o. Open the flow-regulator clamp and allow the fluid to run freely for several
seconds; then adjust to the desired flow rate.
p. Attach the remover device to the casualty.
q. Remove your gloves and dispose of them appropriately.
r. Document the procedure on the appropriate medical form.
CHECK FOR COMPLICATIONS OF INTRAVENOUS THERAPY
a. Infiltration. Infiltration is an accumulation of fluids in the tissue surrounding
the venipuncture site.
(1) Cause of the infiltration. Infiltration is the leaking of IV fluid into the
surrounding tissue. Infiltration is usually caused by the catheter becoming dislodged or
by the needle penetrating through the vein.
Signs and symptoms of infiltration.
(a) Solution is flowing at a sluggish rate or not at all.
(b) Infusion site is cool and pale.
Infusion site or extremity is swollen.
(d) Patient complains of pain, tenderness, burning, or irritation at the
(e) Fluid leaking around infusion site.
Absence of blood backflow when IV bag/bottle is lowered below IV
Intervention measures for infiltration.
(a) If flow is sluggish, pull back on the catheter a bit and rotate it or
elevate and depress the catheter a bit. If elevating the catheter helps, a small piece of
gauze may be placed under the needle to hold it in position. The bevel of the catheter
may be resting against the side of the vein and this will help to free it.
(b) If this does not correct the flow or if infiltration has occurred, stop
the infusion and notify your supervisor. You may be directed to remove the IV and
restart it in an alternate location.