The following sites should be avoided for intravenous (IV) line insertion: Ventral surface of wrist (inner wrist), site distal to a previous venipuncture site, foot of an adult, and areas of venous bifurcation.
In contrast, the dorsal surface of the hand of a middle-aged adult, inner arm, and the foot of a child are appropriate sites for intravenous (IV) line insertion.
What is an intravenous (IV) line?
Intravenous (IV) therapy is a common medical treatment that involves providing fluids, medication, and nutrition to the bloodstream through an intravenous (IV) line. The IV line is inserted into a vein, allowing direct access to the bloodstream. To achieve intravenous access, the healthcare provider must identify appropriate sites for insertion.Intravenous (IV) line should be avoided in the following sites:
Site distal to a previous venipuncture site: After venipuncture, the needle may cause trauma, making it difficult for the vein to heal. For this reason, an IV line should never be inserted distal to the previous venipuncture site.
Ventral surface of the wrist (inner wrist):
The inner wrist contains numerous nerves and arteries, making it a highly sensitive and risky site for IV insertion.Foot of an adult: This site is avoided because of the high risk of infection due to exposure to various environmental contaminants.
Areas of venous bifurcation: These areas are avoided because the vein bifurcates into smaller vessels, which makes it difficult for the nurse to insert the catheter correctly.
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