When you work in healthcare, it’s important to do things right. Researching alternative ways of dealing with the same problem ensures you can always find a way to help. Understanding the various common IV insertion sites for adults helps you when your patient has tricky veins or other conditions. If you’re a nurse practitioner or any other healthcare professional, look at our list of the most common IV insertion sites for adults below.
The Median Cubital Vein
The medial cubital is in the arm’s bend. This area is where the basilic and cephalic veins connect. Given its easy access and large size, people typically take from this vein when they’re drawing blood or using IVs. However, the bend in the arm makes it an uncomfortable site for the patient. Additionally, you could experience infiltration. Though it’s popular, your patient may want to discuss alternative site options. Because of this, it’ll be wise to discover other sites for insertion to keep your other options open.
The Accessory Cephalic
You’ll find that the vein branching from the cephalic is relatively easy to insert and stabilize. It can hold several gauge sizes, including 18, 20, or 22 gauge IV. When inserting, go for an IV below the arm’s bend rather than the bend itself. Since the vein extends down the bend below it, it’ll be easier to work around. Using the accessory cephalic is the most conventional method of insertion.
The Medial Vein
You’ll find this vein branching out of the palm. It runs along the forearm’s inner aspect. Remember that it’s not as large as the other two veins we’ve mentioned previously. Still, it is a common IV insertion site for adults. When targeting this vein, you will need to be especially careful to avoid accidentally rolling the patient’s vein. It’s also not the best insertion for beginners since it’s deeper in patients with a lot of subcutaneous fat.
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