My patient last night had an IV in their forearm running ns @83 mL/hr. Pump ran w/o any alarms and patient stated no problems with pain or discomfort at the site. Around midnight I noticed that the patient's arm was abnormally swollen. Again, patient expressed no concerns with pain or discomfort and did not want to loose the IV because they did not want to have a new one started. I obviously took out the IV and started a new one in the other arm, but the original arm was swollen beyond belief.
My question is this; has anyone else experienced this? I was always taught that pain and/or discomfort were the first signs of infiltration. Please help!