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KMID : 0853020140170020095
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Journal of Korean Burn Society
2014 Volume.17 No. 2 p.95 ~ p.98
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Investigation for Phlebitis Development by Peri-pheral Venous Catheter in Burn Patients
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Kim Kyung-Ja
Lim Duk-Su
Lee Jang-Hyun
Kim Hye-Youn
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Abstract
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Purpose: The purpose of this study is to build an evidence for adjusting the guideline of our hospital for changing peripheral intravenous catheter interval from 72 hour to 96hour through the checklist based on the Hospital nursing association intra-venous infusion therapy practice in burn patients who have special characteristics comparing with other patient.
Methods: From 9 July 2014 to 20 July 2014, 30 burn patients who need a peripheral intravenous catheter were enrolled. The catheter insertion site was observed 3 times a day and it was analyzed by the time passage. Phlebitis scale for Hallym medical center was used for the diagnosis of phlebitis. Phlebitis was reported from phlebitis scale grade 2.
Results: Peripheral catheter was removed in 10 patients (34%) for phlebitis scale grade 2. Among the patients, 8 pa-tients had edema and 2 patients had erythema. There were only 5 patients (17%) who had maintained peripheral cathe-ter for more than 96 hours. Most of the patients were given 5% dextrose fluid. Some patients had a high osmolar (883∼1058 g) nutritional therapy during early post-burn period.
Conclusion: In burn patient, peripheral venous catheter is usually inserted to the extremity area of which the vessel is relatively weak due to the burn wound and immobilization. And it was difficult to maintain the peripheral catheter for more than 96 hours. Because the burn patients should re-ceive the hyperosmolar fluid and medications during the ear-ly post-burn period. Further investigation through comparing analysis should be performed for developing intravenous in-fusion therapy practice in burn patients.
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KEYWORD
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Phlebitis, Burn, Peripheral venous catheterization
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