Complications of IV Therapy

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Complications of IV Therapy

While IV treatment is relatively safe, there can be complications if not administered properly. The
most common include:

1. Phlebitis. Inflammation of the vein. It occurs when the cannula is too large for the vein or if it’s
improperly secured. To prevent this, the caregiver should use the smallest needle possible suitable for
the patient and fluid being administered.

Symptoms include:

Warmth
Swelling
Pain
Redness around the vein
2. Extravasation. This happens when the liquid in the IV leaks to the tissue surrounding the vein. It can
also be caused by inserting a cannula that’s too big for the patient.

Symptoms include:

Burning sensation
Swelling around the IV site
3. Air Embolism. This happens when an air bubble (or air bubbles) enters the vein. It could be fatal if
not caught early, since the air can travel to the person’s brain, heart, or lungs. The complication can
be avoided by ensuring that the patient is properly hydrated and resting in a supine position when
injecting and removing the IV line.

Symptoms include:

Blue hue of the patient’s skin


Difficulty breathing
Low blood pressure
4. Hypervolaemia. This is an abnormal increase in blood volume. It’s more likely to happen in
pregnant women, young children, elderly patients, or people with kidney problems.

The most common signs are:

Tachycardia (increased heart rate)


Distended neck veins
5. Infection. If the IV line, port, or skin on the site of injection are not properly cleaned prior to
inserting the IV, the likelihood of infection increases. This can be prevented with proper sterilization
and hygiene.

Symptoms include:

Pain
Swelling
Fever

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