Phlebography

Phlebography: involves injection of contrast media into the venous system through a dorsal vein in the foot.


B. Purposes of the Procedure

1. Useful for diagnosing isolated calf vein thrombosis or recurrent deep venous thrombosis (DVT)

2. This is a worthwhile procedure when there is a discrepancy between the clinical suspicion of deep venous thrombosis and the ultrasound result



C. Nursing Interventions Before the Procedure

1. Nothing per orem for 2-6 hours

2. Assess for allergy to seafoods and iodine.

3. Mild sedative is administered

4. Local anesthesia at the injection site

5. Procedure lasts 30-90 minutes




D. Nursing Interventions After the procedure

1. Monitor vital signs, level of consciousness, peripheral pulses

2. Assess puncture site for hematoma, bleeding

3. Bedrest for 6-8 hrs with the punctured extremity extended

4. Apply pressure dressing and small ice pack at the puncture site

5. Intravenous fluid for 6-8 hours to excrete contrast medium

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