The Guide To Infusion Related Complications Phlebitis In Hospice
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- The Guide To Infusion Related Complications Phlebitis In Hospice
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In this article, we will review the signs and symptoms, intervention, and preventative measures of phlebitis in hospice patients.
Phlebitis Definition
Inflammation of vein: inflammation of the wall of a vein.
Signs and Symptoms of Phlebitis
- Typically a slow onset of a tender red area along the superficial veins on the skin. A long, thin red area may be seen as the inflammation follows a superficial vein
- This area may feel hard, warm, and tender. The skin around the vein may be itchy and swollen
- The area may begin to throb or burn
- If an infection is present, symptoms may include redness, fever, pain, swelling, or breakdown of the skin.
Intervention
- Remove the catheter at the first sign of tenderness, redness, or inflammation
- Apply warm compresses to the area
- Elevate extremity
- Place new catheter site in opposite extremity if possible
- Monitor for signs of infection (fever, swelling, tenderness, redness, increased WBC count)
- NSAIDS if not contraindicated for patient
Preventive Measures
- Maintain aseptic technique when using or manipulating iv system
- Close monitoring of infusion site
- Determine compatibility of solutions or medications before use
- Securing catheter to prevent in-and-out movement
- Frequent catheter changes and site rotations
- Use of filters for particulate matter
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