What is the best course of action if vesicant IV fluid extravasates?

When a vesicant IV fluid extravasates, the best course of action is to discontinue the IV and notify the physician. Vesicants are substances that can cause severe tissue damage if they leak out of the vein and into the surrounding tissues. This can lead to complications such as inflammation, ulceration, and tissue necrosis.

By discontinuing the IV immediately, you prevent further damage from the vesicant fluid. Notifying the physician is critical because specialized treatment may be necessary to mitigate the effects of the extravasation. This may include the use of antidotes or specific interventions that would not be appropriate without the physician's guidance.

Continuing the infusion or applying ice would not only fail to address the situation but could also exacerbate the tissue damage. Administering additional fluid or starting a new IV without reporting the extravasation could worsen the patient's condition and lead to further complications. Therefore, taking prompt action by discontinuing the IV and informing the physician is essential in managing an extravasation of vesicant fluids effectively.