The IV site is pale, cool, swollen and uncomfortable, and the infusion is running slowly. Which complication does this finding most strongly suggest?
Correct answer: B. Infiltration
- A. Phlebitis
- B. Infiltration
- C. Fluid overload
- D. Haemolytic reaction
Explanation
Infiltration occurs when a nonvesicant IV fluid enters surrounding tissue, causing coolness, pallor, swelling and a slow infusion. Phlebitis usually causes warmth, redness and tenderness along the vein.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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