The symptoms and signs of phlebitis. These differences must be cognized to avoid flawed treatment strategies. rope- or cord-like structure that you can feel through the skin. 2 Phlebitis … There is no need to resubmit your comment. DifferenceBetween.net. Superficial phlebitis. Superficial phlebitis is the condition in […] Risk factors include prolonged inactivity, varicose veins, sedentary lifestyle, injury to the legs or arms, obesity, pregnancy, smoking cigarettes, bi… They share several symptoms as well as therapy options. Pain, erythema and/or edema, palpable cord. Phlebitis is of three types; they are; chemical phlebitis, bacterial phlebitis, and mechanical phlebitis. This is the most common IV therapy complication. Phlebitis and deep vein thrombophlebitis (DVT) are an inflammation of the leg or arm veins caused by sitting too long, obesity, smoking, pregnancy, cancers, and varicose veins. Phlebitis may occur in your arm or leg. Phlebitis can have other causal factors like bacterial infections and chemical reactions that cause the inflammation of veins. Moreover, in phlebitis, the vein is simply inflamed, while when a patient experiences infiltration the IV fluid percolates into the surrounding tissues. Infiltration is another leading complication of IV therapy. This is a direct consequence of the catheter backing up from the insertion site and perforating the vein. In these cases, the accumulated fluid has to be pumped out immediately to prevent the occurrence of compartment syndrome and lasting damage. A lot of these complications are very harmful to the patients and some are even detrimental. This is a very clear and informative article. This symptom cannot be seen in patients suffering from infiltration. Thank you – Laurie Robinson. Palpable venous cords is a common symptom exhibited by phlebitis patients. Leg Tenderness. During medical emergencies, an intravenous line is mandatory in order to administer medications and fluids to reach a patient’s circulatory system immediately. However there are some complications that may arise from this. Leg Pain. Superficial thrombophlebitis is the term for an inflamed vein near the surface of the skin (usually a varicose vein) caused by a blood clot. However, if these complications are unavoidable, early detection and prompt intervention must be done. Asking about symptoms experienced, including the duration and severity. Phlebitis is the condition that results in the inflammation of a vein, while infiltration results in the percolation of fluid and its consequent build-up in the neighboring tissue clusters. While superficial phlebitis can be treated easily, DVT or Deep Vein Thrombosis needs immediate medical attention. visible red “streaking” on your arm or leg. How to diagnose phlebitis Mr Eddie Chaloner explains how to differentiate the vascular condition of phlebitis from a DVT. Skin Redness. Infiltration occurs when the infusion cannula moves out of a vein, and the medicaton or fluid seeps into the surrounding tissue. The area may be swollen, itchy, warm, and tender. No signs and symptoms. Redness and/or swelling may also be seen. Research shows that it occurs 20% to 80% among patients having this therapy. This condition can lasts longer and even for years, however, if it persists for a long time, the inner lining of the inflamed vein could be irritated to a certain extent where a number of blood elements are deposited, leading to the formation of clots. Most patients with phlebitis either get a sudden onset of the symptoms and signs, or a gradually increasing set of symptoms or signs over a day or two. Diagnosis is usually based on the presenting signs and symptoms, while cell culture is rarely possible. The vein may be perforated when the catheter backs out from the insertion site. Phlebitis can be of 3 varieties: mechanical, chemical and bacterial. This results in the formation of blood clots in the vein. This distinction is made on the basis of the causal factors. Pigmentation changes of the overlying … The infiltration may cause the patient some mild discomfort and may require stopping the infusion and re-siting the IV elsewhere. The vein is simply inflamed and not perforated. When the inflammation is caused by a blood clot or thrombus, it is called thrombophlebitis. Fall in body temperature, paleness of skin are some symptoms commonly witnessed in infiltration patients but is not applicable in the case of phlebitis. swelling. redness. Other phlebitis symptoms and signs. Phlebitis simply means the inflammation of the vein, usually in the legs. Phlebitis is an inflammation involving the vein which commonly occurs in the legs, but may also arise in the arm. There is no infection so antibiotics have no effect at all and should not be given. What Is Phlebitis? Infiltration doesn’t usually causes harm not unless large amount of IV fluids enters the tissue and causes nerve compression or compartment syndrome, which can be harmful not unless prompt treatment is rendered. Erythema and/or edema, pain , no palpable cord. This condition can be caused by a medical procedure complication or it can occur spontaneously. What causes phlebitis? As a result of this inflammation, the individual may experience severe pain in the legs along with swelling. Although most symptoms may be overlapping for both these medical conditions, there are few that distinguish them. You may experience pain and swelling throughout an entire limb. Phlebitis (fle-BYE-tis) is a condition in which a vein becomes inflamed (phleb=vein + it is=inflammation). Low grade fever may accompany superficial and deep phlebitis. Adverse reaction to IV medications and fluids, The vein is too small for the IV flow rate, Incompatible or large needle for the vein size. Please respond to the email address noted above. is inflammation of the wall of your vein. Fall in body temperature, paleness of skin are some symptoms commonly witnessed in infiltration patients but is not applicable in the case of phlebitis. Superficial vein thrombosis is generally characterized by pain, tenderness, itching, reddening of the skin, and/or hardening of the surrounding tissue. While phlebitis may be caused by multiple factors including IV catheters, infiltration is caused solely by the perforation of a vein by the IV catheter. However, infiltration cannot be divided into categories as it is caused by one overwhelming factor- IV dislodging and vein perforation. Confidential Information A.6 Phlebitis and Infiltration Scales Phlebitis Scale Grade Clinical Criteria 0 No symptoms 1 Erythema at access site with or without pain 2 Pain at access site with erythema and/or edema 3 • Pain at access site with erythema • Streak formation Phlebitis and thrombosis of the lower extremity superficial veins. It is commonly experienced as a result of administering intravenous medications in patients. Notify me of followup comments via e-mail, Written by : Jade Sison. Pain, erythema and/or edema, ? Older patients are more susceptible to phlebitis because of the decreased elasticity of the blood vessels due to aging. The vein becomes inflamed because there's blood clotting inside it or the vein walls are damaged. A few years ago we as a company were searching for various terms and wanted to know the differences between them. However, the salient differences between the two must be noted so as to prevent misdiagnosis. The symptoms a patient experiences often depends on the severity and length of the infiltration. Phlebitis is caused by blood clots which can form due to venous injury, or as a complication from a surgical procedure. Vascular trauma that is caused by IV catheters dislodging into the vein or perforating the vein. Although a … Infiltration and extravasation are two complications that can happen after intravenous therapy. Fever. These clots cause the vein and surrounding tissues to become inflamed. However, it is different from phlebitis as when patients suffer from infiltration they experience the perforation of the vein and the consequent leakage of IV fluids into the neighboring tissues. The area can feel warm and patients may experience pain or discomfort during drug adminis-tration (nurses should assess if this pain The phrase "signs of Phlebitis" should, strictly speaking, refer only to those signs and symptoms of Phlebitis that are not readily apparent to the patient. Before making a diagnosis, more serious infections such as an underlying bone infection or … Inflammation of a vein that is caused by either IV catheters or bacterial or chemical infections. Phlebitis Leg is a medical condition in which the veins in the legs get inflamed. Infiltration is another kind of vascular trauma commonly experienced by patients with IV catheters. • Categorized under Disease,Health | The Difference between Phlebitis and Infiltration. Phlebitis. You might also hear this called superficial phlebitis or superficial thrombophlebitis. Common infiltration signs/symptoms include: Pain Edema Changes in skin color (blanching and erythema) Fluid leaking from puncture site Blister formation . The main symptoms of phlebitis are tenderness and pain in the area of the affected vein. The commonest symptoms of any form of phlebitis are erythema and swelling along the venous track, leading to hardened, cord -like veins (Endacott et al, 2009). Prevention is always the best cure. Vitamins A, C, … The main difference between phlebitis and infiltration is the cause of their occurrence. No blood clots are formed when a patient suffers from infiltration. On the other hand, when extravasation occurs, even a little amount of vesicant fluid escaping from the vascular space can cause tissue damage, more so with large amount – it can result in blistering, burning of tissue and the like. The treatment for infiltration includes immediate removal of IV catheters, inspecting the inflamed site, elevating the leg or arm, using medications to treat the severe cases of high volume fluid build-up. Bacteria phlebitis is caused by a bacterial infection and finally, chemical phlebitis that may occur as a result of fluids IV catheters or fluids. Hard (Cord-Like) Veins. Vein on the affected site is sore, tender (cord like) and warm upon palpation, Patients complaints of feeling of tightness, discomfort, burning, pain on the site, Decreased temperature or cold upon palpation. Infiltration is the escape of IV FLUID and extravasation involves the leaking of VESICANT FLUIDS. There is usually a slow onset of a tender red area along the superficial veins on the skin. Conclusion Both these medical conditions are commonly associated with IV complications and often they are misidentified as the other. Infiltration is another leading complication of IV therapy. Summary – Infiltration vs Extravasation. Difference Between Bladder and Kidney infection, Difference Between Bacterial and Viral Meningitis, Difference Between Acute Inflammation and Chronic Inflammation, Difference Between Variant Covid-19 and Covid-19, Difference Between Covid-19 and Allergies, Difference Between Virulence and Infectivity, Difference Between Zoonotic Diseases and Vector Borne Diseases, Difference Between Vitamin D and Vitamin D3, Difference Between LCD and LED Televisions, Difference Between Mark Zuckerberg and Bill Gates, Difference Between Civil War and Revolution. Follow a diet that supports blood vessel health. This involves the leakage of IV fluids to the surrounding tissues. Pain, erythema and/or edema, palpable cord more than 1?? Please note: comment moderation is enabled and may delay your comment. and updated on March 24, 2015, Difference Between Similar Terms and Objects, The Difference between Phlebitis and Infiltration, The Difference between Pemphigus and Pemphigoid, The Difference Between a Wound and an Ulcer, Differences between myelopathy and radiculopathy. Infiltration: Inadvertent leakage of a drug or solution (infusate) from a vein into surrounding tissues. Caused by IV catheters dislodging into the vein. tenderness. Symptoms include pain, redness, and swelling near the vein. no palpable cord. Symptoms may appear when you are receiving an IV medication, or 48 to 96 hours after you receive the medicine. The procedure of cannulation can help in-patients in many ways. There are three possible types of phlebitis. Hot, red, lumpy veins in the legs – are due to blood clots in the veins just under the surface. The fluid is displaced into the surrounding tissue space. Around 20%-80% of patients on IV medications suffer from phlebitis. The second difference between these two medical conditions can be noted in terms of their very definition. It is usually a treatable condition that has to be first ascertained by medical testing. Taking foods rich in certain vitamins can help you deal with this condition. Phlebitis is the inflammation of the vein. As mentioned, infiltration is caused when the cannula becomes dislodge from the vein or the vein is perforated and the IV fluids leaks or infused into the surrounding tissues. The clotting of blood near the surface of veins cause phlebitis in patients on IV medications. Although phlebitis can commonly affect patients from the age group of 41-60 years, it can also occur in younger people. Views: 9,855. This is very vital because it can save a person’s life. Signs and symptoms of superficial phlebitis are a gradual onset of tenderness area along the along the veins on the skin. Phlebitis is very painful and the inflammation may occur either in the superficial veins or in the deep veins. While both can be IV catheter-related complications, phlebitis has a wider range of causal factors that may be responsible for the condition- like chemical and bacterial infections. Erythema with or without pain. Cite Thrombophlebitis is a condition in which there is blood clot and inflammation on the legs. The presence of “backflow” or blood oozing out of the cannula is an indication that it is inserted right into the vein. The two conditions also bear subtle differences in terms of symptoms. It can also cause severe nerve compression in the patient. Moreover, the vein is simply inflamed under phlebitis while it is perforated when the patient suffers from infiltration. In case if this inflammation is caused due to a blood clot in the veins then it is termed as thrombophlebitis. Cellulitis vs. Phlebitis. However, infiltration is solely caused by a dislodged IV catheter. ?, purulent discharge. We've learned from on-the-ground experience about these terms specially the product comparisons. The word is derived from ‘phleb’ meaning vein and ‘itis’ meaning inflammation in the medication diction. Infiltration-caused fluid build-up can be very harmful. The symptoms of deep vein thrombophlebitis are similar, but pain might be experienced throughout the entire limb, or the whole limb might suddenly swell. In infiltration, a non-vesicant medication leaks into the surrounding tissues while in extravasation, a vesicant medication leaks … A line with an IV fluid is then inserted into the cannula, and flow is regulated as per physician’s order. Phlebitis may be caused by IV catheters or bacterial and chemical infections. Skin Tenderness. The IV catheter can either puncture the vein by backing out from its site of insertion or puncture the other side of the vein. Unlike infiltration, phlebitis does not cause fluid leakage from the insertion site into the neighboring tissues. Ask Any Difference is a website that is owned and operated by Indragni Solutions. This is the site where we share everything we've learned. Difference between pneumonia and lung abscess. In severe cases, left untreated infiltration can cause long-term tissue damage and necrosis. Mechanical phlebitis is the first category that is caused by the insertion of the IV catheter. “The purpose of Ask Any Difference is to help people know the difference between the two terms of interest. Phlebitis can be divided into 3 categories based on its causal factors. Fluid build-up, temperature drop, pale skin, no IV flow. Thrombophlebitis is common in patients who have a history of suffering from phlebitis. Pain, tenderness, redness (erythema), and bulging of the vein are common symptoms of phlebitis. These are the following: Mechanical Phlebitis – inflammation caused by the cannula or the IV catheter, Chemical Phlebitis – inflammation caused by fluids or IV medications, Bacterial Phlebitis – inflammation caused by infection by a bacteria, Phlebitis is rated based on the following criteria, Erythema and/or edema, pain , no palpable cord, Pain, erythema and/or edema,  palpable cord, Pain, erythema and/or edema, palpable cord more than 1”, purulent discharge. The inflammation may cause pain and swelling. Phlebitis: infalmmed vein leads to tender lump surronded by erythema However, with the two latter – infiltration and phlebitis can be quite difficult to discern because they share the same signs and symptoms which, if you are not careful enough you might render the wrong treatment and make matters worse. A long, thin red area may be seen as … Bulging Veins. Pus Drainage. The cannula should be properly secured and stabilized to prevent complications. Phlebitis Symptoms. Phlebitis is irritation of the vein’s lining. Published: 10 May, 2018. The symptoms of phlebitis can range from pain, redness, edema (swelling) and tenderness to the most prominently noted symptom of palpable venous cords. Fall in body temperature, pale skin, intense pain, numbness and sensitivity at the site may be classed as distinguishing symptoms of infiltration. Phlebitis is rated based on the following criteria. Difference Between Phlebitis and Infiltration (with Table), https://journals.sagepub.com/doi/abs/10.1177/108482239400700107, https://journals.lww.com/journalofinfusionnursing/Fulltext/2001/09000/Relationship_Between_Peripheral_Intravenous.8.aspx, Comparison Table Between Phlebitis and Infiltration, Main Differences Between Phlebitis and Infiltration, Difference Between McAfee LiveSafe and Total Protection (With Table), Difference Between HCPCS and CPT (With Table), Difference Between Catholic and Lutheran (With Table), Difference Between Articles of Confederation and Constitution (With Table), Difference Between Verbal and Non-Verbal Communication (With Table). Arm Pain. Ever since then, we've been tearing up the trails and immersing ourselves in this wonderful hobby of writing about the differences and comparisons. Phlebitis means "inflammation of a vein". I am working on a PowerPoint presentation on PIV education for my hospital and would like permission to use pieces of your article. In some cases though, there were no symptoms. The condition resolves within a week when treated with proper anti-inflammatory medication. Jade Sison. Infiltration, on the other hand, simply means the leakage of intravenous fluid to the surrounding tissues. warmth. Phlebitis is the vein inflammation that causes pain and discomfort on the legs and arms. Inflammation may be caused by damage to or infection of your vein. The cannulation procedure involves aseptically inserting a cannula into the skin, targeting the vein. The best way to know is to observe classic signs of redness, warmth, swelling and extreme pain in leg. ?palpable cord. Cold compresses and blood thinners are also used to treat the condition. Although a … Both these medical conditions are commonly associated with IV complications and often they are misidentified as the other. Some might also experience a fever. Can be caused by either IV catheters or bacterial or chemical infections. What are the symptoms? The inflammation of the intimal layer of the vein is called Phlebitis. Failure to do so can cause permanent damage and even death. This is known as Thrombophlebitis. As nouns the difference between infiltration and phlebitis is that infiltration is the act or process of infiltrating, as of water into a porous substance, or of a fluid into the cells of an organ or part of the body while phlebitis is (pathology) inflammation of a vein, usually in the legs. Phlebitis is irritation of the vein’s lining. Local injury or trauma to a vein can also result is this condition due to an increase in the risk of a blood clot forming.Certain patients are also at a higher risk of developing this condition. When the infusion is nonvesicant, or non-irritating to the surrounding tissue, the damage will likely be minimal. The common complications are grouped in four categories, the following are: The first three complications, infection, embolism and hematoma are easily differentiated because they have unique characteristics. Leg Swelling. Infiltration is solely caused by IV catheters dislodging fluids into the neighboring tissue area. Although the following description is the classical presentational phlebitis, it is important to note that not everyone with phlebitis will have all of the symptoms and signs described here. To further understand the differences and the similarities between the two, read on. The redness and tenderness may follow the course of the vein under the skin. Follow a diet that supports blood vessel health. March 24, 2015 < http://www.differencebetween.net/science/health/the-difference-between-phlebitis-and-infiltration/ >. Older patients may be more susceptible to infiltration because of the enhanced fragility of their veins due to old age. The symptoms may be same as superficial phlebitis. Take not that infiltration and extravasation may involved the leakage of fluids into the surrounding tissue but they differ. We write on the topics: Food, Technology, Business, Pets, Travel, Finance, and Science”. Sometimes it can also result in amputations if treatment is delayed. Thrombophlebitis usually occurs in leg veins, but it may also affect the veins in the arms. Vitamins. Infiltration. The difference between phlebitis and infiltration can be noted in terms of the causes of each medical condition. Pain, erythema and/or edema, palpable cord more than 1”, purulent discharge. How does infiltration occur? "The Difference between Phlebitis and Infiltration." The most common symptom of infiltration is edema or swelling of the site. Blood clots are not common in patients experiencing infiltration. Side Effects When an IV fails or “goes bad”, there are a variety of complications and side effects that may set in depending on how the IV failed and how … The word "symptoms of Phlebitis" is the more general meaning; see symptoms of Phlebitis.

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