A patient says an IV site burns and the surrounding skin is swollen. What is the first response?
- ASlow the infusion to a keep-vein-open rate and reassess in 30 minutes
- BStop the infusion and assess for infiltration or extravasation
- CFlush the cannula with saline to check patency
- DApply a warm compress and continue the infusion
Show answer and explanations
Answer
B
A
Continuing even at a keep-vein-open rate delivers more fluid or drug into the injured tissue.
B
Stopping the infusion limits tissue exposure while the site is assessed.
C
Flushing forces more fluid into already infiltrated tissue.
D
A compress may be used after the infusion is stopped, but continuing worsens tissue injury.