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Dilantin IV drip and swelling.?
My son had a Dilantin IV drip last Thursday and he kept telling the nurse that it was almost unbearable pain - he almost passed out and he is 19 and a fairly tough kid. It is now almost a week later and his arm is still swollen and he can lift anything or even straighten out his arm without it hurting.
Just wondering if this is normal or should he go back to the doctor.
Well, he is a talented musician despite the myoclonic jerks and we certainly don't want anything happening to his forearms. I will go to the doctor tomorrow for sure.
3 Answers
- Pixie ChickLv 71 decade agoFavorite Answer
It is not normal, and is quite concerning. The concern is that the needle or IV catheter may not have been completely in his vein and some of the medication may have gone into his skin tissue (extravasation), which can cause burning pain and severe local reactions including chemical cellulitis (infection of the cells of the skin) and frank tissue necrosis (tissue death),
in some severe causes, amputation of affected limb has been necessary. Return to the doctor, let them know about the Dilantin infusion and swelling and continued pain.
Moist heat will help draw it out, but depending on the amount, it might be necessary to make sure there is not a cellulitis or compartment syndrome, Dilantin is a harsh medication intravenously, and if he is a tough kid, and he continues to complain of pain and decreased range of motion, I'd listen, get it checked out. If he cries wolf all the time, that's a different story.
Source(s): Emergency Room Nurse - S PLv 71 decade ago
Try warm compresses. If it doesn't work or it turns a different color then he needs to see a doctor. It might have infiltrated and the medication stayed in that one area.
Source(s): I have had close to 50 surgeries and this happened to me several times. I had to have vacnomyocin removed from my foot one time by them poking little holes in my foot to let it seep out.