Signs and symptoms. Signs and symptoms of phlebitis include the
(a) Swelling and redness around the venipuncture site.
(b) Tenderness of tissue around the venipuncture site.
A yellowish, foul-smelling discharge from venipuncture site.
(d) A sluggish flow rate.
Intervention measures against phlebitis.
(a) When phlebitis is noted, report your observations to the supervisor.
Trained personnel will then remove the IV and restart it in an alternate location and
initiate proper care for the inflammation.
Document your observations and actions.
Prevention measures against phlebitis.
(a) Keep the infusion flowing at the prescribed rate.
(b) Stabilize the catheter with correct taping and a splint.
Select a large vein when irritating drugs and fluids are given.
(d) Maintain strict aseptic techniques.
(e) Change catheters and tubing every 48 to 72 hours or in accordance
with (IAW) local policy.
Change bags, bottles, and dressings every 24 hours or IAW local
c. Circulatory Overload. Circulatory overload is a state of increased blood
Causes of circulatory overload.
(a) Fluid is infused too fast.
(b) Too much fluid is infused.
Circulatory overload can occur in any patient who receives an excess of
fluid. It is not confined to elderly, pediatric, or debilitated patients.