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IV Infusion - Peripheral IV Teachings - Complications


Complications associated with IV therapy are common. Most are preventable by attention to IV infusion equipment, aseptic technique and attention to fluid and electrolyte prescribing. Common problems are:

Infection: Skin-based bacteria may enter through insertion site, Local cellulitis or systemic bacteraemia are possible, If infection is present, remove the IV cannula immediately, swab the insertion site and contact medical team to review. Phlebitis: Vein irritation - due to the presence of the catheter/fluids or medication, Chronically ill patients requiring multiple and recurrent IV access, Notify medical team to review and document in patient record. Infiltration: occurs when fluids or medications leaks into surrounding tissue. If infiltration occurs: Immediately stop the infusion and disconnect the tubing as close to the catheter hub as possible, Remove the catheter without placing pressure on the site, Elevate the affected limb, Continue to assess and document the appearance of the site and associated signs and symptoms. Extravasation: delivery of fluids or medications into surrounding tissue.


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