Peripheral IV Phlebitis Management

Immediate Management Steps

• The Centers for Disease Control and Prevention recommends removing the peripheral venous catheter as soon as phlebitis is identified, characterized by warmth, tenderness, erythema, palpable venous cord, or swelling, to prevent progression and infection 1, 2
• The Centers for Disease Control and Prevention advises against leaving the catheter in place once signs of phlebitis develop, as this increases the risk of progression and infection 1, 2

Monitoring Requirements

• The Centers for Disease Control and Prevention suggests evaluating the phlebitis site daily for progression of tenderness, erythema, warmth, and swelling, and monitoring for signs of infection, such as fever, purulent drainage, and systemic symptoms 1, 2

Prevention for Future IV Access

• The Centers for Disease Control and Prevention recommends using upper extremity sites only for subsequent IV therapy and avoiding lower extremity placement to reduce the risk of phlebitis 1, 2
• The Centers for Disease Control and Prevention advises replacing short peripheral catheters every 72-96 hours in adults to reduce phlebitis risk 2

Common Pitfalls to Avoid

• The Centers for Disease Control and Prevention recommends against applying topical antimicrobial ointments or creams to the phlebitis site, as this is not recommended and provides no benefit 2
• The Centers for Disease Control and Prevention advises against leaving the catheter in place hoping the phlebitis will resolve with treatment alone, and instead recommends removing the catheter immediately 1, 2