Phlebitis&infiltration

  • November 2019
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PHLEBITIS USE CARE WITH THESE DRUGS: The following drugs are prone to causing phlebitis: - antibiotics - hypertonic dextrose solutions (>10%) - cancer chemotherapies - vasoactive medications - solutions containing calcium and potassium supplements. GRADING PHLEBITIS GRADE Clinical Criteria 0 No symptoms 1 Erythema at access site with or without pain 2 Pain at access site with erythema and/or edema 3 Pain at access site with erythema and/or edema Streak formation Palpable venous cord 4 Pain at access site with erythema and/or edema Streak formation Palpable venous cord >1 inch (2.5 cm) in length Purulent drainage INFILTRATION GRADING INFILTRATION: GRADE CLINICAL CRITERIA 0 No symptoms 1 Skin blanched Edema < 1 inch (2.5 cm) in any direction Cool to touch With or without pain 2 Skin blanched Edema 1 to 6inch (2.5 to 15 cm) in any direction Cool to touch With or without pain 3 Skin blanched translucent Stress edema 6 inches (15 cm) in any direction Cool to touch Mild to moderate pain Possible numbness 4 Skin blanched translucent Skin tight, leaking Skin discolored, bruised, swollen Stress edema; 6inches in any direction Deep pitting tissue edema Circulatory impairment Moderate to severe pain Infiltration of any amount of