While administering a vesicant chemotherapy through a peripheral IV, the client reports burning and swelling at the IV site. What is the nurse’s first action?

Question

Accepted Answer

B. Stop the infusion and leave the catheter in place for possible antidote administration per protocol — For suspected extravasation of a vesicant, stop the infusion immediately. Leaving the catheter in place may allow aspiration and antidote administration per protocol. Follow facility procedures closely.

Answer

A. Increase the infusion rate to dilute the medication

Answer

C. Remove the IV catheter and apply firm pressure

Answer

D. Flush the IV rapidly with saline