Phlebitis

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Phlebitis
Classification and external resources

The popliteal vein.
ICD-10 I80
ICD-9 451
DiseasesDB 13043
eMedicine emerg/581 emerg/582 med/3201
MeSH D010689

Phlebitis is an inflammation of a vein, usually in the legs.

When phlebitis is associated with the formation of blood clots (thrombosis), usually in the deep veins of the legs, the condition is called thrombophlebitis. These clots can travel to the lungs, causing pulmonary embolisms that can be fatal.

Contents

[edit] Etiology

Vasculitis:

  • Bacterial: Pathogenic organisms can gain access and stimulate inflammation.
  • Chemical: caused by irritating or vesicant solutions.
  • Mechanical: physical trauma from the skin puncture and movement of the cannula into the vein during insertion; any subsequent manipulation and movement of the cannula; clotting; or excessively large cannula.
  • Medications including celecoxib, olanzapine, antidepressants, and others.
  • Genetic as it is known to run in families.
  • Alcohol abuse

[edit] Signs and symptoms

  • Redness (erythema) and warmth with a temperature elevation of a degree or more above the baseline
  • Pain or burning along the length of the vein
  • Swelling (edema)
  • Vein being hard, and cord-like
  • If occurring due to an intravenous infusion line, then decrease the infusion rate

[edit] Massage

  • This condition is considered a contraindication; therefore, no massage should be conducted as the nature of massage manipulations risks breaking loose a clot which could then travel to the lungs (pulmonary embolism) or the heart.

[edit] Notable cases

[edit] See also

[edit] Notes

[edit] References

Intravenous Infusion Therapy for Nurses (Second Edition) by Dianne L. Josephson (ISBN 1-4018-0935-9)

[edit] External links

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