Please be aware that you should take glycerine + magnesium sulphate only if a doctor has recommended or prescribed it. Questionnaire and observation were used to collect the data regarding the prevalence of phlebitis and the effective management measure for phlebitis. How to use Magnesium Sulphate Before using Magnesium Sulphate Paste, stir the paste well. Magnesium Sulphate with Glycerin dressing and Heparinoid ointment application are found to be used widely for the management of phlebitis. Regarding insertion site, the present study found that the most common location for insertion of cannula was in wrist 34% followed by Dorsum of hand 30% among both groups among them the least 14% was forearm; 22% was reported in the cubital fossa. Further the study demonstrates that there is a statistically significant difference in phlebitis score (VIP 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). • Both procedure were repeated 3 times a day at interval of 8 hours continuously for 2 days. Discussion: In the research study findings revealed that Glycerin Magnesium sulphate dressing is highly effective in decrease phlebitis level to the patients. There are numerous common uses for the salt and many people find that it is therapeutic. But finally after comparison, Ichthammol glycerin was found as more effective for the management of phlebitis. ), allergies, pre-existing diseases, and current health conditions (e.g. So there was significant difference between post intervention phlebitis among the experimental group and control group. The finding is consistent with that of study conducted in Intensive care unit (ICU) of Susa city Hospital conducted on 224 patients. They are primarily used for therapeutic purposes such as administration of medications, fluids and/or blood products as well as blood sampling. Dr. Bruce Jacobs answered. It is becoming a common practice in hospitals. Gauze dressings dry out early and needs change 2-3 times in a day. It is easy to make magnesium sulphate paste. Rinse thoroughly. The effects of glycerin on skin are a healthier, more natural-looking appearance . A Quasi-experimental design was used for the study. This finding is supported by a study by Tan  where found that similarly 65% mild, 19% moderate and 8% severe thrombophlebitis in the study participants. • Pre-testing was performed before intervention. • To evaluate the effectiveness of Magnesium sulphate with glycerin dressing versus Heparinoid ointment application on management of peripheral cannula induced phlebitis. Glycerin magnesium sulphate can act by the hygroscopic action help in reducing swelling by vasodilation to improve fluid reabsorption. Gua H, Li Y-J, Ma H-J. 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). Copyright © 2006-2020 Scientific Research Publishing Inc. All Rights Reserved. Before using Mag Sulf Skin Ointment, inform your doctor about your current list of medications, over the counter products (e.g. Pharmacology For Glycerine + Magnesium Sulphate, directory of Pharmacies, Chemists and Druggists, branded alternatives for glycerine + magnesium sulphate, Ministry of Health & Family Welfare-Government of India, Department of Health Research (DHR), Government of India, Department of Indian Systems of Medicine and Homoeopathy, Pharmacopoeial Laboratory for Indian Medicine (PLIM). The present study shows there is no association between socio-demographic variables which included age, gender, marital education and educational level with severity score which include after complete interventions scores (8, 16, 24, 32, 40, 48 hours) of participants in both experimental groups. Ethical Clearance: Written ethical clearance was obtained from Institutional Review Committee (IRC) of BPKIHS with IRC approval number IRC 143/074/075. Magnesium sulfate is also commonly referred to as Epsom salt. Keep the area: covered and clean. This finding of the study is being supported by the study conducted Yamber  on 30 ICU patients in Karnataka, which showed the difference between pre and post score was found to be significant. Purpose of intravenous cannula in the participants (n = 50). Informed (verbal and written) consent was taken from each participant. similarly mild 53.6% and very mild 37%where found on study conducted by Oliveira and Parreira  . 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. The grading of severity of phlebitis was done based on scores obtained by using VIP scale. **Multiple Response, Fisher’s Exact Test*. • Part I: It consists of socio-demographic characteristics of the participants. However this result did not exactly provide sufficient statistical evidence to prove and validate this result but Marino  showed that the incidence of phlebitis increases significantly after peripheral vein catheters are left in place longer than 72 hours, but the incidence does not change from 72 to 96 hours. Likewise a study found out the most effective applicant for reduction of phlebitis in comparison of Heparinoid and Ichthammol glycerine. A study conducted by Wallis, Singh   established larger catheter size ≤ 20 G (18 or smaller gauze) predicts phlebitis. If swallowed:Talk to a pharmacist or doctor. Some of the brands for glycerine + magnesium sulphate might be better known than glycerine + magnesium sulphate itself. 25 participants in Group A (application of Magnesium sulphate with glycerin). This topic discusses on the main findings of the present study and these are discussed with regards to findings of other relevant studies. Wilcoxon Signed-Ranked test, Mann Whitney U test and Friedman test were used to compare between two groups. Cellulitis may be caused by indigenous flora colonies of the skin appendages. 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. A study conducted by Cicoloni33 also found first degree thrombophlebitis to be the highest (84.4%). 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. Thus it was concluded that both the applications were effective in reducing level of phlebitis. However there are no more studies to support this finding. Monitoring: Data was taken and sequential coding was done. Descriptive statistics such as mean, standard deviation, rank were used to present socio-demographical, health-related, cannula and infusion-related variables. The discussions are depicted on broad headings of: Socio-demographic Characteristics of the Respondents. Table 3 shows variables related to administration of intravenous cannula from both groups all 50 (100%) participants received intravenous drugs. Epsom salts are a traditional remedy for muscle and foot aches and are known to have many healing properties. It shows that there is more reduction of VIP score in Magnesium Sulphate with Glycerin (MSG) group. So research hypothesis was accepted. For use on the skin only. 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. Glycerin is an odorless, thick, sweet-tasting, syrupy liquid with a very short molecule, having the chemical formula C3H8O3. • Magnesium sulphate with glycerin dressing was used by using soaked gauze pieces. Possible side effects • Phlebitis: It is the inflammation of the veins. • Part III: It consists of check-list and grading scale to assess severity of phlebitis based on Visual Infusion Phlebitis (VIP) scale. Take about 1/2 table spoon of water and add to it 1 table spoon of magnesium sulphate(epsom salt). So from study finding, it is supposed that gender has no significant role in phlebitis. 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. However, there are no more studies to support this finding. The paste combines finely ground Epsom salts with water and glycerin, to make the product smooth, and phenol, to prevent a growth of bacteria. The average score was reduced on post-treatment score in both groups. 14 (28%), 7 (14%) 1 (2%) of them had advanced or severe, early/mild and advanced thrombophlebitis or very severe phlebitis respectively. When approximately, 95% confidence intervals were used P < 0.05 was considered statistically significant. Epsom salt is â¦ • Heparinoid Application: It refers to application of thrombophob ointment (containing heparin) by gentle massage, three times a day at the site of phlebitis continuously for two days which reduce inflammation, stiffness and, thus alleviate pain and promote tissue metabolism as well as the process of healing. 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. • 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. Another similar study to find effectiveness of Magnesium sulphate crystal fomentation versus paste application for phlebitis in Regional Advanced Care Center, Mangalore reported that Glycerin magnesium sulphate paste was more effective compared to magnesium sulphate crystal fomentation in reducing swelling and induration . But the association was not statistically significant. The fish should get better over a few days. Finally, data will be preserved for at least five years. sebaceous cyst magnesium sulphate. If the pharmacy that's willing to deliver medicines to your home doesn't have glycerine + magnesium sulphate in stock, you can ask for one of the branded alternatives for glycerine + magnesium sulphate. Moist gauze dressing and glycerin magnesium sulphate dressings are used since years. Association between socio-demographic variables and severity score (n = 50). Socio-demographic characteristics of the participants (n = 50). in Christian Medical College and Hospital, Ludhiana, Punjab among 60 subjects (30 with Heparinoid and 30 with Ichthammol Glycerine applications with matching age, gender and type of disease condition) reported that both the applications were effective in reducing IV induced phlebitis . a = Mann-Whitney U Test, b = Kruskal Wallis test. Layout table for additonal information An equal number of participants were taken having medical and surgical problems. It shows that there is more reduction of VIP score in MSG group. Setting: The study was conducted in medical and surgical wards of B.P. It prevents skin inflammation, and prevents wrinkles. Similarly another study conducted by Zhao  also proved that the topical application of glycerin magnesium sulphate was safe, simple and effective method with many advantages in phlebitis management. Magnesium sulphate generic Magnesium sulphate is used to treat several conditions which include: â¢ Magnesium deficiency â¢ Constipation and â¦ Try adding 1level tsp of magnesium sulphate per gal of water to the tank. How Epsom Salts Work. â¢ Magnesium sulphate with glycerin dressing was used by using soaked gauze pieces. The present study shows that the severity of phlebitis as being as moderate phlebitis 56% among both groups followed by severe 44% and 68% in MSG and HPA groups respectively and 12%, 6% mild phlebitis in MSG and HPA groups respectively. A study conducted in India by Saini  found grade 2 or mild phlebitis (46%) higher than grade 3 or moderated (44%) phlebitis. Download Citation | On Feb 28, 2019, Kondireddy Suhas published COMPARISON BETWEEN DRESSING OF CELLULITIS WITH GLYCERIN AND MAGNESIUM SULFATE VERSUS NORMAL SALINE. This is supposed by other findings where age and phlebitis were independent . ), allergies, pre-existing diseases, and current health conditions (e.g. • Magnesium sulphate with glycerine dressing: It refers to a gauze pad soaked in warm magnesium sulphate granules saturated with glycerin, topically applied and secured with roller bandage three times a day, continuously for two days to evaluate the effectiveness of magnesium sulphate with glycerin dressing versus heparinoid ointment application on management of peripheral cannula induced phlebitis. However this finding is contradictory to the finding of other studies. 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. Similarly, this study confirms the findings of some other studies as well Wait  that site of insertion of cannula influence phlebitis. Maximum 39 (78%) were married and majority can’t read and write. So, the difference between pre and post-score was found. The authors declare no conflicts of interest regarding the publication of this paper. Multiple factors, related to the catheter itself or the solution infused have been associated with this common complication . So it is revealed that Magnesium Suphate with Glycerin is more effective than Heparinoid ointment in management of phlebitis. similarly 24 (96%) participants were receiving intravenous fluids and electrolytes Likewise 15 (60%) and 5 (20%) participants in MSG and HPA groups respectively. Effectiveness of magnesium sulphate with glycerin dressing (MSG) and heparinoid ointment application (HPA) on management of phlebitis. Scientific Research Statistical methods applied: Data were entered in MICROSOFT EXCEL and were analyzed using Statistical Package for Social Sciences (SPSS) version 11.5. Alternatively, 5-15 ml can be used as an enema. This name was derived from the town of Epsom, which is where the salt was originally distilled. Table 6 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). Table 4 depicts that majority of 16% and 80% participants had pain along the pathway in MSG and HPA groups. According to age in years maximum numbers of the participants 30% were from the age group of 46 - 65 years in both MSG as well as HPA group. Similarly, a study on Hospital of Vadodara to evaluate the effectiveness of Magnesium Sulphate with Glycerin dressing on Phlebitis among patients undergoing Peripheral Intravenous Infusion by Ravindra  revealed that magnesium sulphate with glycerin dressing was highly effective to decrease phlebitis level to the patients. Peripheral venous cannulation is the insertion of a Vascular Access Device (VAD) into a peripheral vein. It is estimated that 150 million peripheral intravenous devices are placed each year in North America alone . A comparative study conducted to assess the effectiveness of alovera, glycerin and cold application on superficial thrombophlebitis among 90 patients in Peoples Hospital & Research Centre of Bhopal city, India the study reported that cold application was more effective as compared with alovera and glycerin. Apply to the affected area and cover with a clean dressing If you missed any dosage of Glycerine + Magnesium Sulphate (GLYCERIN MAG.SULPHATE PASTE) If over dosage of Glycerine + Magnesium Sulphate (GLYCERIN MAG.SULPHATE PASTE) Glycerine + Magnesium Sulphate (GLYCERIN MAG.SULPHATE PASTE) Special alert for After entry, data were rechecked and transfer to SPSS version 11.5 and analyzed. One of the most common complications of peripheral intravenous catheter is phlebitis that may occur upto 75-80% of hospitalized patients. 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. Table 5 depicts reduction in mean, standard deviation and rank score from pre-score to post-score. 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 few were under blood transfusion and in NPO/unconscious. Never heard of magnesium sulphate paste so don't know if it can cause trouble or not. Some research findings have showed male gender has more phlebitis than female sex   where as in some studies majority of subjects were female 60% in MSG and male 56% and HPA group the finding is consistent with that of the previous finding from the study by Tan, where results showed that female patients had a significant increased risk of developing thrombophlebitis. Specializes in Family Medicine. Table 3. Table 9 shows there is no association between the phlebitis severity score of both groups and treatment-related variables. Almost equal number of participants were from both gender 24 (48%) and 26 (52%) from male and female gender respectively. The difference between pre and post-treatment score was found to be significant. If swallowed: Talk to a pharmacist or doctor. If you are allergic to any of the ingredients. But the association was not statistically significant. Patients have VIP score 2 or above were only as study samples. In this study, the instruments baseline performa and observation scale were used. The incidence of phlebitis in hospitalized patients receiving IV therapy has been reported to be as high as 80% . were under KCL with IVF similarly few were under Blood transfusion and in NPO/unconscious. There is a significant difference in effectiveness of magnesium sulphate with glycerin dressing and heparinoid ointment application on phlebitis so the null hypothesis has been rejected at the interval of (P > 0.05). 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). Children < 6 years: Insert 1 infant suppository 1-2 times daily as needed. An Academic Publisher, Effectiveness of Magnesium Sulphate with Glycerin Dressing versus Heparinoid Ointment Application on Management of Phlebitis among Patients Admitted in Selected Wards of BPKIHS (). An easy way to get a thorn out is to put corn remover over the thorn, cover it with a bandaid and change it daily. • Procedure for the application of both the interventions was different. 4How to use Stir paste well before use. Effectiveness of Magnesium Sulphate with Glycerin and Heparinoid Ointment Application on Phlebitis. 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. 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. • Part II: It consists of information regarding cannula and related factors. There is no significant difference in effectiveness of Magnesium-sulphate with glycerin dressing and heparinoid ointment application on phlebitis. Patients who were not willing to participate and were under cytitoxic drugs were excluded in research. 1/2 c. Unrefined Shea butter. Remove blackheads. Association of Socio-Demographic Variables and Severity Score. More than 80% participants had erythema in both MSG and HPA groups. It would be best to get this clarified while placing the order. • Frequent monitoring of cannula site, early identification of cannula induced phlebitis and prompt intervention is essential for treatment and prevention of further complication. Rinse with cold water. • Nurses need to have adequate knowledge and skill regarding cannula induced phlebitis management and its complication prevention. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for glycerine + magnesium sulphate and other medicines and health products. This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License. A Study conducted by Yamber  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. The reasons for such differences are hard to explain and have no satisfactory explanation for such findings . If the symptoms persist, use the paste as per the instructions given by the doctor. Most people are very tolerant of glycerin, without experiencing irritation. Majority of 80% participants days of hospital stay was below 1 week among both MSG and HPA groups out of them 40% and 88% were in MSG group and HPA group respectively the study is inconsistent with the study by Abdul it shows that phlebitis per patient was associated with longer hospital stay . Similarly, Cicolini found that thrombophlebitis and catheter size was statistically significant . Before using Glycerin / Magnesium Sulphate, inform your doctor about your current list of medications, over the counter products (e.g. 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). 0 0. Only in some participants palpable venous cord and pyrexia was present in both groups. Table 5. Add three drops of iodine and magnesium sulphate into ½ cup of boiling water. Apply liberally to the affected area and cover with a clean dressing. The thrombus in the vein causes pain and irritation and may block the blood flow in the veins. • Effectiveness: In this study, effectiveness refers to the degree of reduction in phlebitis by application of magnesium sulphate with glycerine dressing magsulf dressing and heparinoid ointment on two groups as measured in terms of Visual Infusion Phlebitis Scale (VIP Scale). Heparin also has an antiphlogistic and anti-exudative effect, thus alleviating pain and promoting tissue metabolism and the process of healing . Maximum 78% of participants were married from both MSG and HPA group. The result is an alcohol-based product that is an ingredient in many skin-care products. Cold application is a simple and inexpensive therapy which is an effective non pharmacological intervention for thrombophlebitis.Applying cold may help However, our data did not provide sufficient statistical evidence to prove and validate this result. All absorbent dressings maintain moist wound environment but dressings like hydrogel and glycerin magnesium sulphate provide direct moisture to the wound. Anonymous. 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. to be significant. Table 4. Journal of Lanzhou University (Medical Sciences). groups. Table 2. A significant number of patients admitted into hospital receive some forms of intravenous therapy through peripheral venous cannula, which is a common procedure carried out in hospital This finding is supported by a study done in Kathmandu by singh  where they found that the administration of IV antibiotics substantially increase the risk of phlebitis.
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