Intensive Care Medicine (ICM) Practice Exam

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What should be done when phlebitis is observed in the area of a peripheral venous catheter?

  1. Terminate the intravenous approach in the area of the phlebitis

  2. Apply anti-inflammatory drugs and local treatment without removing the catheter

  3. Apply antibiotics into the cannula

  4. Apply antibiotics orally

The correct answer is: Terminate the intravenous approach in the area of the phlebitis

The appropriate action when phlebitis is observed in the area of a peripheral venous catheter is to terminate the intravenous approach in that area. Phlebitis is an inflammation of the vein, which can be caused by factors such as irritation from the catheter or the solution being infused. Continuing to use a venous catheter in an area affected by phlebitis could lead to worsening inflammation, increased discomfort for the patient, and a risk of complications, such as thrombosis or infection. Removing the catheter from the affected site allows for the inflammation to decrease and helps prevent any potential further complications. It also enables the medical team to assess the patient’s overall venous access needs and consider placing a new catheter in a different, unaffected site if intravenous therapy is still required.

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