In treating an infiltration of a nonvesicant IV solution leaking into the extravascular tissue, which action should be performed first?

• A. Stop infusion and remove peripheral venous catheter
• B. Apply a sterile dressing
• C. Elevate the extremity
• D. Use warm or cold compresses according to the solution infiltrated

Answer: (A)

The action that should come first is to stop the infusion and remove the IV catheter. Halting the source of the leakage prevents more fluid from entering the tissue and minimizes further injury, which is the immediate priority when an IV line infiltrates. After stopping the infusion, you would assess the site, then elevate the limb to reduce swelling, and apply a cold compress for a nonvesicant solution to limit inflammation. Heat or warming is generally avoided for nonvesicant infiltrations unless the protocol specifies otherwise. A sterile dressing might be used later if the skin is broken, but it isn’t the first step.