Phlebitis

What do you understand about phlebitis?

• Inflammation of the vein, a complication of peripheral IV cannula

• It can be mechanical, chemical, or bacterial in origin. 

• characterized by pain, erythema, edema, induration and palpable of the vein and pyrexia

• Inflammation in the tissue related to trauma

Which of these is Not a component of PVL care bundle

• Hand Hygiene prior to cannulation

• Skin prep allowed dry, PPE and use transparent dressing

• Document date of insertion

• Health Education : care of IV line, post line removal monitoring

• None of the above

Which is the WRONG about monitoring frequency for PVL

• Bolus/Infusion/Medication/ Antibiotic - each time prior & post medication administration

• Maintainence IVD- 8 hourly/shift

• Cannula in situ (KVO) - once pershift

• All PVL to monitor once per shift regardless of medication frequencies

VIP scores use to monitor PVL is known as

• Very Important Person

• Vein In Place

• Visual Infusion Phlebitis

• Visual Intravenous Phlebitis

As a nurse, the BEST nursing action when patient complained of slight pain near IV site or slight redness near IV site

• VIP-score 1-so, I discontinue the drip and monitor the PVL for my shift

• VIP score 1 - I remove and set new line

• VIP score 1 - I reassurance the patient is it normal and continue monitor PVL

• VIP score 1- i give an icepack and continue use the line for medication administration

Patient had developed phlebitis VIP score 2. After set new line, informed consultant and rendered treatment ordered, what will be my next action

• Go home and relax

• let the patient know that it is normal and she does not need to be anxious about that

• Raised riskmann within 24hours

• Monitor post PVL removal/phlebitis for 48hours

What is the purpose of use transparent and semipermeable dressing to cover the PVL insertion site?

• Low cost to the patient

• For easy monitoring of phlebitis

• Durable and long lasting in securing PVL

• High end finishing and look fancy on patient

Which are CORRECT about phlebitis

• Chemical Phlebitis is due to chemical component of medication that irritate vein wall

• Vesicant and irrittant medication have high risk for phlebitis

• Mechanical phlebitis is due to material of the catheter and patient's movement

• None of the above related

How frequent we change IV tubing for patient?

• 72hours for IVD

• Daily for antibiotic

• Use until the tubing until patient discharge/treatment discontinued

• change each time of medication administration

All failed attempted for PVL insertions have to monitor for 48 hours

• True

• False