Investigate reports of chest pain or feelings of anxiety. Journal of Infusion Nursing: 34, 2, 117–123. Rationale: Causes vasodilation, which increases circulation, relaxes muscles, and may stimulate release of natural endorphins. Apply moist heat to extremity if indicated.
Note: Client may remain symptom-free and undiagnosed until emboli develop.
American Journal of Nursing… Burke JP (2003) Infection control – a problem for patient safety.
American Journal of Infection Control; 34: 5, 308-312. 3. Hart S (2007) Using an aseptic technique to reduce the risk of infection. Oxford: Blackwell Publications. Recommend increased fluid intake to 2000+ ml/day. Difficulty in injecting or regular infusion pump occlusion would also indicate phlebitis. 7.Initiate active or passive exercises while in bed (e.g., flex/extend/rotate foot periodically). Changes in characteristics of pain may indicate development of complications. There are two phlebitis scoring systems, which should be used in routine practice to identify and treat early signs of the inflammation.
Consideration must also be given to the nature of the intended IV therapy and optimum cannula size for drug delivery. Instruct client to avoid rubbing and massaging the affected extremity. An aseptic technique is necessary when performing any clinically invasive procedure, especially if the patient has an infectious disease. Monitor vital signs, noting elevated temperature. Factors such as pH and osmolarity of the substances have a significant effect on the incidence of phlebitis (Kohno et al, 2009) (Figs 2 and 3). The area can feel warm and patients may experience pain or discomfort during drug administration (nurses should assess if this pain persists between administrations). Although these rates appear to b... Urinary tract infections (UTIs) are common and usually occur because of the entry of bacteria into the urinary tract at the urethra. Visit our, Phlebitis: treatment, care and prevention, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, print-friendly PDF file of the complete article, Winners of the 2020 Student Nursing Times Awards revealed, First trust pledges support for Nursing Times staff wellbeing campaign, Announcing our Student Nursing Times editors for 2020-21, Don’t miss your latest monthly issue of Nursing Times, Expert nurses share their knowledge of pressure ulcers in free-to-watch videos, Known Covid-19 nurse death toll ‘now equal that from WW1’, Night shift nurses ‘most ill-served’ by hospital food facilities, Covid-19 admission risk ‘three times higher’ for patient-facing staff, RCN deputy president ‘left with no choice’ but to resign, ‘We know the mental and emotional toll of the pandemic is starting to show’, Nursing Times survey reveals views on flu and Covid-19 vaccines, ‘Imposter syndrome made me dread some of my lectures’, Nurse and Theatre Practitioner Opportunities, This content is for health professionals only, Peripheral venous cannulation is a common procedure used in hospital to deliver fluid and medicine, Phlebitis (inflamation of the vein) can be caused by chemical, mechanical or infectious irritation, Good practice with cannula insertion and infection control should help to prevent the condition, Peripheral venous cannulation is a common procedure, Phlebitis – or inflammation of the vein – can be caused by mechanical, chemical or infectious irritation at the cannula site, Careful placement and good hygiene can help to prevent phlebitis, There are two assessment tools to identify early signs of the condition, Vigilance can help to prevent rare but potentially severe complications such as sepsis. Palpate leg with caution. 1. Good practice when inserting a cannula, including appropriate choice of device and site, can help to prevent phlebitis. Display relaxed manner; be able to sleep or rest and engage in desired activity.
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