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Warning-sign checks

Peripheral intravenous line - infants: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for trouble breathing, blue or grey coloring, collapse, marked unresponsiveness, or rapidly developing swelling of the face or mouth.

    Also seek emergency help for bleeding that does not stop with firm, continuous pressure.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    While your baby is in a healthcare facility, tell a nurse immediately if the IV site becomes swollen, red, hard, pale, cool, wet, or painful, or if your baby suddenly becomes distressed during an infusion.

    If your baby goes home with a peripheral IV, contact the treating team urgently for:

    • Increasing swelling, redness, warmth, tenderness, or discharge
    • Blistering, unusual skin color, or skin that feels cool
    • Fluid or blood leaking around the dressing
    • A loose, damaged, blocked, or partly pulled-out IV
    • Fever or unusual sleepiness, especially with changes at the IV site

The article also says

Do not push the tube back in.

Follow the team’s instructions about stopping an infusion or clamping the tubing.

Every sign above is quoted from the sofidex article on Peripheral intravenous line - infants. If you are not sure, err upward — it is always reasonable to be checked.