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Related Experiment Videos

Intravenous therapy management: who will develop insertion site symptoms?

J Bostrom-Ezrati, S Dibble, C Rizzuto

    Applied Nursing Research : ANR
    |November 1, 1990
    PubMed
    Summary

    About 40% of patients experienced intravenous (IV) insertion site symptoms, most commonly pain. Factors like IV duration and solution osmolarity influenced symptom occurrence.

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    Area of Science:

    • Medical research
    • Clinical nursing
    • Patient safety

    Background:

    • Intravenous (IV) therapy is common, but insertion site complications can occur.
    • Understanding factors influencing IV site symptoms is crucial for patient care.

    Purpose of the Study:

    • To describe symptoms at IV insertion sites.
    • To identify patient and clinical factors associated with these symptoms.

    Main Methods:

    • Multisite study involving patient and clinical data collection.
    • Analysis of factors related to the presence of IV site symptoms.

    Main Results:

    • Approximately 40% of subjects reported at least one IV site symptom, with pain being the most frequent.
    • Symptom presence correlated with IV site duration, potassium chloride concentration, number of antibiotics, and solution osmolarity.
    • Infusions initiated by anesthesiologists and sites without dressings showed fewer symptoms.

    Conclusions:

    • Several clinical factors significantly influence the occurrence of IV insertion site symptoms.
    • Optimizing IV management protocols, including dressing use and provider involvement, may reduce patient discomfort and complications.

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