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angellady07
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« on: February 04, 2008, 11:13:34 PM »

When the parmedics started an IV it became infiltrated. My question is how long does it usually take to heal ? I'm being treated with antibiotics. The IV was on my hand and I still can't make a fist. The center of the wound looks black. Last Wednesday the in center nephrologist said I may require plastic surgery. I don't care what my hand looks like, I just want to be able to use it. Help ...............
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okarol
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« Reply #1 on: February 04, 2008, 11:29:12 PM »

God that sounds horrible!
How long was the infiltration happening? Did they treat it with cold or warm compresses? Seems like such extensive skin damage shouldn't have happened, especially to the degree that plastic surgery may be required! The veins in the hand are so small - when Jenna was in the hospital for her bladder surgery I had to constantly fight for the nurses to remove the uncomfortable IV's from her hand, even when they started to balloon up, they'd argue about it until I threatened to page the doctor myself. We know tissue damage can occur if not dealt with in a timely manner. Be sure that you're getting it checked frequently, that there's no infection and that there is no circulatory impairment. I am so sorry angellady!
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
angellady07
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« Reply #2 on: February 05, 2008, 12:35:38 AM »

I noticed it because the site became painful. I don't know exactly how long it was out. The in center nurse informed me today I am dealing with an infection. It was originally treated with a warm compress but not right away.
« Last Edit: February 05, 2008, 12:39:59 AM by angellady07 » Logged
Joe Paul
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« Reply #3 on: February 05, 2008, 01:32:00 AM »

Geee, I cant say how long for healing, but I hope it heals quickly, sorry you have to deal with this  :grouphug;
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ODAT
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« Reply #4 on: February 05, 2008, 06:37:42 AM »

This sounds like when my mom was in emergency and the nurse 'blew out' her vein in the top of her hand. Is that the same thing as infiltration? My mom's hand swelled to twice its size in a matter of minutes and turned black and purple! It hurt like heck too. They put a warm compress on it.

Hope you feel better quickly. The heat helped mom a lot. The swelling went down within 30 min, but stayed bruised for days and looks okay now.
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Ang
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« Reply #5 on: February 05, 2008, 02:52:22 PM »

if  the  wound  is  black, my  guess  it'll  take  about  2 weeks  to get  normal  skin  colour  back,here's  hoping  no  plastic  surgery :thumbup;
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angellady07
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« Reply #6 on: February 05, 2008, 03:57:57 PM »

Thanks for the replies. I'm upset because none of the docs seem to know how to treat my hand. One said it looks to  him like a " chemical burn". I don't know what to do.
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okarol
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« Reply #7 on: February 05, 2008, 04:30:46 PM »

Try this link for more info - it was slow to load and the pictures are graphic, but there's good description of the stages of infiltration:
http://community.nursingspectrum.com/MagazineArticles/article.cfm?AID=12209
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
angellady07
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« Reply #8 on: February 05, 2008, 07:07:55 PM »

Thanks so much, Karol.
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angellady07
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« Reply #9 on: February 12, 2008, 10:50:09 PM »

I saw my nephrologist on Tues. He referred me to a hand surgeon/plastic surgeon. They have tried several antibiotics in center to no avail. I'm going to call and make an appt. today. I hope I receive good news.
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Joe Paul
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« Reply #10 on: February 13, 2008, 12:00:25 AM »

I hope you get good news too, good luck  :thumbup;
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qwerty
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« Reply #11 on: February 13, 2008, 05:04:10 AM »

Dependant on "what" infiltrated into the tissue can make a difference also. Some medications injected into the IV fluids can cause necrosis or damage to the surrounding tissue. Do you know if it was just saline or if they injected any medication either into you at the hub or into the IV fluids.
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angellady07
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« Reply #12 on: February 13, 2008, 01:22:05 PM »

Thanks for your reply. They believe the damage was caused by phenergan. But they used multiple meds through that IV before it was discovered. I have an appt. tomorrow with the hand specialist.  :thx;
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angellady07
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« Reply #13 on: February 22, 2008, 04:16:27 AM »

Just a update from my appointment last week. I've been on vancomycin (sp) to treat the infection. The hand surgeon also prescribed silvadene cream for me to apply topically. I see him again next week. I may need revision surgery.
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kidney4traci
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« Reply #14 on: February 22, 2008, 06:26:24 AM »

Sorry about all your troubles.  How are you feeling now?  Can you make a fist yet?  Ouch, I know it is alot of pain.   :grouphug;
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angellady07
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« Reply #15 on: February 22, 2008, 06:33:00 AM »

Thanks for asking, Traci. It's still swollen around my knuckle area and the infiltration site doesn't seem to be healing properly. No, I can't quite make that fist yet.
« Last Edit: February 23, 2008, 01:10:56 AM by angellady07 » Logged
kidney4traci
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« Reply #16 on: February 22, 2008, 06:39:13 AM »

I was infiltrated two times, but nothing like what you are going through.  I hope it gets healing fast.  Sounds like it has gone on too long.  Praying for ya. 
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Married - three children.
Alports female, diagnosed ESRD 10/04
11/04  Hemo in clinic
6/07 hemo at HOME! 
2/3/09 - Transplant from an angel of a friend!!!
MyssAnne
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« Reply #17 on: February 22, 2008, 07:19:29 AM »

I've been infiltrated several times. IV AND Hemo. It is NOT fun.   I wasn't as bad as you, though. Man, I hope they are able to get it to
the point where you can use the hand.  The things we go through.  :cuddle;
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okarol
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« Reply #18 on: February 22, 2008, 12:30:39 PM »

Wow it sure did some damage! I hope it continues to heal.
You need this...
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Admin for IHateDialysis 2008 - 2014, retired.
Jenna is our daughter, bad bladder damaged her kidneys.
Was on in-center hemodialysis 2003-2007.
7 yr transplant lost due to rejection.
She did PD Sept. 2013 - July 2017
Found a swap living donor using social media, friends, family.
New kidney in a paired donation swap July 26, 2017.
Her story ---> https://www.facebook.com/WantedKidneyDonor
Please watch her video: http://youtu.be/D9ZuVJ_s80Y
Living Donors Rock! http://www.livingdonorsonline.org -
News video: http://www.youtube.com/watch?v=J-7KvgQDWpU
kidney4traci
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« Reply #19 on: February 22, 2008, 12:46:08 PM »

 :rofl; :rofl; I remember a few nurses/techs that I would have worn that shirt for in center!!!!!!!!!!!!!!  I love that!  Especially the one tyhat tried to blame it on me moving.   :boxing; :boxing; 
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Married - three children.
Alports female, diagnosed ESRD 10/04
11/04  Hemo in clinic
6/07 hemo at HOME! 
2/3/09 - Transplant from an angel of a friend!!!
angellady07
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« Reply #20 on: February 24, 2008, 12:38:15 AM »

Pink is my color too.  :clap;
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