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What Happens if an IV Injection is Given Wrong?

Published in IV Complications 2 mins read

Giving an IV injection incorrectly can lead to several serious complications. The consequences depend on the specific error made.

Potential Negative Outcomes of Incorrect IV Injections

  • Nerve Damage: A misplaced IV catheter can penetrate a nerve, causing temporary or permanent damage. Recovery time, if any, can range from weeks to years. [Source: In the event that an intravenous (IV) catheter penetrates a nerve, it can cause temporary or permanent nerve damage. Following an injury, the nerve will attempt to regenerate; however, recovery is not always possible. IV nerve damage can take anywhere from a few weeks to years to subside, if at all. 29-Oct-2024]

  • Infection: Incorrect insertion or handling techniques can introduce bacteria into the bloodstream, leading to local or systemic infections. This can range from mild inflammation to life-threatening sepsis.

  • Extravasation: If the IV fluid leaks out of the vein into the surrounding tissue (extravasation), it can cause pain, swelling, and tissue damage. The severity depends on the type of fluid infused and the amount that leaks.

  • Thrombosis: Improper technique can damage the vein, increasing the risk of blood clot formation (thrombosis). This can range from minor discomfort to severe complications like pulmonary embolism.

  • Air Embolism: Air entering the bloodstream during an IV injection can cause an air embolism, a life-threatening condition that can block blood flow to vital organs.

  • Medication Errors: Administering the wrong medication or the incorrect dose through an IV line can have life-threatening consequences.

Minimizing Risks

Proper training and adherence to strict protocols are crucial for minimizing the risks associated with IV injections. These include:

  • Careful Vein Selection and Insertion Technique: Selecting appropriate veins and using aseptic techniques are essential.
  • Regular Monitoring: Monitoring the IV site for signs of complications is critical.
  • Immediate Attention to Complications: Prompt recognition and management of complications like extravasation are vital.

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