Peripheral I.V. Infiltrations - Texas Tech University Health Sciences ...
Peripheral I.V. Infiltrations
National Night Float Curriculum
Orooj Fasiuddin, MD Children's Hospital of Pittsburgh of UPMC
Learning Objectives
State the difference between an infiltration and an extravasation
Use the INS classification score to accurately stage an iv infiltration
List the appropriate steps in management of an iv infiltration
Case 1: Night Intern
The nurse for a 2 year old girl with pneumonia pages you to report that the iv stopped working during the Ceftriaxone infusion, and she suspects it has infiltrated.
You head to the bedside to evaluate the situation.
Case 1: Questions
How can you tell if the iv has infiltrated or not?
Does it matter which fluid was infusing at the time of infiltration?
Is it necessary to replace the iv tonight?
Case 2: Senior Resident
You are covering the Oncology service, and you get a text page from your intern, that reads: "Patient X's iv infiltrated and her hand is really red and swollen, not sure what to do!"
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