NDHnow.com - Clinical Pearls - Infusion Therapy - Inserting I.V. lines in elderly patients


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Inserting I.V. lines in elderly patients

Use warm compresses to dilate veins, especially if the patient is cold.
Use a small gauge to avoid trauma; 24G or 22G should be adequate.
Use low tourniquet pressure to avoid trauma, especially if the patient is taking an anticoagulant or a corticosteroid.
Avoid areas where valves are located.
Maintain tension on the skin during venipuncture. Consider using the one-handed technique. Release the tourniquet as soon as blood return is evident.
Use minimal tape; removing the tape can easily tear the skin.
Consider using a protective polymer solution under the tape around the site.
Use a padded arm board or stretch netting to protect the site.