What action should a nurse take if they suspect phlebitis at an IV site?

When phlebitis is suspected at an IV site, the most appropriate action is to discontinue the IV and apply warm compresses to the area. Phlebitis is an inflammation of the vein, often caused by irritation from the IV catheter, medication, or the solution being infused. Discontinuing the IV helps to prevent further irritation and potential complications, such as infection or thrombosis.

Applying warm compresses to the affected area helps to alleviate discomfort and promote blood flow, which can assist the healing process. This step acknowledges the need for appropriate local care to manage symptoms and support the patient’s comfort.

Other options may not address the immediate issue effectively. Notifying the physician is important for further management, but the primary intervention should be to remove the source of irritation. Increasing the IV flow rate would likely exacerbate the irritation and discomfort, and changing the IV site to the opposite arm does not treat the underlying inflammation and may not prevent phlebitis from developing in a new site if ongoing issues are not resolved.