IV Therapy Bonus Cards, Illustration Credits
Infiltration Rating Scale
| Grade 0 | Grade 1 | Grade 2 | Grade 3 | Grade 4 |
|---|---|---|---|---|
| No symptoms | Skin blanched | Skin blanched | Skin blanched and translucent | Skin blanched and translucent |
| Edema <1 inch | Edema 1 to 6 inches | Gross edema >6 inches | Skin tight, leaking | |
| Cool to touch | Cool to touch | Cool to touch | Gross edema >6 inches | |
| With or without pain | With or without pain | Mild to moderate pain | Deep, pitting tissue edema | |
| Possible numbness | Circulatory impairment | |||
| Moderate to severe pain | ||||
| Infiltration of any amount of blood product, irritant, or vesicant |
Source: Revised Standards of Practice (2006). Cambridge, MA: Infusion Nurses Society; with permission.