swollen hand after iv injection

IV catheters can be placed in a hand, arm or leg. The main risk factors are repeated injections in the superficial veins on the dorsum of the hands (preferred by IV drug users because of easy access), and not using a tourniquet during the injections.3 The condition is more common in females. Pus draining from the area. Ask the doc about this or call the hospital, the phlebotomist is working tonight. The chart below shows the phlebitis staging scale for IV therapy. If an IV hasn't been inserted correctly, you may feel intense swelling and notice bruising. He denied any features suggestive of systemic sclerosis, including Raynaud phenomenon, ischemic digital ulcers, heartburn, dysphagia, dry cough, and exertional shortness of breath. For some patients, proper medication dosages are integral to optimal care, and improper dosages could worsen their condition. Call Treatment for VITILIGO besides MELANOCYCL ointment. Redness, swelling, and pain along the path of the IV cannula are present. Copyright 2023 The Cleveland Clinic Foundation. The better outcome may be because it affects less dangerous sites (ie limbs versus buttocks and trunk) or because the patients are generally younger and are less likely to suffer from a predisposing illness such as diabetes. It just had me so worried.if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[300,250],'mamapedia_com-box-3','ezslot_2',679,'0','0'])};__ez_fad_position('div-gpt-ad-mamapedia_com-box-3-0'); Just as an FYIthe nurses were doing checks every two hours and came in after they heard her flipping out. IV infiltration of these medicines can also cause blisters, sores, and peeling skin. Thrombophlebitis usually occurs in leg veins, but it may occur in an arm or other parts of the body. IV failures involving severe complications like extravasation, particularly from chemotherapy drugs, can leave permanent damage, including third-degree burns or necrosis. Skin infections in IV drug users. Thank you for your interest in spreading the word on Cleveland Clinic Journal of Medicine. He said he smoked marijuana and half a pack of cigarettes per day. Try elevating your hand, it will reduce the swelling. IV therapy is a way of administering blood, medication, water, nutrients, and other fluids directly into the bloodstream via the veins. Although IV therapy is generally safe and effective, it can cause side effects. Doctors can provide IV therapy through an IV line directly into a vein. This may cause pain, swelling, and skin that is cool to the touch. This study indicated that puffy hand syndrome results primarily from lymphatic obstruction, and that there may be concomitant local scarring resulting from inflammatory reactions at injection sites.2 Venous obstruction does not appear to play a primary role but can coexist in some cases. In the early stage, doctors recommend removing the IV device and inserting a new one in another site. This kind of reaction can be serious, Symptoms in the early stage involve redness and pain at the IV site. The catheter can exit the vein by either backing out from the point of insertion or puncturing through the other side of the vein. If phlebitis reaches the medium stage, they advise considering treatment. Puffy Hand Syndrome Some long-term intravenous drug users will get a swollen hand after shooting up. The swelling could be due to thrombophlebitis at site of IV catheter applied. The IV site looks slightly red, and a person experiences slight pain near the site. Researchers say Black and Hispanic people have less successful outcomes after retinal detachment eye surgery, although the reasons why aren't entirely. She reported having a painful vein on her right forearm since an intravenous medication injection . most common cause is the skin or the immune system's response to the needle or the URINE TEST for man to test POSITIVE for GONORRHEA. While this is a less common complication, it can cause numbness, tingling, and even loss of function in the limb. The condition may also occur from. If after following the above step there is still swelling after 4 or 5 days, I suggest you consult a physician. The . There are some differences in treatment between IV-related phlebitis and thrombophlebitis. (Watch out for Doctors too!). It wasn't fun, but it went away entirely in a couple of days. The differential diagnosis of puffy hand syndrome is broad and includes conditions that cause anasarca, such as congestive heart failure, nephrotic syndrome, cirrhosis of the liver, and severe hypoalbuminemia. They can then attach a tube with an IV bag containing fluids, which then drip down the tube directly into the vein. Scientists use genetic rewiring to increase lifespan of cells. Other tests with negative results included urine toxicology screen, hepatitis B and C and human immuno deficiency virus serology, and testing for rheumatoid factor, anti-cyclic citrullinated peptide antibody, antinuclear antibody, and antibodies to extractable nuclear antigens. In this article, learn more about these and other, Phleboliths are small, round lumps of calcium that form inside a person's veins. Please enable JavaScript to use file uploader. alert for a reaction all over your body. All rights reserved. Elizabeth, a 20-year-old college student, presented to the student health center where I work in January 2005. inflammation. My poor sister had o many IVs blow, it was awful but she always came through it ok. Even if you are not experiencing pain, giving the hand a rest for a few days allows the swelling to go down and the injury to begin healing. Just Submit your question and rest assured that you will consult a Doctor easily. Less common causes include an allergic reaction to the medicine. This swelling may last for up to 6 weeks. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. The swelling is asymmetric and intermittent at first, often affecting the nondominant hand; over time, it becomes persistent and symmetric, as in this patient.1. Bruises happen when something damages small blood vessels in the skin. Are you a top Doctor? Other causes include upper-extremity venous thrombosis, deep palmar space infection, complex regional pain syndrome, lymphedema resulting after axillary lymph node removal or irradiation, and filariasis. If the catheters weren't changed regularly when you were in hospital, a thrombus must have formed. Over-the-counter pain medicines. pain by administering pain relief. Or it may start hours after the injection. Give it time. Also sweeling is there with light itching & burning sensation. Data sources include IBM Watson Micromedex (updated 1 May 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Rheumatologic diseases causing puffy hands include rheumatoid arthritis, crystal arthropathies, systemic sclerosis, mixed connective tissue disease, nephrogenic systemic fibrosis, and RS3PE syndrome. Amiodarone These treat infection. The ulcers are thought to arise from a combination of inflammation around foreign bodies (ie. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. This is because the skin, venous and lymphatic systems are damaged by the frequent penetration of the skin and consequent low-grade infection. Mannitol 20% Learn more here. Some IV medicines can cause your skin and tissue to die (necrosis) if they leak into your tissues. She went to get the stuff for me before she checked her. Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You notice a lump at the IV site. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/books/NBK539795/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7928085/, https://opentextbc.ca/clinicalskills/chapter/intravenous-therapy-peripheral-and-central-venous-catheters/, https://link.springer.com/chapter/10.1007/978-3-030-03149-7_6, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4319640/, https://pubmed.ncbi.nlm.nih.gov/30001171/, https://pubmed.ncbi.nlm.nih.gov/29851914/, https://www.ncbi.nlm.nih.gov/books/NBK567072/, https://www.nutritioncare.org/About_Clinical_Nutrition/What_is_Nutrition_Support_Therapy/, A safer blood thinner? Leakages can occur through the IV insertion site, through the opposing vein wall, or as a result of increased vein porosity.2 Each of these results in IV fluid leaking into the surrounding tissue and are not a result of a nurses bad stick.4. Over-the-counter pain medicines. version 12.066-7-prod. Times have changed in nursing care in hospitals. Residecny:North Colorado Family Medicine. Thank you. I waited a little while and called her back to check. Puffy hand syndrome, a common complication of IV drug use, is not a well-recognized condition among general practitioners. This can be phlebitis, which means inflammation of a vein near the surface of the skin due to IV cannulation. The symptoms a patient experiences often depends on the severity and length of the infiltration. Change in color of skin to a bluish color like on the lips, nail beds, fingers, or toes. The consent submitted will only be used for data processing originating from this website. Below is what happens during a typical IV therapy procedure: For procedures that require a regular IV, healthcare professionals will leave the cannula in place. (n.d.). The service offers expert opinions of qualified doctors and medical advice on various medical conditions, medical diagnosis and treatment and it does not include a direct medical diagnosis, treatment or prescription. Phlebitis (superficial thrombophlebitis). If the IV catheter is still in place and not removed, it's important you get it removed soon by a nurse. injections (shots), intravenous (IV) lines, and blood pressure measurements. Blepharitis causes inflammation around the base of the eyelashes and makes a person's eyes sticky. Complications from infiltrations and extravasations can include: Compartment syndrome is a painful and dangerous condition caused by pressure buildup from internal bleeding or swelling of tissues. Vascular damage to Penis while using Penis pump. This can be phlebitis, which means inflammation of a vein near the surface of the skin due to IV cannulation. Intravenous (IV) therapy is administering fluids directly into a vein. There are very few true reasons to require IV vitamin therapy, the most common being a history of small intestine removal due to illness, cancer, or trauma, which will hamper the absorption of edible nutrients. Why? Common causes of a single swollen extremity includes skin and soft-tissue infection, trauma and deep vein thrombosis and must be considered especially in patients with history of intravenous drug use (DU), however, puffy hand syndrome is a lesser-known complication of intravenous DU that may present similarly. Approximately 2535% of people who receive IV therapy in a hospital acquire phlebitis, notes an older 2002 study. It can happen in an arm when a person receives IV therapy in a hospital. health conditions by administering medication. Another potential cause is infiltration when the fluid leaks into the tissue around the vein. DOI: https://doi.org/10.3949/ccjm.88a.20131, The puffy hand of drug addiction: a study of the pathogenesis, Puffy hand syndrome due to drug addiction: a case-control study of the pathogenesis, Puffy hand syndrome in drug addiction treated by low-stretch bandages, Cleveland Clinic Center for Continuing Education. your healthcare provider right away if you have any of these: Fever of 100.4F (38C) or higher, or as directed, Upset stomach (nausea), headache, or dizziness, Skin rash, severe itching, vomiting, or hives, Symptoms that get worse instead of better. Pain, Inflammation and a Nodule After IV Medication. Flares can last for 2-3 days. Consultations on DoctorSpring are not a substitute for physical consultation with a doctor or to hospital services. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/books/NBK556017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4990043, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6885032, https://journals.sagepub.com/doi/10.1177/1358863X18755928, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820419, https://www.cancer.gov/publications/dictionaries/cancer-terms/def/phlebitis, https://www.pedagogy-inc.com/Home/Resources/IV/Phlebitis-Grading-Scale.aspx, https://dermnetnz.org/topics/superficial-thrombophlebitis, A safer blood thinner? The service should not be used for medical emergencies. If you can, take her to urgent care, just to double check. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Some services offer IV vitamin therapy at home. As a result, I've avoided phlebitis for the past 6 months. Fluids that enter the body through an IV may take effect quicker than if a person has consumed them orally. Most post-injection inflammation is mild. What is nutrition support therapy? Nafcillin If after following the above step there is still swelling after 4 or 5 days, I suggest you consult a physician. Thankfully the doctor didn't make them reinsert another IV. These help reduce swelling, itching, and pain. Consult a doctor now! Medically reviewed by Drugs.com. Is there a role for oral or intravenous ascorbate (vitamin C) in treating patients with cancer? A plastic tube is then slid over. Phlebitis stages indicates the severity of inflammation in a vein due to an intravenous (IV) catheter. material from injected drugs) and infection. If an injection can't be given in your unaffected arm, buttocks . By continuing, you agree to our terms of use and privacy policy. The structure of the vein cant handle the infusion of the medication or fluid and blows out. This occurs most frequently in elderly patients. Fever may or may not be present but bloodstream infection (septicaemia) is uncommon, unless the individual is immune suppressed (e.g. It allows medical professionals to administer fluids to a patient quickly and efficiently. Detailed Second Opinion with Recommendations & Answers. We and our partners use cookies to Store and/or access information on a device. It usually gets better on its own after two weeks. IV therapy is the most common invasive procedure medical professionals use in healthcare. arrow-right-small-blue Swelling at or near the IV site. Always follow your healthcare professional's instructions. I have been using warm compression. was Her hand is looking almost normal now. The author reports no relevant financial relationships which, in the context of his contributions, could be perceived as a potential conflict of interest. However, more research is necessary. Note that this may not provide an exact translation in all languages, Home Jacobs, C., et al. She took out the i.v. Check with the doctor about what hygiene products can be used on the area. Can diet help improve depression symptoms? Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Phlebitis is the inflammation of a vein, which results in redness, swelling, and pain. Red streaks leading from the area. The swelling could be due to thrombophlebitis at site of IV catheter applied. away on When this happens, it is called thrombophlebitis. A 2020 study examining IV multivitamin use in both outpatient and medical settings concluded that there was insufficient evidence to recommend their use outside medical settings. 2023 ivWatch. . Reddish patch has been formed in right arm after blood has been extracted from vein for blood taste. However, addiction specialists, dermatologists, and vascular medicine specialists are familiar with this syndrome. It goes away on its own in hours to days. Call your healthcare provider right away if you have any of these: Fever of 100.4F (38C) or higher, or as directed, Upset stomach (nausea), headache, or dizziness, Skin rash, severe itching, vomiting, or hives, Symptoms that get worse instead of better, Francesca Torriani, MD Poor little thing!! This may cause symptoms such as a skin rash, severe itching, or raised red bumps called hives. A fever. Yes, any time someone is in the hospital, you have to be vigilant. These help reduce swelling, itching, and pain. It may then progress to blue, black, or . Cases of phlebitis from an IV infusion can range from those involving mild discomfort to those with severe complications, such as sepsis. Swelling, warmth, numbness, change of color, or pain in a leg or arm. Eventually my cat wised up and decided to go back to areas she could hit easily. Do regular exercise and drink plenty of water. This high rate is due to: Injection of drugs into the fatty layer under the skin (skin popping) Leakage of drugs out of veins during the injection (extravasation)Tissue death (necrosis) due to toxic materials in drugsIncreased numbers of bacteria on the skin surface. I had that happen multiple times with my IV when I had my first baby. Well-recognized vesicants with multiple citations and reports of tissue damage upon extravasation Calcium chloride Calcium gluconate Contrast media nonionic Dextrose concentration 12.5% Dobutamine Dopamine Epinephrine Norepinephrine Parenteral nutrition solutions exceeding 900 mOsm/L Phenylephrine Phenytoin Promethazine Sodium bicarbonate Sodium chloride 3% Vasopressin, Vesicants associated with fewer published reports of extravasation; published drug information and infusate characteristics indicate caution and potential for tissue damage please help :(, ADD REPORTS/IMAGES (5 max, 20MB max each, Can be added/emailed later). She looked at it and blew me off. Just use warm compresses and give it time. These may include: According to a 2020 study, complications of IV therapy may include: More extreme types of complications after IV therapy usually occur after 3 or more days of having IV insertion. $35 for typical specialist consult vs. $120 for a local appointment. MEDNET Quality Board. Hi there, I am in Thailand traveling so it is very hard and very expensive to find a doctor i can trust! Department of Rheumatic and Immunologic Diseases, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH; Associate Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, Sign In to Email Alerts with your Email Address. Radiography of the right hand showed diffuse soft-tissue swelling. Hello, Your provider may refer you to a plastic surgeon or wound care specialist. This is a reaction to the needle or to the medicine that was injected. Avoid spicy food and alcohol. I asked the one that came in to please get her some milk and pain medicine since I thought that maybe it'd help calm her down. abdomen, back, groin, scrotum and neck) due to injections in the jugular (neck) or femoral (groin) veins. These help reduce pain and inflammation. When the leaked solution from an infiltration is a vesicant drugone that causes tissue injury blisters or severe tissue damageit is referred to as an extravasation. Compartment Syndrome. Accepted but Unacceptable: Peripheral IV Catheter Failure. Journal of Infusion Nursing, 38(3), 189-203. Sounds like phlebitis to me. The swelling started in the right (nondominant) hand, and then affected the left hand within a few weeks. This is more likely if you or your child are receiving high doses of gadopentetate injection. Nerve damage from IV insertion is relatively rare. Call A radiograph of the right hand showed diffuse soft-tissue swelling (Figure 2). 20MB size. But they didn't discover it until a few hours later and my whole body had puffed up like a balloon. On examination, the dorsal and palmar aspects of both hands, fingers, and wrists were diffusely swollen with limited range of motion (Figure 1). Helped Over 500,000 patients with 98%+ satisfaction. Signs include redness, swelling, a palpable venous cord, and pain along the path of the IV cannula. Shortness of breath, a big weight gain, or swelling in the arms or legs. There was a little puffiness at the i.v.

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