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Created by jody.stroud
over 8 years ago
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Question | Answer |
Infiltration | Infiltration - leakage of a non-vesicant fluid from a vein into the surrounding tissue. Can cause - compression of nerves and acute limb compartment syndrome. (Dychter, Gold, Carson, & Haller, 2012) |
Extravasation | Extravasation - leakage of a vesicant solution from its intended vascular pathway into the surrounding tissue. Can cause - blistering, severe tissue injury to skin, tendons, muscles and can cause necrosis. (Dychter, Gold, Carson, & Haller, 2012) |
Infection | Can range from minor irritation or a localised site infection to increased morbidity and mortality from bloodstream infection or septicaemia (Dychter, Gold, Carson, & Haller, 2012) |
Phlebitis and Thrombophlebitis | Thrombophlebitis - Inflammation from a blood clot Phlebitis - Inflammation of a vein. From: Chemical (substance used) Mechanical (movement of cannula in vein) or Bacterial ("BD infusion therapy products - iv catheters - clinical expertise," 2016) |
Venous Air Embolus | Occurs when one or more air bubbles enter a vein. Results in ischaemia and can happen due to an unflushed line. Flushing is paramount ("Peripheral venous cannulation," n.d.) |
Artery Puncture | Puncture of an artery. Causes arterial spasm and eventual loss of limb, usually from gangrene. ("Peripheral venous cannulation," n.d.) |
Haematoma | An enclosed mass of blood in the tissue outside of the vein. Causes: Unsuccessful insertion Incomplete insertion Tourniquet above previous attempt site Unskilled clinician Lack of pressure over site of discontinued catheter Large cannula (‘BD infusion therapy products - IV catheters - clinical expertise’, 2016) |
Indications | IV fluid resuscitation Administration of analgesic medications (Roberts, Custalow, Thomsen, & Hedges 2013) |
Contraindications | Extremity with a fistula Extremities with large oedema, burns, cellulitis or injury. Extremity that is on same side as mastectomy (Dychter, Gold, Carson, & Haller, 2012 & Roberts, Custalow, Thomsen, & Hedges 2013) |
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