Is vasopressin a Vesicant?

Examples of vasopressors include norepinephrine (Levophed), phenylephrine, (Neo-Synephrine), epinephrine, dopamine, dobutamine, and vasopressin. 2. Non-vesicants are IV solutions and medication that do not cause ischemia or necrosis.

How is phlebitis and infiltration treated?

How is it treated?

1. Elevate the site as much as possible to help reduce swelling.
2. Apply a warm or cold compress (depending on the fluid) for 30 minutes every 2-3 hours to help reduce swelling and discomfort.
3. Medication-If recommended, medicine for extravasations is given within 24 hours for best effect.

What drug should be used if a there is infiltration of a vasopressor?

Phentolamine is the antidote of choice for the extravasation of vasoactive medications that work on alpha receptors: phenylephrine, norepinephrine, epinephrine, dopamine, and dobutamine.

How do you treat IV infiltration?

Treatment

1. Stop the infusion.
2. Remove the IV.
3. Mark the outline affected area with a marker.
4. Photograph the affected area.
5. Apply a hot or cold compress based on the type of IV fluid infiltrated.
6. Elevate the extremity.
7. Inject medication into the subcutaneous tissue.

How do you treat extravasation?

Treatment of a vesicant extravasation includes immediate cessation of infusion, aspiration of as much extravasated drug as possible through the still-intact catheter, and attempts for the aspiration of the extravasated agent in the surrounding tissue. This aspiration may help to limit the extent of tissue damage.

Can IV infiltration cause phlebitis?

A clot forms within the vein or around the cannula, causing infusate to seep into surrounding tissue or the vein to tear and infusate to leak out. Phlebitis or thrombophlebitis can also result.

How is IV extravasation treated?

If extravasation occurs, the injection should be stopped immediately and the IV tubing disconnected. Avoid applying pressure to the site, and do not flush the line. Leave the original catheter in place, and attempt to aspirate as much of the infiltrated drug as possible.

What is phlebitis in IV therapy?

Phlebitis is inflammation of a vein. It is usually associated with acidic or alkaline solutions or solutions that have a high osmolarity. Phlebitis can also occur as a result of vein trauma during insertion, use of an inappropriate I.V. catheter size for the vein, or prolonged use of the same I.V.

What is the recommended treatment protocol for extravasation?

Nursing interventions At the first sign of extravasation, the following steps are recommended: (1) stop administration of IV fluids immediately, (2) disconnect the IV tube from the cannula, (3) aspirate any residual drug from the cannula, (4) administer a drug-specific antidote, and (5) notify the physician (Fig.

What are the recommended nursing interventions when phlebitis is noted?

Notify the patient’s health care provider. Monitor the patient’s vital signs and the I.V. site, and apply a warm, moist compress to the affected area as ordered. Continuous application of moist heat over 72 hours, along with administration of oral nonsteroidal anti-inflammatory agents, is the best treatment.