Which sequence correctly describes the management of infiltration of a nonvesicant IV solution?

• A. 1, 4, 2, 3, 7, 5, 6
• B. 4, 1, 2, 3, 7, 5, 6
• C. 1, 2, 3, 4, 5, 6, 7
• D. 1, 3, 4, 2, 7, 5, 6

Answer: (A)

Stop the infusion first. The immediate priority with any IV infiltration is to halt the source of the infiltrated fluid so tissue exposure doesn’t continue. For a nonvesicant solution, you then apply a warm compress. Warmth helps increase local blood flow and promotes dispersion and absorption of the infiltrated fluid, reducing swelling and discomfort.

Next, remove the IV catheter to prevent any remaining line from pushing more fluid into tissue, and elevate the limb to help reduce edema. After these measures, reassess the site and distal function (check for increasing swelling, pain, color change, or numbness). Document what happened and the actions taken, including the patient’s symptoms and status. When it’s safe and swelling has diminished, establish IV access at another site if therapy is still needed.

Starting warmth before stopping the infusion or delaying removal of the cannula can allow more fluid to infiltrate, and delaying assessment or documentation can hinder monitoring and ongoing care.