Prevention of infusion phlebitis.doc

 PAGE \* MERGEFORMAT 6 Prevention of infusion phlebitis [Keywords:] phlebitis; infusion; treatment Phlebitis is a common complication of transfusion therapy. Phlebitis will not only increase the psychological burden of patients, but also affected the quality of care. Clinical preventive phlebitis is very important. This in our hospital in August 2003 to August 2009 occurred because of infusion phlebitis induced to do an analysis of 24 patients, are as follows. 1 Clinical data 1.1 General information 24 patients were male, aged 18 to 33 years old, the infusion time from 5 to 11 days, of which 15 cases of grade , 6 cases, grade 3 patients. After treatment, no significant complications, the effect good. 1.2 The criterion of grade : puncture pain swelling, cord-like veins without change, does not touch sclerosis; grade: puncture pain, swelling, vein and cords to change, does not touch sclerosis; grade puncture pain, swelling, vein cord-like changes, palpable induration [1]. 1.3 treatment 1.3.1 Physical therapy and infrared heat treatment of cold exposure. Phlebitis in patients with site hot wet towel around 50 , in order to test the temperature inside of your wrist, not hot suitable, moist heat on the 5 ~ 10 min, or with infrared light therapy device . 1.3.2 Drug treatment (1) 50% magnesium sulfate wet compress [2] surface of the skin lesion, and add a fixed film, 2 to 3 times / day, once every 3 days, and then povidone iodine [3] rubbed the affected area, 5 to 6 times / day. (2) Niuhuangjiedu crush tablets 3 to 4 plus 75% ethanol into a paste evenly applied to the skin, phlebitis and around the site of a thickness of about 1 ~ 2 mm, and then with sterile Sticking plaster gauze fixed, the replacement of 1 or 2 times, can be anti-inflammatory anti-bacterial, detoxification swelling [4]. (3) injury to the pain Plaster wet the affected area, but to avoid intravenous needle site, the replacement of 1 / 6 ~ 12 h, attention to allergy skin ulc