If signs of phlebitis are present at an IV site, what is the most appropriate action?

• A. Immediate removal of the catheter
• B. Continue using the catheter and reassess in 24 hours
• C. Apply topical antibiotic and continue to use
• D. Ignore symptoms and monitor for a few days

Answer: (A)

When signs of phlebitis appear at an IV site, the priority is to remove the IV catheter promptly. Phlebitis means the vein is inflamed, and continuing to use the same catheter can worsen inflammation and raise the risk of infection or thrombophlebitis progression. Removing the catheter minimizes these risks and allows the vein to begin healing. After removal, reassess the client’s IV needs and place a new IV at a different site if continued IV therapy is required, using sterile technique. Apply appropriate site care and monitor for increasing redness, warmth, swelling, or fever, and report any systemic symptoms to the provider. Topical antibiotics or continuing to use the catheter without concern are not appropriate, and ignoring symptoms can lead to serious complications.