What should be monitored at the IV site during a transfusion?

• A. Infiltration, phlebitis, irritation
• B. Temperature only
• C. Blood pressure only
• D. None

Answer: (A)

Monitoring the IV site during a transfusion focuses on catching local IV complications early, especially infiltration, phlebitis, and irritation. Infiltration happens when IV fluid leaks into surrounding tissue, so look for swelling around the site, skin that feels cool or appears pale, a slowed or halted infusion, and patient reports of tightness or discomfort. Phlebitis is inflammation of the vein from irritation or infection, with signs like a red, warm, tender line along the vein. Irritation may show as localized itching, redness, or burning at the site. Catching these signs quickly means you can stop the transfusion, remove the catheter if needed, and start a new IV at another site to prevent tissue damage or infection. Temperature and blood pressure are important systemic checks for transfusion reactions, but they don’t replace the need to assess the IV site itself. None of these site issues can be ignored.