Week 9 Lecture IV Therapy Ch. 31 & 42

Question 1

phlebitis (what, d/t, s/s

Answer 1

inflammation of vv.
- d/t mechanical irritation, pH/osmolality of medication being infused
- s/s: erythema (redness, warmth, pain, v. is indurated, red streak)

Question 2

What actions do we take when phlebitis is present?

Answer 2

D/C IV, elevate extremity. and apply a warm, moist compress

Question 3

Infiltration (what, d/t, s/s)

Answer 3

• IV fluids/meds leak into the surrounding tissue (outside v.)
• s/s: edema, coolness, pallor dampness, slowed rate of IV infusion, and fluid may be leaking from site itself

Question 4

What actions do we take when infiltration occurs?

Answer 4

D/C IV (if safe), elevate extremity and apply a warm/cool compress (warm for normal-high pH, cold for low pH solns)

Question 5

extravasation (what. s/s)

Answer 5

infiltration with a vesicant agent
- s/s: erythema, pain, edema, blisters, necrotic tissue (like slough), and ulceration

Question 6

vesicant agent

Answer 6

med that can really cause tissue damage

Question 7

What actions do we take when extravasation is present?

Answer 7

Stop infusion, aspirate remaining medication in the IV line, administer an antidote, D/C IV and apply a warm or cold compress