Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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Extravasation has occurred in the 20 gauge IV site in the left arm of the patient who just received a dose of Vancomycin. What is the best way to treat the site to minimize pain to the patient?
  1. Immediately disconnect the tubing as close to the hub of the catheter as possible and attempt to aspirate the remaining drug from the IV line using a syringe.
  2. Apply ice packs or warm packs directly to the site, approximately 20 minutes at a time.
  3. Document the date and time of the infusion, the condition of the patient and the time the doctor was notified.
  4. Remember that some signs of symptoms such as erythema and ulceration may be delayed for up to 48 hours and continue to assess the arm.
Explanation
Answer: B- The best way to treat the site to minimize pain is to apply warm or ice packs to the site. The other answers are all actions that need to be done but do little to directly affect the patient’s pain.
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