Chemophlebitis, what to do about phlebitis caused by chemotherapy?

1.So so**.

Removal of phlebitis causes, such as intravenous catheters. If there is a bacterial infection, antibiotics may be given as appropriate. In the acute stage, lower limb lesions need to elevate the affected limb to avoid standing and sitting for a long time, and medical elastic stockings can be added to promote venous blood return.

Topical hot compresses, physical **, etc. can be used to promote inflammation absorption and relieve pain.

2.Drugs**.

Heparin ointment, anti-inflammatory drug ointment, and internal administration to promote venous reflux and other drugs to promote blood circulation and stasis. For lesions located at the base of the thigh and around the knee, anticoagulation with low molecular weight heparin or unfractionated heparin is indicated**. For patients with bacterial infection, antibiotics should be used according to the type of bacteria infected.

3.Surgery**.

Focal thrombophlebitis may be removed after the inflammatory phase has resolved, and surgical excision may be considered if a cord-like hard object is still painful. Varicose veins of the lower extremities combined with superficial thrombophlebitis can be operated on after the inflammation has resolved**.

Depending on the location of the lesion, phlebitis can be divided into superficial phlebitis and deep phlebitis. Its pathological changes are physicochemical vascular intimal hyperplasia, the lumen is narrowed, and the blood flow is slow. Hyperemic erythema may appear around**, sometimes with edema.

Later, the congestion is replaced by pigmentation, and the erythema turns tan. A small number of patients may cause reactions such as chills, fever, and increased white blood cells, and patients often complain of pain and swelling. There are many causes of venous thrombosis, such as trauma, surgery, pregnancy, childbirth, heart disease, malignant tumors, oral contraceptives and long-term standing, squatting, sedentary, lying down and dampness, etc., which are more commonly caused by various surgical procedures.

Superficial thrombophlebitis lesions are confined to one vein in the limb and generally develop in a proximal direction.

Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.

Phlebitis caused by chemistry** can be problematic for caregivers due to its serious consequences. Therefore, how to take effective measures to protect the veins, alleviate the pain of patients, and ensure the smooth progress of chemotherapy is the focus of nursing in the process of chemotherapy. In recent years,

In the case of phlebitis, it is best not to use chemotherapy, and the effect of thrombolysis and pulse ** is good.

Phlebitis (thrombophlebitis) refers to acute aseptic inflammation of the veins and blood vessels. Depending on the location of the lesion, phlebitis can be divided into superficial phlebitis and deep phlebitis. A small number of patients may have fever, elevated white blood cell count, and often complain of pain and swelling.

There are many causes of venous thrombosis, such as trauma, surgery, pregnancy, childbirth, heart disease, malignant tumors, oral contraceptives and long-term standing, squatting, sedentary, lying for a long time, etc., and the disease is more commonly caused by surgery.

According to statistics, the incidence of unequal phlebitis in chemotherapy patients accounts for about 80%, and the occurrence of chemophlebitis increases the pain of patients and increases the difficulty of venipuncture of nursing staff, which affects the smooth implementation of chemotherapy regimens.

Clinical manifestations and grading of chemophlebitis:

Repetitive, multiple and high-dose intravenous impulse of chemotherapy drugs has become the main method for cancer patients, and chemotherapy drugs can damage the intima of blood vessels during infusion, increasing vascular permeability and drug extravasation; At the same time, it leads to vasospasm, local tissue blood supply is reduced, and tissue ischemia and hypoxia are caused, thus causing phlebitis of varying degrees.

Hello the symptoms of phlebitis are like this:

The early symptoms of vasculitis are:

1) numbness, coldness, pain;

2) Easy fatigue and calf soreness;

3) The pulse is weakened and gradually disappears.

Medium-term symptoms are:

1) Pain in the lower leg during activity;

2) muscle twitching, especially at night;

3) Intermittent claudication.

Late symptoms are:

1) persistent severe pain;

2)**Dark red, black-brown, ulcers;

3) Blackening and necrosis of the feet and toes.

So you have to hurry up and go to **. We must not delay any longer.

Superficial thrombophlebitis of the extremities manifests as local redness, swelling, and pain in the affected limb, with painful cord-like stiff bars or bead-like nodules palpable. deep vein involvement, depressed swelling of the affected limb, worsening swelling and pain during walking, relieved after lying still, dark red color, extensive varicose veins and telangiectasias; In later stages, there are local dystrophic changes with stasis dermatitis, hyperpigmentation, or superficial ulcers.

Buerger's disease is a rare chronic segmental inflammatory disease of arterioles and veins, and is more common in the lower limbs. Presents with ischemia, pain, intermittent claudication, decreased or absent dorsalis pedis pulse, migratory superficial phlebitis, and in severe cases, acral ulceration and necrosis.

Intravenous chemotherapy is chemotherapy through intravenous infusion, which is also systemic chemotherapy; The corresponding is called local chemotherapy, that is, chemotherapy drugs are injected directly into the lesion, such as lung cancer patients, and directly administered through chest injection. In contrast, intravenous chemotherapy is more thorough, but the side effects are greater.

Hope it solves your problem.

Intravenous chemotherapy is mainly carried out by intravenous infusion, which is a kind of systemic chemotherapy, which will be larger than local chemotherapy. Generally, the effect of selenium supplementation will come out in half a month.

Analysis: Hello, chemotherapy drugs are very toxic, phlebitis is a common adverse reaction, it is recommended to use magnesium sulfate cold and wet compress for symptoms**.

Suggestions: Magnesium sulfate cold and wet compress can inhibit local cell activity, reduce local cell sensitivity, and reduce local ** vascular tissue pain. It can improve and reduce phlebitis pain response.