what's the appropriate name for this procedure? - page 2

when an IV goes interstitial, and the person's hand becomes extremely swollen (the IV is removed), and when the swelling doesn't go down, then staff insert a needle and withdraw fluid from tissues? ... Read More

  1. by   Daytonite
    The only thing that I can think of that someone would be "sucking out" of a swelling would be pus from an abscess that had formed at the insertion site. Even then, it wouldn't be done by a nurse, but by a doctor.
  2. by   chenoaspirit
    Ive never heard of that. We always elevate the limb and apply warm packs to aid the body to absorb the fluid. I searched online also and couldnt find any info on any such procedure. Maybe this person shouldnt have done such a procedure. As far as the re-swelling, the tissues were traumatized and probably just normal swelling from mild tissue damage, especially if someone was poking around trying to remove the fluid. I dont know, never heard of it.
  3. by   GingerSue
    patient said that this was done by a technician
    (so I am wondering - what are the qualifications to be a technician, and is this a procedure that requires a physician's order, etc)
  4. by   meownsmile
    I have a feeling the patient was confused about what was being done. Perhaps look at the documentation because this type of procedure whatever it was would have had to be documented to the hilt.
    For all you students, i know it sometimes isnt easy to get to but when you have questions about procedures that have been done, check the documentation and the physicians notes in the chart first and see what they say about something that was done. Sometimes its all right there.
    Im not trying to discount anyones question, but just give some insight in how to do the inquiry while the answers are still within reach. Sometimes it brings everything into perspective reading the doctors notes/dictation on the patients chart. Ive just noticed in my experience with students they tend to overlook that part of the chart.
  5. by   GingerSue
    patient isn't confused, can speak to each staff person by name, knows the date, etc

    (what is the basis for labeling this a confused patient?)
  6. by   chuckc
    I remember something like this from my oncology rotation. They had some kind of kit that had something to draw out the chemo solution in case of infiltration into the tissues. It was not shown to me I just remember seeing it.
  7. by   chenoaspirit
    Disoriented: doesnt know name, date, or where they are. Orient x 3: person, place, time.

    I agree with the poster who said to check the documentation and physician's notes on any procedures, progress notes. That is where you will find the info. If it was done, it was noted somewhere in that chart (or should be).
  8. by   heartICU
    Quote from Lacie
    We used Reglan if I remember correctly.
    Could you be thinking of Regitine instead of Reglan? I have never heard of Reglan being used for treatment of infiltration.
  9. by   Zippedodah
    We don't withdraw fluid, but we will inject NS around an infiltrate to help dilute out the IV fluid that was infiltrated. I've never heard of that. We have used Regitine on vasopressor infiltrates, and we don't use warm packs any more.....plastics told us that this can cause further damage, you just really want to keep it elevated.
    Last edit by Zippedodah on Dec 13, '06 : Reason: adding
  10. by   cardiacRN2006
    If you were drawing off fluid with a needle then it is an aspiration.

    Agree with a PP, it is Regitine, not reglan that is used for extravasation of vasoactive drugs.
  11. by   Lacie
    Quote from heartICU
    Could you be thinking of Regitine instead of Reglan? I have never heard of Reglan being used for treatment of infiltration.
    Sorry was a typo, hey been out for a few years lol. Yes it was Regitine. But I do remember how much I hated doing it when the need arised.
  12. by   P_RN
    I can picture a Dr, nurse or a PA or NP come in with one of those substances and saying, "here lets see if this will help take care of the swelling."

    She'd only inject, but to a patient pulling out the needle may have clicked as "taking care of the swelling."
  13. by   GingerSue
    good thing it isn't Reglan because that is contraindicated in Parkinson's disease, which this individual already has