Losing weight through infusion therapies is probably one of the invasive and probably dangerous methods for shedding off the pounds. This is primarily because it puts you at greater risk for complications and infection. One of the most common complications as to infusion therapies is phlebitis.
Phlebitis is a condition wherein he veins become inflamed which can cause pain and swelling. It is considered to be one of the adverse complications of IV infusion. This is primarily the reason why IV sites should be routinely assessed and evaluated for any signs and symptoms of phlebitis; if the symptoms are evident, determine its severity.
The Infusion Nurses Society (INS) Standards of Practice recommends that a standardized scale that is valid, reliable, and feasible should be used for evaluation of phlebitis. For adults, there are actually 2 phlebitis scales that are being used today because it demonstrates both validity and reliability. One of these scales is from the Infusion Nurses Society that has been used over the years by infusion nurses.
INS Phlebitis Scale
- Grade 0: no evident symptoms.
- Grade 1: erythema at the access site with or without pain.
- Grade 2: pain at the access site accompanied by erythema and edema.
- Grade 3: pain at the access site with erythema and edema, as well as streak formation, and palpable venous cord.
- Grade 4: pain at the access site with erythema and edema, streak formation, palpable vein greater than 1 inch in length, and with drainage that is purulent.
Visual Infusion Phlebitis Scale
The Visual Infusion Phlebitis (VIP) scale is another highly recommended phlebitis scale that was developed by Andrew Jackson, Consultant Nurse Intravenous Therapy and Care, Rotherham General Hospitals, NHS Trust.
- 0: no sign of phlebitis. IV site appears healthy.
- 1: one sign is evident; pain near IV site or redness near IV site.
- 2: two signs are evident; pain, redness, or swelling near IV site.
- 3: the following signs are evident; pain, redness, indurations in the IV site.
- 4: the following signs are evident; pain, redness, indurations, and palpable veins along the IV site.
- 5: the following are evident; pain, erythema, indurations, palpable veins, and fever.