PHLEBITIS IN PERIPHERAL VASCULAR CATHETERS OF HOSPITALIZED PATIENTS

Emile Rodrigues Da Silva,Rosane Soares

doi:10.26694/repis.v5i0.8583

Emile Rodrigues Da Silva, Rosane Soares

Open Access

https://doi.org/10.26694/repis.v5i0.8583

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Abstract

Objective: To identify the occurrence of mechanical and chemical phlebitis in peripheral venous catheters of hospitalized adult patients. Method: a descriptive observational study with 100 patients over 18 years of age who underwent peripheral venous puncture, performed in September and October 2016 at the Adult Hospitalization Unit of a University Hospital. The site of insertion of the peripheral puncture device was evaluated daily in order to identify signs and symptoms of phlebitis. Statistical analysis was performed using the chi-square test, considering statistical significance when p <0.05. Results: Phlebitis occurred in 21% of cases, with grade 1 (52.4%) prevalent. Of the 21 cases, 14 occurred due to mechanical causes, 50% due to repeated punctures and 7 due to chemical causes, which presented a statistically significant value in relation to some medications used (p = 0.008). Conclusion: the result of the study made the importance of the multiprofessional team in the care of these patients perceptible.

Highlights

Vascular catheters are widely used for the care of hospitalized patient, it is essential to administer intravenous (IV) solutions and medicines
Phlebitis is characterized by inflammation of the internal layer of the vein, presenting symptoms classified in different degrees of edema, pain and erythema in the contour of the insertion site of the CVP or along the path of the vein, being able to evolve causing a palpable fibrous cord with blush fever, increased sensitivity at the site and fever.[4,5]
The same thing happened with the equipment, which must be on the label the date of installation

Summary

Introduction

Vascular catheters are widely used for the care of hospitalized patient, it is essential to administer intravenous (IV) solutions and medicines. The IV route provides that the drug is administered directly into the bloodstream.[1] Currently, the most used Peripheral Venous Catheter (PVC) is the over-needle because it is flexible and allows a longer residence time.[1,2]. The increasing use of IV therapy caused the Peripheral Venous Puncture (PVP) is often performed in hospital care, which increases the probability associated local complications like phlebitis, infiltration, and hematoma, which may occur in 50% to 75% of patients undergoing this procedure.[3] In this context, one of the most frequent complications associated with CVP is phlebitis, implying failure and interruption of IV therapy.[4]. Phlebitis is characterized by inflammation of the internal layer of the vein, presenting symptoms classified in different degrees of edema, pain and erythema in the contour of the insertion site of the CVP or along the path of the vein, being able to evolve causing a palpable fibrous cord with blush fever, increased sensitivity at the site and fever.[4,5]

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Discussion

Conclusion