See “Intravenous Cannula – Insertion of Intravenous Cannula in neonate” and “PICC Line – Insertion of percutaneous intravenous central catheter”. the provision of treatment. Extravasation of Non-Chemotherapy Drugs .....4 IV. Assess grade of injury (see Table 2 above) Stage 1 and 2 Injuries: Remove IV cannula. Treatment methods vary greatly on the basis of physician judgment and institutional protocol, and uniform methods for effective prevention and economical treatment of IV infiltrations are necessary. This may cause pain, swelling, and skin that is cool to the touch. Stage 3 and 4 Injuries: Aseptic non touch technique .....3 III. Common in neonatal and infant patients, infiltration is frequently associated with cosmetic and functional complications. Women who are clinically stable will be allocated an appointment for the Infusion Unit (usually Tuesday and Thursday’s). Leave IV cannula in situ. iii Table of Contents I. At first concern of infiltration: Stop infusion immediately and aspirate as much back from cannula as possible. ii . Some IV medicines can cause your skin and tissue to die (necrosis) if they leak into your tissues. Follow NCC clinical guideline for insertion of cannulas and catheters. An infiltrated IV (intravenous) catheter happens when the catheter goes through or comes out of your vein. Elevate limb for 48 hours. Introduction.....1 II. Nursing interventions include early recognition, prevention, and treatment (including the controversial use of antidotes, and heat and cold therapy). However, some agents may contribute to the mechanism of extravasation itself through direct … Remove any constricting bands/clothing. 3. 2. IV Administration Guidelines Pharmacy Department Cork University Hospital Updated May 2017 . Intravenous Drug Monographs.....7 V. Appendix 1 High Dependency Unit Drug Monograph List (to include GITU, CITU, CCU and A+E) ..... 113 VI. IV iron requests are reviewed, approved and prioritised (Mon – Fri) by the CNC PBM and/or the Consultant Haematologist/medical team against the current guidelines for treatment. Prevention of infiltration and/or extravasation – insertion 1. The IV fluid then leaks into the surrounding tissue. Document injury in clinical notes. Steps to manage infiltration and extravasa-tion are presented. Medication Recommended Treatment Compresses Vesicants DOBUTamine DOPamine EPINEPHrine Norepinephrine Phenylephrine Vasopressin Phentolamine 0.1mg/0.2mL x 5 doses SQ Alternatives Terbutaline 0.02 mg/0.2 mL x 5 doses SQ Nitroglycerin 2% Apply 1 inch strip Q8H Warm Acyclovir intravenous substance.14 The physiochemical properties of an infiltrated substance will largely determine the propensity for tissue damage after the fluid has infiltrated. IV catheter insertion and early recognition and intervention upon the first signs and symptoms of infiltration and extravasation.