What is the appropriate initial intervention for venous needle infiltration that is increasing in size or severity?

The appropriate initial intervention for venous needle infiltration that is increasing in size or severity is to remove the infiltrated needle and apply direct pressure. This action is crucial because venous infiltration can lead to tissue damage and complications if not addressed promptly. By removing the needle, you prevent further fluid accumulation in the surrounding tissue.

Applying direct pressure helps control bleeding and reduces any potential hematoma formation at the site. It is essential to evaluate the site for any redness or swelling before deciding if further intervention is necessary, such as applying a cold pack to manage swelling once bleeding is under control.

Addresses like repositioning the needle without removing it or washing the area with alcohol would not effectively resolve the issue of infiltration. These actions might worsen the condition by failing to address the compromised access. Similarly, while applying an ice pack might be beneficial in certain situations, it is not a first-line action for an increasing infiltration, since immediate removal of the cause (the needle) is necessary to prevent further complications.