Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Contrast:
None
Technique:
Risk factors:
Injections over dorsum of hand, foot, and ankle should be avoided
Multiple punctures of a vein
Using angiocaths instead of needles
Injections distal to a tourniquet
Patient with circulation abnormalities - diabetes, previous radiation
therapy,connective tissue disease, Raynaud's, deep venous thrombosis,
arterial insufficiency, using indwelling lines
Symptoms:
Swelling, erythema, pain
Symptoms will worsen until 24-48 hours after extravasation, so don't
underestimate the extent of injury too early on
Treatment:
Watch patient closely
Apply warm compresses (light occlusive dressing with heat)
Massage and elevate the extremity
Immobilization of the extremity if indicated
Swelling should resolve within about 3 days - if it does not or gets
worse - call plastic surgery
Note that extravasation reactions with nonionics are less severe than
those with ionics
Views to Take:
Not applicable
References:
See References Chapter.
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