EFFECTIVENESS OF MAGNESIUM SULFATE WITH GLYCERINE VERSUS COLD COMPRESS ON PATIENTS WITH PERIPHERAL INTRAVENOUS CANNULA INDUCED PHLEBITIS

Alwin T Varghese; Moly Kt

doi:10.22159/ajpcr.2018.v11i10.26289

Authors

Alwin T Varghese Department of Medical Surgical Nursing, Amrita College of Nursing, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Moly Kt Department of Medical Surgical Nursing, Amrita College of Nursing, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i10.26289

Keywords:

Peripheral intravenous cannula, Phlebitis, Cold compress, Magnesium sulfate with glycerine, Visual infusion phlebitis score

Abstract

Objective: The objective of the study was to determine the effectiveness of magnesium sulfate with glycerine versus cold compress on patients with a peripheral intravenous cannula (PIVC) induced phlebitis.

Methods: A quasi-experimental pre-test post-test study on 60 subjects, 30 in each group, with interventions magnesium sulfate with glycerine application to one group and cold compress to another group of patients with PIVC induced phlebitis was done in a tertiary care hospital, Kerala. Purposive sampling with random allocation of subjects to each group was done. A standardized visual infusion phlebitis (VIP) scale was used to assess the severity of PIVC induced phlebitis.

Results: Both magnesium sulfate with glycerine (MD=2.1, t29=16.16, p<0.001) and cold compress (MD=1.6, t29=17.59, p<0.001) were found to be effective in reducing the PIVC induced phlebitis. The difference in post-interventional VIP scores between application of magnesium sulfate with glycerine and cold compress was found to be statistically significant (F(1,57)=5.362*, p<0.05). The mean post-interventional VIP scores of magnesium sulfate with glycerine application (0.059) was less than the cold compress (0.274). The study concluded that magnesium sulfate with glycerine application was more effective than cold compress for treating PIVC induced phlebitis.

Conclusion: The study highlights the significance of exploring the foremost effective intervention out of the many good practices currently in use in the prevention and management of phlebitis.

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References

Websterâ€™s New World Medical Dictionary. Nosocomial. 3rd ed. Baltimore: Williams and Wilkins; 2008. p. 1789.

Waitt C, Waitt P, Pirmohamed M. Intravenous Therapy; 2004. Available from: http://www.pmj.bmj.com/content/80/939/1.full. [Last cited on 2011 Nov 13].

Potter and Perry. Fundamentals of Nursing. 6th ed. New Delhi (India): Elsevier publication; 2005. P. 779-80, 1253, 1554.

Chhabra P, Saraf S, Ali R, Rawat H, Mittal G, Bhatnagar A, et al. Development and evaluation of freezing resistant intravenous fluid. Int J Pharm Pharm Sci 2014;6:490-6.

Gupta M, Dahiya J, Marwaha RK, Dureja H. Therapies in cancer treatment: An overview Int J Pharm Pharm Sci 2015;7:1-9.

Zhao Y, Hao Y, Zhang H, Shi J, Xie Y. Clinical re-evaluation of effects of different treatments to prevent from phlebitis induced by Chansu injection. Zhongguo 2011;36:2803-6.

Oâ€™Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis 2011;52:e162-93.

Smeltzer SC, Bare BG, Hinlke JL, Cheever KH. Brunner and Suddarthâ€™s Text book of Medical Surgical Nursing. Vol. 1. 12th ed. New Delhi (India): Wolters Kluwer; 2010. p. 308-9.

Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs 2011;34:S65.

Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs 2006;29:S1-92.

Singh R, Bhandary S, Pun KD. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU teaching hospital. Kathmandu Univ Med J (KUMJ) 2008;6:443-7.

Hinkle JL, Cheever KH. Brunner and Suddarthâ€™s text book of Medical-Surgical Nursing. Vol. 1. 13th ed. New Delhi: Wolters Kluwer publication; 2015. p. 283.

Saini B, Paul P. Effectiveness of cold application, heparinoid application and magnesium sulphate application on superficial thrombophlebitis among patients. Ind J N Stud 2011;2:4-10.

Yambem M, Madhale M, Bagi D. A comparative study to assess the effectiveness of glycerin with magnesium sulphate versus heparin benzyl nicotinate (Thrombophob) ointment on management of thrombo phlebitis among patients admitted in intensive care units (ICU) of selected hospital in Belgaum, Karnataka. Int J Sci Res 2013;4:1458-61.