Question

IV Complication	Signs and Symptoms	Nursing Interventions	Notes
Infiltration
Extravasion
Phlebitis
Infection
Fluid Overload
Speed Shock

Answer 1

IV COMPLICATIONS	SIGNS AND SYMPTOMS	NURSING INTERVENTIONS
Infiltration	Inflammation near IV site Swelling Blanching Coolness of skin around IV site Wet or damp dressing Slowed or stopped infusion No backflow of blood into IV tubing	Warm compress For some infiltered infusates, cold compress may be better Elevation of extremity
Extravasation	Irritation Pain Inflammation Warmth Erythema Tenderness	Immediately stop the infusion Put on sterile gloves Replace infusion lead with a disposable syringe. While doing this, do not exert pressure on the extravasation area. Slowly aspirate back blood back from the site, preferably with as much of the infusion solution as possible. Remove original cannula and access carefully from the other arm. Elevate arm and rest in elevated position. Pain management and local supportive care.
Phlebitis	Redness Swelling Pain along path of IV cannula Erythema Induration Palpable venous cord Pyrexia	Monitor vital signs and the IV site. Apply a warm and moist compress to the affected area as ordered. Application of moist heat for more than 72hrs.
Infection	Sore and tender along the vein. Redness Fever Pain Swelling Breakdown of the skin Pus draining from the area Red streaks leading from the area	Stop the infusion Apply warm moist compress to the area. Document patient's condition and interventions Insert a new catheter at a different area Symptom management including pain, fever, etc. Dressing, if necessary
Fluid Overload	Tachycardia Distended neck veins Discomfort Respiratory distress Increased BP Crackle Large positive fluid balance	Raise the head of the bed Administer oxygen and other medications as per order
Speed Shock	flushed face headache tight feeling in the chest irregular pulse loss of consciousness cardiac arrest	Immediately stop the injection of the medication Keep syringe of medication for further investigation of the reaction Assess and monitor vital signs Notify responsible health care provider Perform interventions like CPR, O2 support as required.