What is the most appropriate immediate action when infiltration at a VAD site is suspected?

What is the most appropriate immediate action when infiltration at a VAD site is suspected?

• A. Increase IV flow to flush the line
• B. Stop the infusion and discontinue the IV
• C. Apply a warm compress and continue
• D. Document and monitor without changing the infusion

Answer: (B)

The key action is to stop any further fluid administration to prevent more leakage into the surrounding tissue. When infiltration is suspected, immediately halt the IV infusion and discontinue the IV catheter. Continuing to push fluid would worsen tissue irritation and increase the risk of edema or damage. After stopping, remove the catheter, assess the site for signs of infiltration, elevate the limb, and follow the facility’s protocol for treatment and securing a new IV site if needed. Restoring or continuing the infusion is not appropriate, and waiting to document without changing the situation doesn’t stop the injury from progressing.

The key action is to stop any further fluid administration to prevent more leakage into the surrounding tissue. When infiltration is suspected, immediately halt the IV infusion and discontinue the IV catheter. Continuing to push fluid would worsen tissue irritation and increase the risk of edema or damage. After stopping, remove the catheter, assess the site for signs of infiltration, elevate the limb, and follow the facility’s protocol for treatment and securing a new IV site if needed. Restoring or continuing the infusion is not appropriate, and waiting to document without changing the situation doesn’t stop the injury from progressing.