When injection addict come to hospital,can you sometimes NOT AT ALL find a artery for IV.?
I'll repeat question more clearly.
As a doc or nurse; when "junkies" come into the hospital needing care contained by some form; does it ever become absolutely impossible to find a vein?
I know you can always use a inside line (junkies dream), but if that was not an option what could you do?
Basically, what vein do addicts generally NOT know about or are unused for some reason albeit pain or whatever (because as soon as they see you use it (the vein) they will invective that until that one is gone as well) that *could* be used.
(please do not just answer top question if you would be so kind)
Answers:
The central capillary will always be the preferred option. I would go for the internal jugular capillary first and the subclavian vein second. Neither is likely to be achieved by the user himself. If a central vein is not a possible option, it would aim that all the central veins be blocked, in which case the addict would shortly die anyway. Source(s): Retired anaesthetist
Not with the sole purpose can we sometimes not find a usable peripheral vein, we have to listen to these guys whine roughly needles! Seriously, they are the biggest weenies.
In some cases, I've had surgeons try a venous cutdown to get to a vein. I enjoy the most luck, though, asking the junkie to show me a vein. They know where they are better than anyone.
Failing that, central dash: IJ, Subclavian or femoral. Whatever works, and isn't in the surgical field. Source(s): I'm an anesthesiologist.
I've treated some junkies who were relatively adept at accessing internal jugulars and subclavians, too. Where there's a will, there's a way.
If you get right down to it and entail something in a hurry, there are always the endotracheal and intraosseous routes until you can win that central line in.
Yup, usually it's a moment ago easiest to ask the junkie themself where the good veins are. They know, and will usually convey you! If not, most junkies usually don't think about the veins around their foot. I've found great sites there (until they come back several weeks down the road after using that new site!). The unknown I/O guns are great too. I typically like to throw in the "well if we can't find one, I guess we'll own to use the one in the penis" line. Freaks them out a little, if nought else! I too have seen a few who know how to get to their important veins. I've got one "regular" who comes in, is a previous IV meth user, and apologizes to us every time we try to stick him. He truly regrets what he used to do. Too unpromising he can't tell his story to all these other losers! Source(s): Paramedic
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As a doc or nurse; when "junkies" come into the hospital needing care contained by some form; does it ever become absolutely impossible to find a vein?
I know you can always use a inside line (junkies dream), but if that was not an option what could you do?
Basically, what vein do addicts generally NOT know about or are unused for some reason albeit pain or whatever (because as soon as they see you use it (the vein) they will invective that until that one is gone as well) that *could* be used.
(please do not just answer top question if you would be so kind)
Answers:
The central capillary will always be the preferred option. I would go for the internal jugular capillary first and the subclavian vein second. Neither is likely to be achieved by the user himself. If a central vein is not a possible option, it would aim that all the central veins be blocked, in which case the addict would shortly die anyway. Source(s): Retired anaesthetist
Not with the sole purpose can we sometimes not find a usable peripheral vein, we have to listen to these guys whine roughly needles! Seriously, they are the biggest weenies.
In some cases, I've had surgeons try a venous cutdown to get to a vein. I enjoy the most luck, though, asking the junkie to show me a vein. They know where they are better than anyone.
Failing that, central dash: IJ, Subclavian or femoral. Whatever works, and isn't in the surgical field. Source(s): I'm an anesthesiologist.
I've treated some junkies who were relatively adept at accessing internal jugulars and subclavians, too. Where there's a will, there's a way.
If you get right down to it and entail something in a hurry, there are always the endotracheal and intraosseous routes until you can win that central line in.
Yup, usually it's a moment ago easiest to ask the junkie themself where the good veins are. They know, and will usually convey you! If not, most junkies usually don't think about the veins around their foot. I've found great sites there (until they come back several weeks down the road after using that new site!). The unknown I/O guns are great too. I typically like to throw in the "well if we can't find one, I guess we'll own to use the one in the penis" line. Freaks them out a little, if nought else! I too have seen a few who know how to get to their important veins. I've got one "regular" who comes in, is a previous IV meth user, and apologizes to us every time we try to stick him. He truly regrets what he used to do. Too unpromising he can't tell his story to all these other losers! Source(s): Paramedic
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