Possibly an indicator of an infected IV site -- or that the IV either missed or pierced through the vein and the injectant was accidentally delivered at least partially subcutaneously instead of IV.
If the site is red and hot to the touch I'd lean towards infected site, and act smartly. IV site infections can travel into the bloodstream. A cool bulge (at first), possibly with localized hematoma is indictative of a "miss". This may or may not require treatment depending on what was injected (tetracycline will sclerose at the injection site; normal saline will harmlessly absorb, for instance).
In any case, move to another IV site with this patient. Also, if this is a SubQ "miss", note that the patient likely did not receive the proper dosage of whatever you were trying to inject.
Yes, IV fluids can sometimes cause hand swelling as a side effect. This can happen if the IV fluid infuses too quickly or if there is an issue with the IV site leading to leakage or infiltration of the fluid into the surrounding tissues. If you experience hand swelling during IV therapy, inform your healthcare provider immediately.
If an IV becomes occluded, you should first assess the situation by checking for any signs of inflammation or swelling at the IV site. Next, attempt to flush the IV line with a saline solution to clear the blockage. If flushing does not resolve the issue, notify the healthcare provider for further assessment and intervention.
There are a few complications. Two serious ones are phlebitis, which is inflammation and red streaks usually up the arm or, infiltration which is swelling and coolness at the IV site, that can lead to edema. Of course with any penetration into the skin you have a risk of infection.
Infected IV sites may become red, inflamed, and warm to the touch. The site may also be painful. When an IV site shows signs of infection the IV should be discontinued and a new one started.
No, unless they're running too much heparin..... which would be a problem and hence abnormal. Generally, IV fluids will only cause this if they are not truly IV... meaning that for what ever reason the fluid is NOT going into the vein but is going to the tissues surrounding the vein. As an RN, it would be time for a new IV site if this were to happen.
Stop the inufsion if there is one and resite Iv
It's what you assess for in relation to an IV site, to determine whether or not it is placed properly or if there is any infection or infiltration (meaning fluid has leaked into the surrounding tissue). SPEND S = swelling P = pain E = erythema (redness) N = non-patency (does it flush?) D = discharge
There is normally swelling at the site of the break. The swelling is intended to minimize movement.
Swelling at the site of an injection is completely normal. The affected area may also turn red and be tender to touch. Anti-inflammatory medication such as Ibuprofen may help.
The site you can find GTA IV is well, GTA IV.com
fileplanet
check patient iv site