Superficial Thrombophlebitis
Treatment:
The goal of treatment is reduction of inflammation.
The intravenous catheter should be removed.
Medications may include analgesics for pain, anticoagulants to prevent clot formation, thrombolytics to dissolve an existing clot, or others. Nonsteroidal antiinflammatory medication (NSAIDS) may reduce pain and inflammation. Antibiotics are prescribed if infection is present.
Support stockings and wraps may be of benefit in reducing discomfort. Elevate the extremity to reduce swelling. Keep pressure off of it to reduce pain and decrease the risk of further damage. Apply moist heat to the extremity to reduce inflammation and pain.
Surgical removal, stripping, or bypass of the vein is rarely needed, but it may be recommended in some situations.
Expectations (prognosis):
Superficial thrombophlebitis is usually a benign and short term condition. Symptoms generally subside in 1 to 2 weeks, but hardness of the vein may remain for much longer.
Complications:
Note: Complications are rare.
Calling your health care provider:
Call for an appointment with your health care provider if symptoms indicate superficial thrombophlebitis may be present.
Call your health care provider if superficial thrombophlebitis has been diagnosed and symptoms do not improve with treatment or symptoms worsen, or if new symptoms occur, such as entire limb becoming pale, cold, or swollen, or if chills and fever develop.
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