PHLEBITISUSE CARE WITH THESE DRUGS:The following drugs are prone to causing phlebitis:

- antibiotics- hypertonic dextrose solutions (>10%)- cancer chemotherapies- vasoactive medications- solutions containing calcium and potassium supplements.

GRADING PHLEBITISGRADE Clinical Criteria0 No symptoms1 Erythema at access site with or without pain2 Pain at access site with erythema and/or edema3 Pain at access site with erythema and/or edema

Streak formation Palpable venous cord

4 Pain at access site with erythema and/or edemaStreak formationPalpable venous cord >1 inch (2.5 cm) in lengthPurulent drainage

INFILTRATION

GRADING INFILTRATION:GRADE CLINICAL CRITERIA0 No symptoms1 Skin blanched

Edema < 1 inch (2.5 cm) in any directionCool to touchWith or without pain

2 Skin blanchedEdema 1 to 6inch (2.5 to 15 cm) in any directionCool to touchWith or without pain

3 Skin blanched translucentStress edema 6 inches (15 cm) in any directionCool to touchMild to moderate painPossible numbness

4 Skin blanched translucentSkin tight, leakingSkin discolored, bruised, swollenStress edema; 6inches in any directionDeep pitting tissue edemaCirculatory impairmentModerate to severe painInfiltration of any amount of