This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
Phlebitis is a common complication of intravenous therapy. Many studies have been done as to causes and possible modes of prevention. There seems to be a relationship between the incidence of phlebitis and the components of intravenous fluids.The University of Washington manual on Fluid and Electrolyte Balance recommends aseptic intravenous site care, 10 mg of heparin sodium and 1 mg of hydrocortisone per liter of intravenous fluids, to help keep the vein patent and to avoid possible infiltration, as well as keeping down inflammation or foreign body reaction locally at the intravenous needle site.We used a modified regimen of 5 mg of heparin and 1 mg of hydrocortisone per liter of intravenous fluids where cephalothin (Keflin), gentamicin, kanamycin, or potassium salts were administered by intravenous route. The incidence of phlebitis decreased greatly and the longevity of these vessels ranged from 72 to 104 hours (along
Schafermeyer R. Prevention of Phlebitis. JAMA. 1974;228(6):695–696. doi:10.1001/jama.1974.03230310017012
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: