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Phlebitis and Thrombophlebitis (cont.)

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What are the complications of phlebitis?

Complications of phlebitis may include local infection and abscess formation, clot formation, and progression to a deep venous thrombosis and pulmonary embolism. When pronounced deep venous thrombophlebitis has seriously damaged the leg veins, this can lead to post-phlebitic syndrome. Post-phlebitic syndrome is characterized by chronic swelling of the involved leg and can be associated with leg pain, discoloration, and ulcers.

Can phlebitis be prevented?

Simple measures can be taken to prevent phlebitis, although, sometimes it cannot be avoided.

Preventive measures of phlebitis include:

  • early mobilization after surgery,
  • leg exercises during a long car travel or airplane ride,
  • good nursing hygiene and prompt removal of intravenous catheters, and
  • smoking cessation.

Compression stockings are required in many patients after an episode of phlebitis, especially deep venous phlebitis. These, and other measures, reduce post-phlebitic swelling and the risk of recurrent phlebitis. In most hospitalized patients who have limited mobility or have had recent orthopedic surgery, a low dose of blood thinners (heparin, fonduparinux, enoxaparin [Lovenox] or other agents ) may be injected routinely in order to prevent blood clot formation by keeping the blood relatively thin. This preventive dose is generally lower than the doses used for treating existing blood clots. A widely used alternative is the use of intermittent compression garments on the extremities during periods of high risk.

Medically reviewed by Paul Skudder, Jr., MD; American Board of Surgery with subspecialties in Vascular Surgery and Surgical Critical Care
REFERENCE:
uptodate.com


Medically Reviewed by a Doctor on 12/17/2013

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Source: MedicineNet.com
http://www.medicinenet.com/phlebitis_and_thrombophlebitis/article.htm

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