Anyone heard of IV Infiltration?

mom42860

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OK I have searched on the web for this and am mostly running up against nursing how-tos so I am asking for help in the most helpful place I know. My Dad has been thru' a rough time, and during a transfer from 1 hospital to another his IV line "infiltrated" causing his arm to swell and he has lost some use. I am hoping to give him reassurance that the strength in his arm will come back but am not really having luck finding that in so many words. The hospital would not give us much info. they could not confirm the diagnosis as it happened during transfer. He has gone from being a very healthy 72 year old to being knocked down with the chemo treatments and is now working in rehab to come home. I would love to give him any info. on this that I can, thanks in advance. As a P.S. my family is truly grateful for all his care and thankful to all the healthcare prof. who cared for and continue to care for him. We are so thankful he is here with us!
 
By definition, an IV inflitration just means that instead of the fluid/medicine going into the vein, it is going into the tissue. This often causes redness, tenderness to touch, a little swelling.
Usually we take the IV out and start another one in a different place.
 
Ditto what JC2 said.

The only thing I would add is that most of the fluids are pretty benign. When medications are added, most of the time they are "piggybacked" in those little bags, they can cause more damage if they get into the tissue instead of the vein. Each medication could have a different issue. Chemo meds are very harsh on the tissues as are electrolytes like potassium. Be aware just because there are small bags hanging on the pole does not mean they are infusing in at that time. It is common practice to leave the bag and only change it when the next dose is due. The tubing would be clamped off with the roller clamp.

I would suggest you ask the doctor to review the transfer notes with you and see if anything was running that might cause the problem.

In my own experiences the damage that comes from an IV infiltration tends to involve the soft tissues surrounding it. That doesn't mean the other tissues can't be affected also. I would be curious about the loss of function of his arm. I have not seen that as an result of an infiltration.

Perhaps if you direct your questions/concerns to the doctor and the head nurse they can help you understand what happened and see if there is another factor that needs to be checked out that could be causing the weakness.
 
A few years back I had gas gangrene - which almost resulted in the amputation of my right hand - and had to be on massive doses of IV antibiotics for a lengthy period of time after having emergency surgery.. Initially I had a standard IV, but after having infiltration twice they opted to go with the one (can't remember the medical term for it) where something (looked like a very, very thin wire) was threaded up my arm (on the inside) to the wall of my chest.. Considering I had to be on these massive doses of antibiotics for a month after leaving the hospital, they felt there was less of a chance of infiltration problems this way.. It worked well for about three weeks and I ran into a problem again so they decided to take a gamble and just stop the antibiotics completely.. Obviously I recovered - LOL..

Anyhow, I remember the infiltration was very painful in my arms and I did have some problems with movement, etc., but eventually everything went back to normal..

Give your dad a hug for me.. So sorry he's going through all of this.. :(
 
mom42860,

I have one big piece of advice from someone who has "been there, done that"; become very PROACTIVE in you dad's care. My mom was very ill for almost 3 years and I saw the quality of care decline terribly over that period. My sister and I had to be aware of everything and we questioned the medical staff, both her doctors and nurses, any time we felt that something was not right. I certainly was not popular at times with the staff or her primary care physician, but I will tell you that after my mom passed away, her doctor told us that he wished all of his patients had an advocate like me. Do not be afraid to push for answers to your questions. You know your dad better than anyone else and you know when something is wrong. I will say that infiltration is not uncommon especially in the elderly or seriously ill. It sounds like maybe the situation went on longer than it should have and the fact that the iv was not going into his vein may not have been checked by a nurse as frequently as it should have been.

I am not a nurse, but I will say that with everything we went through and learned in the process, I might as well be. Again, do not hesitate to question, question, question and push when you feel you have to. The nurses will not like it, but remember, that man is YOUR father and you have the right to make sure he gets excellent care.

Feel free to pm me if you have any questions.
Nancy
 
"Again, do not hesitate to question, question, question and push when you feel you have to. The nurses will not like it,"



Nancy,
Being a RN for the past 11 years in the hospital setting (ICU/float RN), I feel the need to reply to your post. I have never been upset with a family for taking an active roll in a loved one's health care, I would do the same for my family & welcome any questions/suggestions loved ones may have. Please do not group us all into one catagory, based on a few bad apples you may have encountered.

I think the most challenging family members I have met are the ones who come in with your opinion that they "are not a nurse but might as well be". Please remember that most of us have been to school for 4+ years to obtain our Nursing degree, and that we are there as not only caretakers, but patient advocates. If you ever encounter a RN who is not open to your questions and or/suggestions, I would recommend immediately asking to talk to his/her supervisor.
 
Annie68,

I do not want to turn the op into a debate but here is one example of the "wonderful" care my mom received at times. I was at work one day while my mom was hospitalized. She did not sound "right" to me when I spoke with her...just off. I asked her if she was in pain, or exactly what she was feeling. She said she could not pinpoint it, but she just didn't feel well. I called her about 45 minutes later, still, not doing well. I called the nurses desk to ask them to check on her...the nurse said they had and she was fine. Half hour later, I talk to my mom again, now I know she isn't right...just a daughter's intuition. So I leave work, drive to the hospital and walk into her room. There is a nurse by her bedside that had been there with her for about 15 minutes talking to my mom(the nurse is my sister in law). I said "mom, what is wrong? To preface this, one of my mothers health problems is pulmonary fibrosis...enough said. I asked her if she was getting oxygen and my nurse sister in law says of course she is...can't you hear it? The floor nurses had been in several times to check my mother before I got there. I said, just because you can hear it does not mean my mother is getting oxygen. Sure enough the oxygen hose was pinned under the wheel caster of her hospital bed and had been that way for several hours; her oxygen saturation level was very low. None of the floor nurses thought to check her sats. Trust me, this is just ONE incident of stupidity and neglect I saw during my mother's illness. I am not grouping all medical staff together but I will tell you that overall, there is not the caring, compassion or dedication to the profession that there once was. I know there are good nurses and bad nurses just like in any other profession.

I will get in the face of anyone that I feel is not doing a good job for a compromised loved one in a medical setting. There were other instances of incompetence prior to my mother's illness when my mother in law was ill also. NO, I am not a nut or a chronic complainer, just someone who expects quality care and treatment for someone that requires it and who cannot fight for themselves while they are ill. I will add that my mother had 2 strokes and lost her vision along with dealing with PF and diabetes and congestive heart failure. She was the most easy going, uncomplaining, patient, loving and understanding person who hated when I would make any type of fuss because there were people who were ill and needed to be taken care of. She never asked the nurses to help her or wanted any extra treatment. I stand by my original post, question, question, question and push to get the answers and help you want.

I will not respond to any more posts regarding this because I do not want to take away from the op.
Nancy
 
Nancy,
I am so sorry to hear of all the problems your Mom encountered, my heart goes out to you. I can understand your frustration. I am not looking for a debate either, I hope that's not what it seemed. My only complaint was that you seemed to be including all nurses when you said that we don't like family's getting involved & I wanted to say that just wasn't true. I appreciate you taking the time to respond & letting me know that you don't think badly of all nurses. :Pinkbounc
 
You guys are great, I appreciate the input I agree to be proactive and we have been asking lots of questions. My Mom has had a hard time getting used to this approach but we explained that the healthcare system has changed. She did not understand that the nurses have so many things to attend to and we need to work alongside to be responsible for his care.
 
An update: OP’s sister here. Just found this thread. Dad is doing much better, we’ve been very proactive (especially sister OP – now I know why. Thanks 4cruisin!) I’m interested to see if anyone has further input. He continues to have a “paralysis” in his shoulder, arm and hand. Although he can feel, he cannot move this area well. Movement has come back very slowly, but he has no strength in his hand and cannot squeeze with it – very frustrating for him. The doctors are baffled. We learned from his therapists in rehab that there is no mention of infiltration in his records. It was only mentioned once – to me by the ICU nurse the morning after he’d been transferred. He’s had many tests since, there’s evidence of a stroke, but they are saying that it doesn’t seem to be connected to the paralysis. At this point, Dad only wants use of his hand again, to drive. Does IV infiltration take this long to “wear off” (sorry, not a medical person here)? Any thoughts on longterm effects/healing? How can it not be connected to the stroke? Many thanks.
 
I'm am not a nurse/doctor/etc but I would think his paralysis beyond the time it took for the swelling to go down is unusual and I would press the doctors for answers
it sounds more stroke related

I did have an infiltrated IV with considerable pain and swelling of my hand and arm but that subsided within hours of the IV being removed and warm compresses being applied. Now granted I was much younger than your father but I'd be all over the doctors on this one.

Good luck and hope he is feeling better soon
 
It's impossible to answer that without knowing the specifics of his case storylover....
 
It's impossible to answer that without knowing the specifics of his case storylover....

hmm, I'm not sure we know the specifics either, Alex. I guess I'm inclined to see it as a combination of both stroke and infiltration. He'd definitely had the stuffing knocked out of him with surgury, radiation, and chemo to treat an aggressive cancer, so with all that plus the infiltration and stroke, he certainly had a recipe for potential disaster going on in his body.

I think it's interesting that when the therapists who had been working with him to bring back movement heard we'd been told infiltration said, "That explains it!" But the doctors pooh-pooh this, want to link it to a stroke and can't quite do it. After 4 months his arm is still very swollen, with little movement.

Anyhow, just thought somebody may have additional experience in this. The good news is that he had his first check in with his oncologist in July and so far he is cancer free! :Pinkbounc :bounce:
 
maybe your best bet is to get a second opinion on all of this
 












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