How do you treat amiodarone extravasation?
Assess the site of extravasation and the symptoms of the patient. Notify the healthcare provider. Elevate the affected limb to minimize swelling and encourage resorption of the drug via the lymphatic system. Apply dry warm or cold compresses as indicated depending on the drug extravasated.
What are signs of extravasation?
What are signs of an infiltration/extravasation?
- Redness around the site.
- Swelling, puffy or hard skin around the site.
- Blanching (lighter skin around the IV site)
- Pain or tenderness around the site.
- IV not working.
- Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the site.
What should I watch for amiodarone drip?
blurred vision, vision loss, headache or pain behind your eyes, sometimes with vomiting; swelling, pain, redness, or irritation around your IV needle; weight loss, thinning hair, feeling too hot or too cold, increased sweating, irregular menstrual periods, swelling in your neck (goiter);
What happens when an IV infiltrates?
An infiltrated IV (intravenous) catheter happens when the catheter goes through or comes out of your vein. The IV fluid then leaks into the surrounding tissue. This may cause pain, swelling, and skin that is cool to the touch.
How do you give amiodarone IV?
Intravenous amiodarone has interesting and complex pharmacokinetics. Peak serum concentrations after 15-minute infusions in healthy volunteers range from 5 to 41 mg/L. Peak levels after 150 mg of supplemental infusions in patients with VT/VF range between 7 and 26 mg/L.
How long does it take for IV infiltration to go down?
The IV site will be raised above the level of the body, if it’s on the arm or leg. This keeps the fluid from pooling in one place and helps prevent tissue damage. The IV site will be watched for signs of tissue damage or infection. With treatment, the swelling should go down day by day.
What are the side effects of taking amiodarone intravenously?
Intravenously administered amiodarone causes heart block or bradycardia in 4.9 percent of patients and hypotension in 16 percent.2 If these conditions occur, infusion of the drug should be discontinued, or the rate of infusion should be reduced.
Why is i.v.amiodarone administration via a central line?
I.V. amiodarone administration is recommended via a central line due to the risk of phlebitis and possible drug extravasation, which could result in necrotic injury. The use of intradermal hyaluronidase was associated with a reduction of pain secondary to the patient’s amiodarone extravasation.
What should nursing staff do for amiodarone extravasation?
The nursing staff was instructed to treat the patient for the amiodarone extravasation with traditional nonpharmacologic measures, including warm compresses and elevation of the extremity. 5,–8 After extravasation, the patient reported severe pain at the site, which was erythematous and warm.
How does amiodarone affect the formation of phlebitis?
The chemical features of amiodarone, such as its acidity, have been thought to be a major culprit in phlebitis formation with amiodarone infusion (Spiering, 2014). It has been noted that there is a direct connection between pH and osmolarity of an infusate contributing to phlebitis formation.