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Differences among intravenous extravasations using four common solutions

C B Yucha, M Hastings-Tolsma, N M Szeverenyi

    Journal of Intravenous Nursing : the Official Publication of the Intravenous Nurses Society
    |September 1, 1993
    PubMed
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    Extravasation from intravenous therapy can cause complications. Different IV solutions significantly impact pain, swelling, and infiltrate volume, as shown by MRI.

    Area of Science:

    • Medical research
    • Radiology
    • Clinical nursing

    Background:

    • Intravenous (IV) therapy is common, but extravasation (fluid infiltration into tissues) is a frequent complication.
    • Understanding how different IV solutions affect extravasation is crucial for patient care.

    Purpose of the Study:

    • To compare the effects of various intravenous solutions on extravasation.
    • To assess differences in pain, induration surface area, and infiltrate volume using magnetic resonance imaging (MRI).

    Main Methods:

    • Intentionally created infiltrates using different IV solutions in a study setting.
    • Quantified infiltrate volume using MRI.
    • Assessed surface area of induration and patient-reported pain.

    Main Results:

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    • Significant differences were observed among IV solutions regarding patient-reported pain.
    • The surface area of induration varied significantly between solution types.
    • MRI demonstrated significant differences in the volume of infiltrated fluid based on the solution used.

    Conclusions:

    • The type of intravenous fluid used in therapy can significantly influence the severity of extravasation complications.
    • MRI is a valuable tool for quantifying extravasation volume.
    • Findings suggest a need to consider IV solution properties when managing or preventing extravasation.