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50 IV Therapy Tips and Tricks: How to Hit the Vein in One Shot (part 8-final)
Special Considerations for IV Therapy

Not all veins are the same, different people with different conditions have different veins, so here are some special considerations you need to note.

43. For older patients and pediatric patients. They have smaller and fragile veins than normal adults do. Use small gauges that can still aid proper venous flow. Choose the right site for insertion. Probably the safest location is in the hands, but be sure to stabilize it because pediatric patients are fond of gesticulating, and elderly patients are prone to falls.

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50 IV Therapy Tips and Tricks: How to Hit the Vein in One Shot (part 8)

40. Stress tape to prevent accidental yanking. Use one or two stress tapings to avoid a direct pull from an IV site if the tubing is snagged. Do not tape down excessive loops or coils which shorten the length of the tubing. One should not tape on the proximal side of a flexing joint; it’ll just be removed easily. Do not wrap the tubing around a digit when taping it because when the patient clenches his fist, it can easily pull out or alter the flow of the catheter. A double-back of the tubing with a short loop will secure it well.

41. If it leaks. If a small leak occurs at the point and moment of insertion, the vein may still be usable if the catheter tip can be fully advanced proximal to the leakage. Observe a test infusion of non-irritating fluid for any extravasation carefully before other use.

42. Do not probe for a vein. Also called “fishing” or “vein searching”–this is painful especially when the nurse unintendedly probes into muscle or tendon. If you don’t get a flashback, don’t not let your needle dig for a vein by moving it around. When this does happen, this may be a sign that you’ve missed your target, and your needle has been deflected by a rolling or hard veins. Sometimes, you may only need to pull back the needle and insert in another direction, doing so is better than starting the procedure over again.

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