What Causes Inflamed Vein At The Site Of Injection?
Please find details below
Detailed Answer:
Hi XXXXX,
Thanks for writing in.
1. I have seen the new photo and find that it is more likely to be thrombophlebitis, an inflammation of the vein from which blood was drawn.
2. Application of heparin ointment is recommended as discussed earlier.
3. Please do not massage the affected arm.
4. I would like to know if you have been given any oral antibiotic medicine for your illness and if yes then that will prevent any infection.
5. The healing might take a week or slightly longer. Please be relaxed and you will make a quick recovery.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
You had a simple IV line and not the one discussed in the link
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. The link is about PICC line. It clearly says "The name PICC stands for peripherally inserted central catheter. The IV device in the arm is a thin tube that is threaded through veins and ends near the heart. "
2. In PICC there is a greater chance of DVT.
3. You received a simple peripheral IV access in the arm and this is a low risk for DVT. In your case the IV line ends a few centimeters inside the place of injection.
4. There is no risk of infection as long the area is kept clean and not scratched with finger nails.
5. Peripheral IV line is safe and used in millions of patients every day.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
If yes, this means virtually no risk of dvt? Dvt related to centrally administered catheter only?
What about risk of infection with peripheral ? Staph, fleshy-eating etc?
Btw I checked with hospital and they said heparin is not used in this iv. Is that bad?
There is risk of DVT in central lines
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. I reassure you that your IV was peripheral in nature.
2. There is least risk of DVT in your case. DVT is due to central lines and the symptoms are also generalized with swelling of the arm and fever.
3. The risk of infection is low in peripheral unless you scratch and introduce bacteria in the area.
4. Heparin not being used in IV is not bad. It is possible that your treatment did not require it.
5. You might apply heparin ointment over the skin to help recovery.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
This is not the type of IV I had? Mine was a simple peripheral, is that correct?
Regarding infection, what if someone just puts a finger on the site of the bruise/inflamed vein, without scratching. Is that a risk. I have touched it and so did nurse at hospital when I returned to show it to them. They said it looks like bruise and the red areas around it are irritation from the bandages. I will send you another photo. Also of right arm where they tried to draw blood, but only for half a tube. No IV in right arm.
Your case involved placement of a simple peripheral catheter
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. In central catherter, there are two types with one being directly introduced in the neck vein and another is to place a catheter in the arm and then make it reach the heart. You have none of these and therefore not having risk.
2. You are right that a simple peripheral was used in your case.
3. Putting a finger will not any increased risk to infection. Since the area was kept secured with bandages therefore there was no possibility of dust entry during your IV catheterization. Later when you reported, the area was only touched and there was no scratching by finger nails. Therefore the risk of skin infection is low. Please send a picture of right arm.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek