Escolar Documentos
Profissional Documentos
Cultura Documentos
CLINICAL GUIDELINES
OBSTETRICS & GYNAECOLOGY
PARENTERAL THERAPY
IRON THERAPY
AIM
PROCEDURE
BACKGROUND
Paravenous leakage of all forms of IV iron therapy results in permanent skin pigmentation and may
cause skin irritation thus it is imperative that the infusion is stopped immediately if
infiltration/extravasation is suspected. Volumetric pumps will initially continue to flow until fluid
accumulates in the subcutaneous tissues, thus careful observation and monitoring of the cannula
insertion site is imperative.
Recognition of infiltration/extravasation
Table 1: Signs and symptoms of infiltration and extravasation
Infiltration Extravasation
Tenderness/discomfort at insertion site As infiltration in addition:
Swelling above or below insertion site Burning stinging pain
Taut skin above or below insertion site Redness may occur followed by
Fluid leak at insertion site blistering, tissue necrosis and ulceration
Coolness/blanching around insertion site
Numbness or tingling above or below
insertion site
REFERENCES / STANDARDS
Doellman D, Hadaway L, Bowe-Geddes LA et.al. (2009) Infiltration and extravasation. Update on prevention and
management. Journal Infusion Nursing 32;4. 203 211.
Dougherty L (2008) IV therapy: recognising the differences between infiltration and extravasation British Journal
of Nursing 17;14. 896 901.
Erner RA, Meganlathery SB and Styler M (2004) Extravasation of systematic hemato-oncological therapies. Annals
of Oncology 15 (6) 858 862
Raulin C, Werner S and Greve B. (2001) Circumscripted pigmentations after iron injections- treatment with Q
switched laser systems. Lasers in Surgery and Medicine 28. 456 460.
National Standards 1- Care Provided by the Clinical Workforce is Guided by Current Best Practice
1- Incident Management and Reporting
9- Recognising and Responding to Clinical Deterioration
7- Blood and Blood products treatment options
Legislation - Nil
Related Policies KEMH Clinical Guidelines: O&G: Parenteral Therapy: Iron Therapy
Other related documents Nil
RESPONSIBILITY
Policy Sponsor Nursing & Midwifery Director OGCCU
Initial Endorsement August 2014
Last Reviewed
Last Amended
Review date August 2017
Management of Infiltration / Extravasation of Intravenous Iron Therapy King Edward Memorial Hospital for Women
Clinical Guidelines: Obstetrics & Gynaecology Perth, Western Australia
2014 All guidelines should be read in conjunction with the Disclaimer at the beginning of this section Page 2 of 2