Quote from KEVIN88GT
I'm guessing cold pack as contrast is an irritant to tissue...am I wrong?
Which one do you use? For how long? And how do you follow up?
The ACR (American College of Radiology) acknowledges that there is no medical evidence to support cold or warm compresses for infiltrations. On their website they have a "Manual on Contrast Administration" which is downloadable and a great reference tool.
Our facility applies warm compresses initially, has the pt keep their arm elevated for the first 12-24 hours. The patient is then instructed that they should apply compresses for comfort (their choice, heat or cold) 15 minutes on and 15 minutes off.
We track all infiltrates with physician follow-up with those infiltrates that are less than 100cc's. If any infiltrate results in blistering, is 100cc's or greater, or patient has any s/s of compromised profusion with potential for tissue sloughing they are referred to a plastic surgeon for evaluation and follow up.
Hope this information is helpful.