IV Infiltration: Management - Prevention
Early identification
Stop the infusion
Elevate
warm or cool compress
Monitor the site
Unstageable pressure injury - Full-thickness tissue loss of unknown depth. The base of the wound
is completely obscured by slough and eschar.
Pressure Injury: Stage...
CCRN - Integumentary
IV Infiltration: Management - Prevention
Early identification
Stop the infusion
Elevate
warm or cool compress
Monitor the site
Unstageable pressure injury - Full-thickness tissue loss of unknown depth. The base of the wound
is completely obscured by slough and eschar.
Pressure Injury: Stage 3 - Full thickness skin loss
Subcutaneous fat in wound bed
No bone, tendon or muscle exposed
The Skin - The largest organ system
Comprises 10-15% of body weight
receives 1/3 of circulating blood volume
Primary functions: protective barrier, water balance, body temperature control.
Pressure Injury - A localized injury to the skin that usually occurs over a bony prominence due to
pressure and/or shear.
Common areas are sacrum, and in young children the occiput of the head.
Pressure Injury: Risk Factors - Pressure intensity and duration
Shearing force
Immobility
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