Where should you not put an IV?

“Avoid inserting the IV catheter close to a flexible joint where it may bend. A bent or kinked catheter can be a source of complications. The veins in the antecubital are often easy accessible and also big, but note that this is an often bent joint with high risk to kink the catheter,” Pernilla says.
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Can you put an IV anywhere?

Medicines or fluids may be given through an intravenous (IV) tube inserted into a vein. The IV is most often placed in the back of the hand, on the forearm, or on the inside of the elbow. When the IV is in place, medicines or fluids can go quickly into the bloodstream and into the rest of the body.
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Can you put an IV in the leg?

In circumstances where the veins of the upper extremities are inaccessible, the veins of the dorsum of the foot or the saphenous vein of the lower leg can be used. In circumstances in which no peripheral IV access is possible a central IV can be started.
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Is IV better in hand or arm?

Depends on the patient and the procedure, but in our online survey, the hand was by far the preferred place to start an IV, chosen by 57% of our respondents, followed by the arm (27%) and then the wrist (8%).
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How do you know if an IV is incorrect?

Signs that an IV has been negligently placed or maintained in a patient's hand include the following:
  1. Changes in skin color or temperature;
  2. Swelling at the IV site;
  3. Bruising;
  4. Stretched, taut, bulging or otherwise abnormal skin appearance;
  5. The IV infusion has stopped or significantly slowed;
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Best Veins for IV Insertion, Drawing Blood (Venipuncture Tips) in Nursing, Phlebotomy



What happens if you do an IV wrong?

When an IV is not inserted properly or is otherwise misused, fluids or medicine can leak into the surrounding tissue. This is called IV infiltration, and it can cause harm ranging from irritation to fluid overload, infections, nerve damage, stroke, brain injury, or even death.
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Can you put an IV in the neck?

A CVL meant for insertion into the internal jugular vein is a soft, long, thin, flexible tube used in children who need IV therapy for a long time. The tip of the catheter is inserted into the internal jugular vein in the neck and is guided into the large vein leading to the heart.
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Can you start an IV in the wrist?

The patient's hand is likely the best site for starting an IV. However, the smaller, fragile veins in the hands of elderly patients may be tough to locate. In these and other high-acuity patients, the wrist may be your most likely spot for success.
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Can you put an IV in an artery?

This is done for several reasons: veins are more superficial and easier to access; there are more frequent and serious complications when arteries are cannulated; infusion into arteries requires a pump and competent nursing care; IV infusions are the standard of care for drug and nutrient administration.
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Can you put an IV in the thigh?

Femoral Vein (Groin): The femoral vein runs up both legs and through the creases of your upper thigh and groin. In the crease of the groin, the veins are shallow enough to tempt some intravenous drug users to use this location.
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Why can't you put an IV in a foot?

It is highly unusual to start an IV in the patient's foot and should be avoided due to a high infection rate, potentially increased venous pressures, and the fact that a peripheral IV in the foot is much farther from the central circulation than an IV in the upper extremity or external jugular vein.
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Can you start an IV in the ankle?

Patients have four extremities. If you are unsuccessful in locating a vein in either arm, you can move to the foot and ankle region to start an I.V. there.
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Does IV go in artery or vein?

IVs are always placed in veins, not arteries, allowing the medication to move through the bloodstream to the heart. Learn more about IVs by reading 10 Commonly Asked IV Therapy Questions.
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Can you bend your elbow with an IV?

DO NOT BEND Bending the needle in the IV catheter can disable the safety mechanism. Re: "Give Your IV Needles a Slight Bend" (December, page 19). Our recommendation to bend IV needle catheters about 15 degrees to aid the placement of the IV catheter into a vein could do more harm than good.
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Which vein is preferred for IV sites and why?

Dorsal arch veins are best seen on the back of the hand, but are usually larger and easier to see and palpate over the back of the wrist. Skin entry should be more distally. IVs inserted here are easily splinted and any infiltration easily spotted, so these veins are the preferred site.
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What are the most common IV sites?

The most common site for an IV catheter is the forearm, the back of the hand or the antecubital fossa. The catheters are for peripheral use and should be placed where veins are easy to access and have good blood flow, although the easiest accessible site is not always the most suitable.
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Where is the AC vein?

The accessory cephalic vein is a variable vein that passes along the radial border of the forearm to join the cephalic vein near the elbow. In some cases the accessory cephalic springs from the cephalic above the wrist and joins it again higher up.
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What is the main vein in the neck?

The function of the internal jugular vein is to collect blood from the skull, brain, superficial parts of the face, and the majority of the neck.
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Does a central line go into the heart?

A central line (or central venous catheter) is like an intravenous (IV) line. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart. A patient can get medicine, fluids, blood, or nutrition through a central line. It also can be used to draw blood.
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Where is jugular vein?

The internal jugular vein is a run-off of the sigmoid sinus. It arises in the posterior cranial fossa and exits the cranium through the jugular foramen, located at the base of the skull.
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Can an IV break off in your arm?

Peripheral intravenous (IV) catheters can break off while still in the patient, with possible detrimental effects such as upstream migration to the heart. These catheters have probably been damaged by the needle during a difficult insertion.
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Can an IV damage a vein?

Long-term IV drug use

IV drug use can damage veins and cause scar tissue to form, which can be permanent.
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What happens if an IV hits a nerve?

When an i.v. catheter penetrates a nerve, it can cause temporary or permanent damage. After sustaining an injury, a nerve will regenerate in an attempt to reconnect with the fibers it once innervated. Recovery from nerve damage may take only weeks or a year or more.
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