Extravasation if happened, contrast injection should be immediately stopped. Reassure the patient and communication to the senior radiologist should be made. Patient
needs to be assessed by radiologist and details of what has happened and
actions to be taken explained to the patient. Reassurance should be given, that majority of
extravasation's resolve with time and appropriate care is being taken. Documentation
of the amount extravasated contrast may be performed by CT scan or an X-Ray. There are
no fixed guidelines to treat extravasation and may vary based on local policy.
Local aspiration from the cannula, elevation of limb and cold pack application
may be helpful. Referring physician to be updated about the event. Follow up with the patient is important.
Below is the documentation and
management plan to follow:
· Site of IV cannula
q Right q Left
q Wrist
q Forearm
q Antecubital
q Other ……………….
· Size of cannula
q 18G q 20G q 22G q 24G
· Date of cannulation
…/…./…….
q Difficulty in cannulation?
How many attempt to cannulate? ...........
· How much amount has been extravasated?
q Scan the part …………ml(approx.)
q Swelling present?
§ Size/extent of swelling………………………..
Immediate action taken
q Cold pack
q Aspirate from the i.v line
Amount aspirated ..................ml(approx.)
q Retrieve cannula after aspiration attempted
q Elevation of limb
q Document pulse and sensation in the distal part of limb
Follow up action:
q Surgical consultation
q Skin disinfectant and bandage if ulceration
q Antibiotic prophylaxis
Nurse Name:-………………………………….
Technician Name:-…………………………..
Doctor’s Name:-……………………………
Prepared by: Dr. Sharad Maheshwari
Updated: 20.7.2022
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