Possible Sites of IV Catheter

Published on February 2017 | Categories: Documents | Downloads: 30 | Comments: 0 | Views: 137
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POSSIBLE SITES OF IV CATHETER

UPPER EXTREMITY
• The three main veins of the antecubital fossa that are frequently used are the: 1. Cephalic vein 2. Basilic vein 3. Median cubital • These veins are usually large, easy to find, and accomodating of larger IV catheters

UPPER EXTREMITY
• Cannulation of the cephalic, basilic and other unnamed veins of the arm is preferrable. • They are ideal sites when large amounts of fluids must be administered. • Their location in the flexor region is a drawback, as bending of the elbow can be uncomfortable to the patients and may occlude the flow of the intravenous solution.

UPPER EXTREMITY
• The veins in the dorsal hand may be utilized if large bore access is not required. • Care must be taken to find a vein that is straight and will accept the entire length of the catheter.

UPPER EXTREMITY
• The portion of the cephalic vein in the region of the radial styloid is commonly known as “student’s or intern’s vein”. • It is often a large, straight vein that is easy to cannulate.

UPPER EXTREMITY
Veins of the upper extremity, showing the venous network of the hand as well as the palmar venous network, including basilic and cephalic veins of the forearm.

LOWER EXTREMITY
• Cannulation of the veins of the feet is not ideal. • Insertion can be quite painful, and catheter may cause more discomfort than if it were started in the hand or forearm. • Additionally , IV catheters in the feet are more likely to cause infection, to not flow properly, and are more likely to produce phlebitis.

LOWER EXTREMITY
• Veins of the foot: 1. Great saphenous vein 2. Lesser saphenous vein • Any vein in the foot large enough to accept the IV catheter may be used if necessary.

EXTERNAL JUGULAR
• The external jugular vein can be cannulated if necessary. • EJ is the large vein that can accommodate a large bore IV catheter in some patients. • It is especially useful in patients with poor access in the arms who require a large volume of fluids. • Additionally, the EJ is often engorged in patients with heart failure and provides an alternative in these patient if other venous access sites are not available.

SCALP VEINS

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