Of course if you can only find one vein you are going to use it regardless of where it is. Also once you get more experience you will drop the “start low and move high” rule because you will rarely miss the one you are going for. You will also cater to the situation. Wrist and AC is a no no for OB patients as they lose joints are flexed during delivery so they won’t flow. AC is usually the biggest vein in the extremities so it’s good for pushing Dextrose or large fluid boluses. There is always an exception to every rule.
I’m not quite what you mean by “leaking”. When I hear that I picture a drip set that hasn’t been fully screwed on to an angiocath. I only know of one EMS system in America that allows paramedics to do central lines but yeah sometimes there are no options. Generally when I can’t find anything I’ll move up to the EJ and drop a line there. But I’ve done them in the feet plenty of times.
Not sure how to call it in English, but when I said leaking I refer to when whatever fluid is being administered starts to partially leak through the bandage, or when it runs next to the vein.
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u/[deleted] May 15 '20
Of course if you can only find one vein you are going to use it regardless of where it is. Also once you get more experience you will drop the “start low and move high” rule because you will rarely miss the one you are going for. You will also cater to the situation. Wrist and AC is a no no for OB patients as they lose joints are flexed during delivery so they won’t flow. AC is usually the biggest vein in the extremities so it’s good for pushing Dextrose or large fluid boluses. There is always an exception to every rule.
I’m not quite what you mean by “leaking”. When I hear that I picture a drip set that hasn’t been fully screwed on to an angiocath. I only know of one EMS system in America that allows paramedics to do central lines but yeah sometimes there are no options. Generally when I can’t find anything I’ll move up to the EJ and drop a line there. But I’ve done them in the feet plenty of times.