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Top 5 IV Insertion Tips For Very Fragile Veins

Discussion in 'Nursing' started by Egyptian Doctor, Nov 1, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    1. Avoid using tourniquet as much as possible.

    If possible, never use a tourniquet to facilitate IV insertion in a patient with very fragile veins. Older adults, for example, have dilated veins most of the time so using torniquet is obviously out of the picture. However, when using tourniquet is necessary, try to choose those that are made with light materials, apply it lightly, and remove as soon as you see a back flow of blood in the cannula. Improper use of tourniquet for this particular type of patient may lead to venous "blow", hematoma formation, and skin damage.

    2. Use the smallest catheter available.

    The size or gauge of catheter to be used will largely depend on the specific therapy the patient is going to receive. However, since the patient has fragile veins, health practitioners must choose the smallest size possible to avoid possible damage. As a standard, patient with fragile veins must only get gauge 22 or gauge 24 for the IV therapy. According to Infusion Nurses Society (INS), "When the catheter is too large for the vessel lumen, irritation from the catheter is very likely to cause mechanical phlebitis and possibly thrombus formation."

    3. Use "bevel-up", "low angle" and "slowly but surely" types of approach.

    Before proceeding to the actual IV insertion, determine first the proper needle-skin angle to be utilized and provide good skin traction to stabilize the vein. Then, using the bevel-up approach, slowly insert the needle on the top of the vein, making at least 10-20 angle (or almost flat) with the skin especially if the veins are dilated and can easily be seen through the skin surface. You have to take your time to avoid causing additional harm and damage to the patient's veins.

    4. Choose paper-type tape in securing the catheter.

    A dry and skin can get unnecessary damage when plastic or silk skin adhesives are used to secure the IV catheter. To avoid this, paper-type tapes are usually preferred to maintain IV insertion for patients with sensitive skin types and unstable veins. Upon termination, use of adhesive solution will greatly ease the process of adhesive removal without bringing additional damage to the skin.

    5. Provide the patient useful health education to improve his condition.


    As a patient advocate and educator, it is the nurse's responsibility to provide patients valuable information that will definitely help to improve their condition in the long run. Use of moisturizers, avoiding excessive sun exposure, eating a balanced diet rich in protein, and adequate fluid intake are just some of the helpful information a nurse can impart to her patients.

    IV insertion for patients with fragile veins seem to be a very daunting task but with greater practice and exposure with these types of challenges, a nurse can surely get the fulfillment from a job well done. It is our responsibility of nurses to improve our craft for the betterment of the profession and the health condition of the society as a whole. It takes time but no one said it's impossible to achieve. Good luck!

    Read Also:

    How To Insert Intravenous Cannula

    How To Insert IV Cannula

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  2. santoshbhanuse

    santoshbhanuse Well-Known Member

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    good information.
     

  3. Eddy Fernandez

    Eddy Fernandez Young Member

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    I find the connection wright on the catheter wrong.Many times it comes loose with bloodloss as a complication. I'd rather use I kind of connection that you can screw on...
     

  4. huynhvt.vu

    huynhvt.vu Young Member

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    Thanks!
     

  5. المبدعة اكس تو

    المبدعة اكس تو Active member

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  6. Shahid Dar

    Shahid Dar Famous Member

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    nice info..
     

  7. Ann-Con Tadiarca

    Ann-Con Tadiarca Young Member

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    thank you so much for the info... God bless
     

  8. Ghada Ali youssef

    Ghada Ali youssef Golden Member

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  9. Scarce01

    Scarce01 Active member

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    Great information in one place
     

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