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Noticed Phlebitis During Ferrlecit Iv Infusions. Have Redness And Minimal Heat Palpitation. Does It Mean Iron Extravasation?

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Posted on Wed, 11 Dec 2013
Question: Today I received the fourth of five Ferrlecit iv infusions. Half way through the infusion, I noted phlebitis, no pain at that time. Infusion was stopped and another site was found. Tonight I have a 3in by 2in phlebitis - reddness over the site, minimal heat palpated. I have researched the web, cannot find any info on treatment of this iv extravasation. Just as a note, I am a neonatal nurse practitioner by profession, so I have medical knowledge. Will monitor the site and notify the infusion therapy site tomorrow. Do you have ANY information on Iron extravasation? Micromedix is no help Thank you
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Answered by Dr. Kulsoom Qureshi (2 hours later)
Brief Answer: Some suggestions Detailed Answer: Hi, Thanks for consulting us. Ideally all venous extravasations should be reported to the doctor & expert advice should be sorted. Here are a few suggestions we give to such patients. Apply cold compresses to the area. Apply 1% Hydrocortisone cream, if no known allergy. Keep the area elevated. Ibuprofen 400mg 8 hourly if no contraindications to NSAIDS use. Observe closely for any deterioration. Do not cover or apply bandage. Use oral anti-allergics like Chlorpheniramine. May need steroids. MUST visit a hospital emergency unit if any systemic symptoms or if any sign of deterioration at the affected area. In sever & complicated cases even surgeons need to be involved. Hope I have given you some helpful clues. Wish you good health. Take care.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Kulsoom Qureshi

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Practicing since :1997

Answered : 1042 Questions

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Noticed Phlebitis During Ferrlecit Iv Infusions. Have Redness And Minimal Heat Palpitation. Does It Mean Iron Extravasation?

Brief Answer: Some suggestions Detailed Answer: Hi, Thanks for consulting us. Ideally all venous extravasations should be reported to the doctor & expert advice should be sorted. Here are a few suggestions we give to such patients. Apply cold compresses to the area. Apply 1% Hydrocortisone cream, if no known allergy. Keep the area elevated. Ibuprofen 400mg 8 hourly if no contraindications to NSAIDS use. Observe closely for any deterioration. Do not cover or apply bandage. Use oral anti-allergics like Chlorpheniramine. May need steroids. MUST visit a hospital emergency unit if any systemic symptoms or if any sign of deterioration at the affected area. In sever & complicated cases even surgeons need to be involved. Hope I have given you some helpful clues. Wish you good health. Take care.