What’s the most common IV complication

I was reviewing IV complications in prep for my clinicals and realized I rarely hear about what happens if an infusion is running too fast. It’s a common topic in textbooks, but does anyone have real-world experience or anecdotes? I’m curious how often it results in patient issues.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌‍⁠‍‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​‍​⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‌‍‍‌​‍​‌‌‍‌‌⁠‍‌‌⁠‌​‌‌‍‍​⁠‍‌‌‌‌⁠​⁠‌‍‌​‌‌‌‌​‌‌⁠‌​​⁠‌⁠‌‌⁠⁠‌​‌⁠‌​‌⁠​‍​‍‌⁠⁠‌​​

Running an infusion too fast can definitely lead to fluid overload, especially in patients with heart issues. I had a patient once who developed pulmonary edema because of it. It’s crucial to monitor the rate closely.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌‍⁠‍‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‍​⁠‌​​⁠​⁠​⁠‍‌​⁠‍‌​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‌​⁠​⁠​⁠​​​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‍‌‍‌‌‍‌‌‍‍‍‌‌‌‍‌‍⁠‌​⁠‌‍‌‍​‍‌⁠​‍‌​⁠‍‌‌‍‌‌​⁠‍‌⁠‌⁠‌​⁠‍‌⁠​‍‌⁠​‍‌‍‍⁠​‍​‍‌⁠⁠‌

But this drives me nuts! I’ve definitely seen fluid overload from rapid infusions, and it can be severe, especially in older patients with comorbidities. I remember a case where a nurse was rushing to finish a blood transfusion before a certain time, and it backfired.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌‍⁠‍‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‍​⁠‌​​⁠​⁠​⁠‍‌​⁠‍‌​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‍​⁠​​​⁠​‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‍‌​‌‍‍⁠​⁠‍‌‌‍‍​​⁠​​‌‌​⁠‌​⁠⁠‌⁠‍‍‌⁠​‍‌‌‌‍‌‌​​‌​‌‍‌‍​‍‌‌​​‌⁠​‌​‍⁠‌​‍​‍‌⁠⁠‌

It’s crazy how a fast IV can feel like pouring a gallon of water into a shot glass. I once had a patient who started to get really anxious during a rapid infusion — turns out their heart just couldn’t keep up! Have you seen that kind of thing happen in your clinicals?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌‍⁠‍‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌‍​⁠‌​​⁠​⁠​⁠‍‌​⁠‍‌​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠‌‍​⁠​​​⁠​‍​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​‌‍‌⁠‌​‌​‌⁠‌​‌⁠‌‍​‍‌⁠​‌​⁠​‍‌‌⁠⁠‌‍‍​‌​‍​‌​⁠‌‌‌‌‍‌​⁠⁠​⁠‍‌‌​‌​‌‍​‌​‍​‍‌⁠⁠‌