![]() Next, it is important to examine the extremity. ![]() Commonly used agents that cause severe extravasation injuries include antineoplastic, inotropic, or osmotically active agents and certain antibiotics. To make this distinction, one should first determine whether the solution is an irritant. According to the account given, the application of the compress resulted in a cutaneous burn, which healed with conservative therapy.īefore we address the appropriate use of thermal therapies and the harm they can cause, it is important to entertain the possibility that the "burn" in this case may have been the result of extravasation of an irritating solution, rather than a result of thermal injury. This case scenario describes an incident in which a case of extravasation injury was treated with topical heat via the application of a warm compress. The infant was treated with topical ointment no surgical intervention was necessary. The compress was removed, and the physician called a surgical consultant for further evaluation. Within the next hour, the nurse coming on shift assessed the infant further and discovered redness and a burn at the site as a result of the warm compress. Prior to ending her shift, the nurse placed a warm compress on the infiltrate site and notified the resident physician. The nurses further assessed the site and removed the IV. ![]() During shift report, nurses noted that the extremity was taut and the infant was irritable. A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV antibiotics via a peripheral line in the left antecubital region.
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