Whereas the finding is inconsistent with the findings from other studies Hedayatinejad, Yoong [15] [19] which showed that insertion site did not significantly influence so no significant correlation seen between the insertion site and phlebitis. Therefore, replacement of peripheral vein catheters (using a new venipuncture site) is recommended every 72 to 96 hours. They identified that the higher frequency for complication was found in the age group of 30 to 60 years old [15]. Glycerin, also called glycerol, can be used for both cosmetic purposes and as a treatment for medical conditions of the skin. Adults and children > 6 years: Insert 1 suppository; high in the rectum and retain for 15 minutes. A small gender difference was observed in the participants in the present study with the findings of 48% in male and 52% in females from both groups. The average score has been reduced on post-test score in both groups. You can get this information while placing the order for glycerine + magnesium sulphate with the pharmacy. The findings from the current study show that both group all 100% participants having phlebitis were using cannula for various intravenous medications followed by 96% participants were receiving intravenous fluids and electrolytes Likewise 60% and 20% participants in MSG and HPA groups respectively were under KCL with IVF. Sampling Technique: Medical and Surgical units admitted patients having phlebitis was selected purposively and sample from respected wards were selected by simple random sampling technique. Gauze dressings dry out early and needs change 2-3 times in a day. Alternatively, 5-15 ml can be used as an enema. Table 1. It would be best to get this clarified while placing the order. Magnesium sulphate is the chemical name for Epsom salts, an inexpensive product added to warm water for soaking, warm, healing, baths. Peripheral vascular catheter insertion sites should be monitored at a minimum of each shift using a recognized Visual Infusion Phlebitis (VIP) scale for measuring degrees or severity of phlebitis [3]. Out of 100 hospitalized patients at any given time, 7 in developed and 10 in developing countries will acquire at least one health care-associated infection [6]. Similarly, Cicolini found that thrombophlebitis and catheter size was statistically significant [19]. All the ethics in research were followed and maintained strictly. The mean VIP score is more in MSG group as compared with that of HPA group. ), allergies, pre-existing diseases, and current health conditions (e.g. This finding is supported by a study Bare [2] who explained peripheral intravenous device (PIV)/catheters are the most commonly used intravenous device in hospitalized patients. Even though glycerin magnesium sulphate and heparin ointment are widely used in hospitals, which of the intervention is more effective, is still confusing and debatable question to nurses and also there is little evidence showing about that which one is more effective and cost-effective on management of thrombophlebitis. It is becoming a common practice in hospitals. Ethical Clearance: Written ethical clearance was obtained from Institutional Review Committee (IRC) of BPKIHS with IRC approval number IRC 143/074/075. Background: Cellulitis is an acute inflammatory condition of the skin that is characterized by localized pain, erythema, swelling and heat. Gua H, Li Y-J, Ma H-J. Dr. Bruce Jacobs answered. Magnesium Sulfate is Epsom salts. It is easy to make magnesium sulphate paste. If symptoms do not go away or you need to use it regularly talk to your doctor. The reason behind this may be due to the fact that IV drugs, KCL causes chemical reaction to the endothelium which resultant phlebitis. • Magnesium sulphate with glycerin dressing was used by using soaked gauze pieces. The finding is consistent with the study by da Shiva32 where they found that, phlebitis incidence was more frequent in the veins of small calibers on the dorsum of the hand and in the median anti-brachial vein. Koirala Institute of Health Sciences, Dharan, Nepal. It is estimated that 150 million peripheral intravenous devices are placed each year in North America alone [5]. Table 4 depicts that majority of 16% and 80% participants had pain along the pathway in MSG and HPA groups. Most 38 (76%) of the participants were cannulated with less than and equal to 20 G cannula Frequency of cannula insertion was more than and equal to second time of nearly 90% among both groups. You must be careful when using Epsom salt as a wound healing agent as it can potentially lead to more problems, most notably magnesium poisoning or a dried out wound that prolongs the healing process. Table 2 depicts majority of 40 (80%) participants days of hospital stay was below 1 week among both MSG and HPA group, majority about two fifth 10 (40%) of cannula was inserted in wrist in HPA group and equal number of the participants (16%) of cannula was on forearm from both groups and equal (28%) in both dorsum of hand and cubital fossa in MSG group. • Both procedure were repeated 3 times a day at interval of 8 hours continuously for 2 days. Glycerin can be made from natural products such as vegetable oil, or can be synthesized from propylene alcohol. Magnesium sulphate paste B.P is an ointment applied externally on the skin to treat infections and boils, and it must be properly stirred prior to its use. However, our data did not provide sufficient statistical evidence to prove and validate the result. **Multiple Response, Fisher’s Exact Test*. MRI Modern Research in Inflammation 2169-9682 Scientific Research Publishing 10.4236/mri.2019.84004 MRI-98532 Articles Medicine&Healthcare Effectiveness of Magnesium Sulphate with Glycerin Dressing versus Heparinoid Ointment Application on Management of Phlebitis among Patients Admitted in Selected Wards of BPKIHS Amuda K. C. 1 * Pushpa Parajuli 2 Ram … Stir paste well before use. If symptoms do not improve, speak to your doctor or Chemist 4 U pharmacist. Table 5 depicts reduction in mean, standard deviation and rank score from pre-score to post-score. The reasons for such differences are hard to explain and have no satisfactory explanation for such findings [16]. A study conducted by Singh, on 230 admitted clients in Dhulikhel Teaching Hospital Nepal resulted that in 59.1% development of phlebitis mostly very mild in nature. Multiple factors, related to the catheter itself or the solution infused have been associated with this common complication [4]. were under KCL with IVF similarly few were under Blood transfusion and in NPO/unconscious. Worldwide hundreds of millions of patients are affected by health care-associated infections each year. Moist gauze dressing and glycerin magnesium sulphate dressings are used since years. Epsom salt is … similarly mild 53.6% and very mild 37%where found on study conducted by Oliveira and Parreira [22] [24]. Apply liberally to the affected area and cover with a clean dressing. The average score was reduced on post-treatment score in both groups. This finding of the study is being supported by the study conducted Yamber [13] on 30 ICU patients in Karnataka, which showed the difference between pre and post score was found to be significant. Questionnaire and observation were used to collect the data regarding the prevalence of phlebitis and the effective management measure for phlebitis. The mean VIP score is more in MSG group as compared with that of HPA group. Association of Socio-Demographic Variables and Severity Score. Multivariate analysis for risk factors for phlebitis done by Oliveira [22] showed that KCL infusion and IV antibiotics to be important risk factor which is supported by a study Saini [23]. Methods: This study comprises of Patients have VIP score 2 or above were only as study samples. Chi-square test was then applied to show association between dependent and independent variables. Anonymous. Possible side effects The grading of severity of phlebitis was done based on scores obtained by using VIP scale. There is no significant difference in effectiveness of Magnesium-sulphate with glycerin dressing and heparinoid ointment application on phlebitis. Table 6. Cold application is a simple and inexpensive therapy which is an effective non pharmacological intervention for thrombophlebitis.Applying cold may help Take about 1/2 table spoon of water and add to it 1 table spoon of magnesium sulphate(epsom salt). In group II the mean pre-treatment and post-treatment scores of phlebitis were 3.0 and 0.28 respectively and the pre-test and post-test scores of standard deviation were 0.577 and 0.458 and rank 6.54 and 1.58 respectively which presents the mean score of different groups with pre score and post score. Source(s): https://shrinkurl.im/a9L9A. The authors declare no conflicts of interest regarding the publication of this paper. There was homogenous distribution of age, gender, marital status and education in both experimental groups with significance p-value of 0.663, 0.258, 0.3006 and 0.978 respectively. Suppose you want to make 1 table spoon of paste. Almost equal number of participants were from both gender 24 (48%) and 26 (52%) from male and female gender respectively. Comparison of the effectiveness of magnesium sulphate with glycerine and heparinoid ointment application on phlebitis with comparison with baseline score. ), allergies, pre-existing diseases, and current health conditions (e.g. A study conducted by Cicoloni33 also found first degree thrombophlebitis to be the highest (84.4%). The average score has been reduced on post r score in both groups score. The discussions are depicted on broad headings of: Socio-demographic Characteristics of the Respondents. Home delivery services for glycerine + magnesium sulphate may be free or they may cost you depending on the pharmacy and the minimum order requirements. If symptoms do not go away or you need to use it regularly talk to your doctor. In this study, the instruments baseline performa and observation scale were used. Copyright © 2006-2020 Scientific Research Publishing Inc. All Rights Reserved. This study found that cannula of 16 G, 18 G and 20 G predicts more than 22 G cannula among both groups the most common catheter used was size ≤ 20 G which was approximately eighty percentage i.e. Association between socio-demographic variables and severity score (n = 50). Small size catheters allow more blood flow in adjacent tissues and thereby prevent damage to the tunica intima of the vein. Types of illness, days of hospital stay, cannula insertion site, size of cannula and frequency of insertion shows no statistical significance so both groups are homogenously significant with P-value of (0.05). So, the difference between pre and post-score was found. 38 (76%) out of them majority of 21 (84%) and 17 (68%) of the respondents were cannulated with ≤ 20 G cannula in HPA and MSG group respectively. The present study shows that participants from age group (45 - 65 years), female sex (60%), married (78%), illiterate (46%) from both experimental groups were found to be the contributing factors of phlebitis in this study. Visual infusion scale (VIP scale) used for measuring the phlebitis according to score. Table 5. Also improve its diet by using a better quality food. However, our data did not provide sufficient statistical evidence to prove and validate this result. A Quasi-experimental design was used for the study. You can purchase commercial paste or simply make your own by putting any amount of Epsom salt in a bowl and slowly mixing in a little water at a time until you have a paste. Comparison of the Effectiveness of Magnesium Sulphate with Glycerine and Heparinoid Ointment Application on Phlebitis. sebaceous cyst magnesium sulphate. This name was derived from the town of Epsom, which is where the salt was originally distilled. K. C., A. , Parajuli, P. , Mehta, R. and Mandal, G. (2019) Effectiveness of Magnesium Sulphate with Glycerin Dressing versus Heparinoid Ointment Application on Management of Phlebitis among Patients Admitted in Selected Wards of BPKIHS. Add three drops of iodine and magnesium sulphate into ½ cup of boiling water. So it is revealed that Magnesium Suphate with Glycerin is more effective than Heparinoid ointment in management of phlebitis. Similarly few were under blood transfusion and in NPO/unconscious. The effects of glycerin on skin are a healthier, more natural-looking appearance [10]. This finding is supported by study conducted in India where they found that incidence of phlebitis is lower in patients older than 60 years than below 60 years Cicolini [14] also reported equal numbers of participants 24% were from below 25 years, 46 - 65 and >65 years of age group in MSG group. 1/2 c. Magnesium oil (use the above recipe for your own) 1/2 c. Avocado oil. The present study shows there is no association between treatment-related variables which included with severity score which include complete interventions scores (8, 16, 24, 32, 40, 48 hours) of participants in both experimental groups. Peripheral venous catheters are commonly used in hospitals to deliver intravenous therapy [1]. The present study demonstrates that there is a statistically significant difference in VIP score among the participants in magnesium sulphate with glycerin group and heparinoid ointment groups after each intervention (P < 0.05). Peripheral venous cannulation is the insertion of a Vascular Access Device (VAD) into a peripheral vein. Journal of Lanzhou University (Medical Sciences). Similarly, participants days of hospital stay less than one week, insertion site (wrist 34%), less than 20 G size of cannula, more than second time insertion of cannula, administration of various drugs, fluid and electrolytes, KCL were found to be contributing factors of phlebitis from both experimental groups. Apply the paste topically to the affected area, and cover it with a dressing. There was homogenous distribution of age, gender, marital status and education in both experimental groups with significance p-value of 0.663, 0.258, 0.3006 and 0.978 respectively as there was no significant difference of demographic characteristics among both experimental groups (considering a P-value of 0.05). • Magnesium sulphate with glycerin dressing was used by using soaked gauze pieces. Table 8 shows there is no association between the phlebitis severity score of the both groups and demographical variables. Cannula related factors of the participants (n = 50). Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. However there are no more studies to support this finding. • Nurses need to have adequate knowledge and skill regarding cannula induced phlebitis management and its complication prevention. After entry, data were rechecked and transfer to SPSS version 11.5 and analyzed. Data was entered in MS Excel with the help of concerned people, guide and co-guide. The incidence of phlebitis in hospitalized patients receiving IV therapy has been reported to be as high as 80% [2]. Socio-demographic characteristics of the participants (n = 50). Informed (verbal and written) consent was taken from each participant. Table 7 Demonstrate that there is a statistically significant difference in phlebitis score in both experimental groups MSG and HPA groups after comparison baseline within 8, 16, 32, 40, 48 hours of administration of intervention (P = 0.05). Population: All the patients admitted in medical and surgical wards of B. P. Koirala Institute of Health Sciences with phlebitis having peripheral intravascular cannula (PIC) in situ constitute the population of the study. Similarly, medium stage or moderate phlebitis was observed in 28 (56%) of the participants as scored by “3” among both groups out of them 44% and 68% in MSG and HPA groups respectively. • To evaluate the effectiveness of Magnesium sulphate with glycerin dressing versus Heparinoid ointment application on management of peripheral cannula induced phlebitis. But the association was not statistically significant. Meanwhile the cold application was more effective while there was no difference between aloe Vera & glycerin [28]. A Study conducted by Yamber [13] on 30 ICU patients in Karnataka, reported that application of Glycerin with Magnesium Sulphate is more effective than heparin-benzyl nicotinate (thrombophob) ointment at 0.05 level of significant (t = 2.301) on management of cannula induced thrombophlebitis. Thus it was concluded that both the applications were effective in reducing level of phlebitis. Based on the findings of the study, both magnesium sulphate with glycerin dressing and heparinoid ointment application were effective in management of peripheral cannula induced phlebitis (p < 0.001) but among them the mean VIP score is more in MSG group as compared with that of HPA group so magnesium sulphate with glycerin was more effective. Table 1 shows surprisingly 47 years was the mean age of respondents in both. Most people are very tolerant of glycerin, without experiencing irritation. Discussion: In the research study findings revealed that Glycerin Magnesium sulphate dressing is … Gently massage your face with the paste mixed with your cleansing cream. So research hypothesis was accepted. • To find out the association between magnesium sulphate with glycerin dressing and heparinoid ointment application on management of phlebitis with selected cannula and related factors. Cellulitis may be caused by indigenous flora colonies of the skin appendages. • Phlebitis: It is the inflammation of the veins. Swelling was observed in 72% and 88% in MSG and HPA groups respectively. NOTE: For a harder texture, use oils such as coconut, almond, olive, or jojoba. The thrombus in the vein causes pain and irritation and may block the blood flow in the veins.

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