nursing diagnosis for thrombophlebitis
Diagnosis and nursing intervention / treatment of DVT, thrombophlebitis.
Plan in place to meet needs after discharge Infective phlebitis can have significant ramifications for the patient due to the potential development of systemic sepsis. Nursing Care Plan for Gestational Diabetes Mellitus Nursing Diagnosis: Risk for fetal injury related to elevated maternal serum glucose l... Statistics for 1995 reveal that 56.9 babies were born for every 1000 females between the ages of 15 and 19. American Journal of Nursing; 103: 2, 55-60. Kuwahara T et al (1999) Experimental infusion phlebitis: tolerance pH of peripheral vein. Disease process/prognosis and therapeutic needs understood
Infusion Nurses Society (2006) Infusion Nursing Standards of Practice. The incidence of phlebitis can be reduced by use of simple measures.
Superficial thrombophlebitis is a common inflammatory-thrombotic disorder in which a thrombus develops in a vein located near the surface of the skin. 9.
The VIP score is recommended in the Infusion Nursing Standards of Practice (INS, 2011).
Caution client not to cross legs or wear constrictive clothing. Rationale: Relieves pain and decreases muscle tension. Rationale: Encourages venous return to facilitate circulation, reducing stasis and edema formation. Oxford: Blackwell Publications.
Uslusoy E, Mete S (2008) Predisposing factors to phlebitis in patients with peripheral intravenous catheter: a descriptive study. Creed F, Spiers C (2010) Care of the Acutely Ill Adult: an Essential Guide for Nurses.
Skin tunnelled cuffed central catheters (Hickman lines). ‘Congratulations to our student award winners’, How to prevent, identify and treat phlebitis in patients with a venous cannula.
The initial treatment for any form of phlebitis is to stop the infusion and remove the PVC (Webster et al, 2010). Changes in characteristics of pain may indicate development of complications. For example, a large-bore cannula would be appropriate for rapid fluid resuscitation while a cannula with a smaller bore would suffice for sliding scale insulin therapy. 5. 4. Peripheral catheter-related phlebitis is caused by the inflammation of the tunica intima of a superficial vein.
Antibiotics are reported to increase the incidence of chemical phlebitis due to their low pH (Macklin, 2003). Macklin D (2003) Phlebitis, a painful complication of peripheral IV catheterization that may be prevented. 2. The type of intravenous delivery device used depends on the type of fluid administered and the length of time intravenous therapy will last. Desired Outcomes: 1.
For example, patients undergoing antibiotic or potassium therapy have a higher phlebitis risk due to the low pH of these solutions and neutralising such solutions may help prevent phlebitis (Kuwahara et al, 1999), although this is not usually done by nurses. A patient with phlebitis with a VIP score of 2 or more will require their cannula to be removed or resited.
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