Phlebitis: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - " DVT " to " DVT") |
Spenceemmett (talk | contribs) |
||
| Line 22: | Line 22: | ||
*Compression | *Compression | ||
*Antibiotics if infection present | *Antibiotics if infection present | ||
*Anticoagulation if associated with [[DVT]]or septic pelvic thrombophlebitis | *Anticoagulation if associated with [[DVT]] or septic pelvic thrombophlebitis | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 16:53, 14 September 2018
Background
- Inflammation of vein
Clinical Features
- Localized erythema, swelling, and pain/tenderness along vein
- +/- palpable, indurated venous cord
- +/- fever
Differential Diagnosis/Causes
- Superficial thrombophlebitis due to VTE, chronic venous stasis
- Trauma from peripheral venous access (iatrogenic or IVDU)
- Medication infusion related
- e.g. Aztreonam, vancomycin, phenytoin, amiodarone, dobutamine, concentrated potassium,
- Infectious (septic or supparative phlebitis/thrombophlebitis)
- Associated with IVDU, prolonged PIV catheter use, strep/toxic shock syndrome, post obstetric/gynecologic surgery (septic pelvic thrombophlebitis)
- Vasculitis
Evaluation
Management
- NSAIDs for pain
- Compression
- Antibiotics if infection present
- Anticoagulation if associated with DVT or septic pelvic thrombophlebitis