Question

What should be done to manage an infiltrated IV site?

1) Discontinue the IV and start a new IV.
2) Apply a cold compress to the infiltrated site.
3) Massage the infiltrated site to disperse the medication.
4) Elevate the arm to reduce swelling.

Answer 1

To manage an infiltrated IV site, discontinue the IV, apply a cold compress, do not massage the site, and elevate the arm. Infection control, as in the case of Barbara's central venous catheter site, is also essential.

Step-by-step explanation:

Management of an Infiltrated IV Site

When managing an infiltrated IV site, the first step is to discontinue the IV and start a new IV in a different location to prevent further tissue damage. Applying a cold compress to the infiltrated site can help alleviate swelling and discomfort. One should never massage the infiltrated site because this can cause the medication to spread to surrounding tissues and may increase damage, instead elevate the arm to reduce swelling and prevent fluid accumulation.

In the scenario provided with the patient, Barbara, treating the local infection with antibiotics and antiseptics is also critical, which aligns with the clinical focus on infection prevention and management.