Ok, here is the story and why I am posting this question out there for you guys.....
My sister in law is currently preg. with her third child. On Sunday she went into premature labor at week 28. What a nightmare for my sister in law. Anyways, I noticed while she was in the room that she had no ID band on and she was getting meds left and right. I know that she was the only laboring person there at week 28, but still that isn't quite legal, or so I thought. Well, the thing that made me uneasy once the crisis was over was her IV site. It had all the signs of infiltration. I told my SIL that it wasn't a good thing to have infiltration and that it should be switched to the opposite arm. I alerted the nurse to look at it (given that I am only a student
). The nurse looked at it and admitted that it was cool to the touch and looked a little swollen, but she wasn't positive. She went and got a second opinion. She came back and said no, it wasn't. The other nurse didn't come and look at it. So, the nurse told her that they could switch arms, but it would be up to my SIL. My SIL said "no" and it was left at that.
So, nearly a week later, she has a bruise over the IV site that I saw. I asked her about it and she said it still bugged her a little. Today, she calls me and tells me that the bruise was spreading and it felt like she had a knot underneath the site. I asked her about the pain and she said that it was kind of tingly and uncomfortable distal to the site. She asked me what to do and I said I had no clue. I mean, I know what to do once you see it with the line infusing, but after the fact. Would ice be good? Anyways, I told her to keep an eye on it and if it got worse to go to the ER and have them look at it. I told her I would try to look it up...so that is why I am here. I couldn't find anything in my books. She called the hospital and they told her to come in. My question I suppose is, could this possibly lead to an infection? And if so could this be related to an IV site that looked infiltrated to my unexperienced eyes? I guess I am worried because she has a Hx of premature delivery and I am worried about her health and the health of this baby.
Thanks to all those who respond to this post. Your input is greatly appreciated.
Oct 20, '02
Great link to an article about IV sites; you can earn CEU's too:
Once at the site, go to Professional Development & CEU's and click on the link. Then type in "IV Infiltration" in the SEARCH window.
Choose the article called "IV INFILTRATION: NOT JUST A PERIPHERAL PROBLEM" for a really informative article about IV infiltration, and potential CEU's.
Last edit by Sleepyeyes on Oct 20, '02