I.V fluid complication

1. Infilteration

:- See fluid out of the vein in the surrounding spaces.

Infilteration

sign and symptoms

Coolness at the site.
Edema
Pallor
I.V fluid administration sluggish.

Prevention :-[ check the I.V tubing for blood ]

↓-Lower the I.V fluid container below the I.V site and monitor the appearance of blood in the TV tubing.

-If blood appear it means I.V device is in the vein and start the infusion.

Nursing Intervention

1.Stop the infusion(Q)

2. Remove the IV device immediately & restart in another extermities

3. elevate the related extremity above the heart level to decreased the edema

2. Phlebitis

:-Inflammation of vein

phlebitis

# Thrombophlebitis – Thrombus association with inflammation.
# Phlebothrombus – Thrombus association without inflammation

Q. K infusion से कौनसा complication होता है.
Ans. Phlebitis

sign and symptoms -
⦁Heat at infusion site
⦁Redness
⦁Iv fluid sluggish

Two type
⦁Mechanical Iv canula lower than / smaller the vein
⦁Chemical-using irritation solution(K).

Prevention – ⦁Avoid using the irritating solution.

3. Air embolism

(Bolus of air enter into the vein)

sign and symptoms -
⦁Pericardial region crackle sound on auscultatio
⦁Tachycardia
⦁Charhing sound
⦁Dyspnoea

⦁Hypotension

Prevention – Prevent air entry in the tubing

Intervention-Left side-line position come with tredelenburg position to trap the embolism in the night atrium.

Notify the physician

4.Fluid overloaded condition / Circulatory overloaded condition / hypervolemia condition / over hydration

sign and symptoms -

Pulse-Bounding pulse(+4)
Distended juglar vein
Hypervolemia, weight gain
Hypertension.
Tachycardia
Tachypnea
Dyspnea –oedema-pulmonary edema

Cause- Administer to rapidly infusion

Prevention-Continuous monitoring.

Intervention-Slow the infection
Given up-right position
Notify physician
Diuretics

5.Infection

Infection

Micnro-organism- puncture site-localized infection
Blood-systemic infection

sign and symptoms -

Drainage at the site ,redness, temp increase
Chills&rigor, increase W.B.C.

Intervention-Notify the physician
Sampling / laboratory test- Cannula को Sterile container में रखना laboratory में भेजना.
Antibiotic

6.Catheter Embolism

sign and symptoms -

Decreased blood pressure
Pain along the vein
Weak pulse cyanosis condition at nail bet

Intervention-
1. Tourniquit -the R/T extremity in distal part
2. Obtain x-ray
3.Vein suction cut down