IV restart after infiltration

[Nuieve]

Just stumbled upon Kaplan question. It said restarting IV in the DISTAL part of the same arm where inflitration occurred was ok. I'm not concerned with the same arm (since patient had mastectomy on the opposite site), I'm having a problem with a distal part as a possible location. I always though that if there's any problem with IV site - the nurse should restart IV at proximal site. Or does this only apply to infection? My book simply says "if infiltration occurred, stop immediately and restart at different site"...

[Daytonite, BSN, RN]

Listen to me, I was a CRNI (Certified RN, Intravenous). . .you ALWAYS restart an IV above, or proximal to, an infiltrate. It is only OK to go distally if you are sure you are in a different vein that feeds into a different network of veins. Otherwise, if you put an IV below an infiltrate into a vein that feeds right into where the infiltration occurred, you run the risk of increasing the size of the infiltration.

[Nuieve]

Listen to me, I was a CRNI (Certified RN, Intravenous). . .you ALWAYS restart an IV above, or proximal to, an infiltrate. It is only OK to go distally if you are sure you are in a different vein that feeds into a different network of veins. Otherwise, if you put an IV below an infiltrate into a vein that feeds right into where the infiltration occurred, you run the risk of increasing the size of the infiltration.

That's what I always thought. I hate these book/CD errors... so confusing...

Thanks!