Question

A client receiving intravenous fluids complains of pain at the insertion site, and the nurse notes erythema and edema. based on the phlebitis scale, how would the nurse document the phlebitis?

Answer 1

Based on the phlebitis scale the nurse would document the phlebitis as the score of 3.

What is phlebitis scale?

The phlebitis scale is the uniform standard scale that is used measure the severity and grade of inflammation of insertion site for intravenous fluids.

The phlebitis scale include the following scores:

• score of 0 : At this stage the intravenous site appears near

• Score of 1: At this stage the intravenous site has slight pain and redness.

• Score of 2: At this stage there may be evidence of pain and redness.

• Score of 3 : At this stage there is a clear evidence of pain, redness (erythema) and swelling (edema).

Therefore, based on the phlebitis scale the nurse would document the phlebitis as the score of 3.

Learn more about intravenous fluids here:

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