How to start an IV Explained Clearly for IV therapy | IV Insertion Analysis 2021 (IV Insert Tips)

How to start an IV | intravenous Insertion Analysis 2021. Before you insert an IV you want to think about where you want to place the IV. If you are trying to get an IV in for someone that is going for CT, there may be hospital policies that you want to follow regarding the size and location of the catheter you NEED to place for contrast dye. In general, our hospital policy suggests inserting an IV in the forearm as the ideal place as it is the most safe place and less likely for the line to get kinked and not run your medication, have the IV pump yell at you etc... Depending on the patient, you want to choose a catheter that is appropriate, if the person looks very muscular they will probably have good veins, but if they are elderly and are small, veins will most likely be small. So always look at the patient and identify an appropriate size. Typically the IV size of choice is either a 22 gauge or sometimes 20 gauge.

So the tourniquet is tied around the patient's arm above the area where you want to insert. The tourniquet is important to be tied down quite tightly as it will allow you to see the vein easier and have it tied in a way that you are able to quick release it once you are finished. Pay attention to the technique that is used here. You can see it is tied where there is a loop here and there is a quick release here. So if we pull on the quick release it will untie very quickly. It is also important to not tie the tourniquet down so tightly that you will prevent arterial blood flow. You want to tie it enough to slow venous blood flow so that the veins are more plump and easier to puncture.

After tying the tourniquet make sure you place the hand in a way that allows you to visualize the vein properly. That may require you to set up or to turn on extra lighting. Also, while the tourniquet is tied in place, allowing a few seconds to pass is ideal for allowing the venous blood flow to slow down.

After some time has passed and you feel you have a good visualization of the vein, clean the vein with whatever your hospital policy recommends to clean with. Cleaning over the site like so will allow the vein to pop more as well. Some people will also use a few fingers and tap the vein to make it pop more.

So now let's talk about the vein a bit more. As you can see this is the ideal one to choose from due to few reasons. The first being is that it is very straight. It looks big in size and the 22 gauge that was chosen here seems like it will be an easy insertion. The insertion site as you will see will be somewhere on this line here. This is because the vein is straight here, allowing for the plastic filament that is going to be inside the vein to easily go inside the vein. The areas we would avoid inserting the IV would be these ones. The reason being that these are likely to have valves in the junctions and also the plastic filament may push the fluids in the wrong direction if it is not properly situated. So the ideal location is where you have a straight vein like this and you can see that it is straight. After the green line the area underneath is ideal as vein will likely be occluded if the person bends their wrist.
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Видео How to start an IV Explained Clearly for IV therapy | IV Insertion Analysis 2021 (IV Insert Tips) канала Simple Fit Nurse