through the existing catheter before removal. 立即停止輸注但不拔除IV導管；拔除前由現有導管抽吸殘餘藥物。 4 Administer the antidote per protocol — for anthracyclines (doxorubicin) this is dexrazoxane (Totect/Savene) IV in the OPPOSITE limb within 6 hours, plus topical DMSO; for vinca alkaloids (vincristine) hyaluronidase SC. 依流程給予解毒劑 — 蒽環類(doxorubicin)於6小時內於對側肢給予dexrazoxane(Totect) IV加局部DMSO；長春鹼類(vincristine)給予hyaluronidase皮下注射。 5 Apply COLD compresses for anthracycline extravasations (doxorubicin) and WARM compresses for vinca alkaloid extravasations. 蒽環類外滲(doxorubicin)冷敷，長春鹼類外滲熱敷。

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