What should be done if an IV site appears to be infiltrated?

When an IV site appears to be infiltrated, the immediate removal of the IV device is the proper action to take. Infiltration occurs when the IV catheter is no longer properly situated within the vein, leading to the infusion of fluids into surrounding tissues instead of the bloodstream. This can cause discomfort, swelling, and potential tissue damage.

Removing the IV device alleviates the complication and prevents further harm to the surrounding tissue. After removal, it is crucial to assess the site for any signs of additional complications, such as phlebitis, and to document the incident properly. It also allows for the opportunity to insert a new IV line in a more suitable location if necessary.

Monitoring the site could be seen as a passive approach that fails to address the issue directly. Applying heat might provide temporary relief but does not resolve the underlying problem of the infiltrated IV. Continuing the infusion, even at a lower rate, poses risks and fails to address the malfunctioning IV access.

These actions underscore the importance of promptly managing infiltrated IV sites to safeguard patient safety and promote effective intravenous therapy.