Lynn posted this message a while ago. I am looking for reference articles that substantiate the information other than the AmJnl of Nursing article form 8/07. It focused mostly on extravasation. I am looking for information on cool vs warm for infilration based onosmolarity, as stated:
For minor infiltrations, no treatment may be required.
For major infiltrations, treatment depends on the osmolarity of the infiltrated drug. For hyperosmolar solutions, heat makes the situation worse. So cold is preferred.
For isotonic or hypotonic solutions, use heat or cold depending upon what makes the patient feel better.
For extravasation, again go by the tonicity of the solution, with 2 exceptions. Vince alkaloids and epipodophylotixins require heat and all others will usually receive cold.
Phlebitis is heat application. Lynn