No IVs into my Arms - what are options
Hello everyone, Yesterday I was scheduled for a breast MRI with contrast - but my veins weren't in the game. After 4 tries, we gave up - I also almost passed out when the 4th attempt was made. I asked them to use a leg but they won't do it. It was suggested that I have a PICC line put in but that seems kind of a lot since I just need one test....well, ok, two tests because right now I'm also scheduled for a dreaded colonoscopy on Monday - but since I know they need to give me an IV too, I'm planning to cancel that tomorrow. Any suggestions???
Comments
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Have you tried in the top of your hand? Often the techs will have a hard time finding a vein in my arm (elbow crook) and they have an easier time with my hand. As soon as I see them having trouble finding a vein in my arm, I get them to go for the hand.
My other suggestion, as the blood lab tech keeps reminding me, is to drink lots of waters before hand so that you are well hydrated. It helps plump up your veins and makes them easier to try. Just a couple of things that have worked for me.
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The foot.
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Put a warm towel on the area and dangle your arm down for a few minutes pumping your fists before they look for a vein
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I am so sorry. I have the same problem. did you ask for a vein specialist?
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Try asking for a local anaesthetic (this may make the vein "deflate" however it does away with the pain of digging around). Not all "vein people" are created equal - out of all the nurses in oncology only ONE could regularly access my veins despite others having senior qualifications/years of experience etc etc.
I know others may not agree with me but I do not think a PICC line or port is the answer for irregular blood draws or infusions. Training of staff by those who are successful is the key.
Good luck - I know how traumatising this can be (as if we don't have enough to deal with).
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Hi Ikari, I tend to agree with you about the PICC line or Port. It seemed like over kill to me too. I've asked if they can use my foot - the won't do that either so the MRI is on hold until a solution comes up. As to the dreaded colonoscopy, I'm just going to do that without any sedation. I've been reading about it and apparently it's not all that unusual to go all natural for that procedure. Now, if I can just get my mind around that option, I'll get it done.
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So maybe I can try again with a vein specialist, a warm towel, and a local anesthetic. That plan sounds a whole lot better than a PICC. Thank you all for sending some idea's my way. J
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Hello everyone, thanks for responding to my question. Thought you'd all like to know that I decided to just move ahead with the colonscopy with no sedation. Note to self: NEVER do a medical procedure without sedation!!! OUCH. Happy to tell you that half my colon looks great - who knows what the rest looks like because I made him stop. Then I decided to give them one chance to put in an IV....still didn't work, but I have a really nice bruise and lump from that. Oh well, live and learn. J
PS: it was really cool looking at my colon though.
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I am a really hard stick as well. When I went in for my surgery since they can only use my right arm now which is the worst arm to stick me in, they called the IV team and used Ultrasound to start mine. It was very easy and no pain for me. One stick and he was in because he could see where he was going on the US. Hope that helps
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J9W, if someone has no arms (literally) for IVs or blood draws, they'd figure it out. How unfortunate that you've had to go through this. Those of us with lymphedema know where you are coming from. It's often easier for them to draw from the arm.........but there are other options.
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What I found out with a lying (I have proof he lied and confronted the doctor) general surgeon who took out my appendix, and told staff in the pre-op room that I didn't have LE, that I said I had it, that it was not in my charts) (when I complained to his boss via phone, she found it all right away), blah blah, when he thought I was asleep. I went in to surgery with a foot IV, but came out with an IV in my hand.
I was livid. And the ONLY documentation in ALL the surgical notes was by my post-op nurse. I called and asked all over the hospital (even the head of the surgery department) DEMANDING to know what happened that the IV was in my arm. Not one single hospital employee would answer. Each and every single employee deferred me to the surgeon.
I never did get a straight answer as to why an IV was needed in the hand. And all the surgeon did was double talk me when I confronted him in the post-op appt. (His boss was in that appt. at my request).
It is sad, but you can go into a procedure with an IV in your foot, and wake up with an IV in your arm or hand, even when specifically saying not to and not get an answer as to WHY they had to switch it. Some surgeons lie, and hospitals can cover those things up. I learned the hard way.
I am NOT saying that all surgeons and hospitals are sneaky SOB's, but they are out there. I met up with a first class lying ass.
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Added note:
I totally agree with the poster that stated that some are better than others for inserting IVs and blood draws.
Not all lab techs/phelbotomists realize that the foot is a VERY tender area and that you can be shoving the needle in and out (which is against standards anyway. I complained to two ladies who were drawing my blood and they were dumbfounded as to how painful they are.
You have the right to fire ANYONE taking blood or starting an IV and ask for someone else. I do that quite often. Don't let them poke you like a roast.
I get IV lidocaine treatments about every 9-10 weeks in the foot. There are shots of lidocaine they can give you in the foot with a very small needle to numb the area they will be starting the IV at in the foot. They are a life saver. However, my pain doctor is so good at starting IVs in my foot I don't need them anymore.
It can be so frustrating and painful for those of us that can't have any needle pokes in the arms or hands. And don't let people tell you that it is ok, because they use a small needle like a butterfly. ANY POKE can trigger LE or make it worse. It is like playing Russian roulette every time we get a needle poke in the arm or hand if we had nodes removed.
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It is 45 years since the birth of my first son and my learning I had "tiny" veins that often collapsed during any kind of blood draw or IV placement. That's when I first learned they can use the veins on the back of your hand. Yes -- drink plenty of fluids in the hours before hand so your blood volume is high, warm your arm, dangle it, make a fist, etc. etc -- but most importantly announce upfront that this is a continuing problem for you and you want the very best nurse/tech BEFORE THE FIRST TRY. Depending on where you are, you may be able to insist a nurse anesthetist do the poke -- that's what happened to me last year after a sequence of nurses tried for 45 minutes to get the dye started for an MRI. The radiology person told me to phone ahead any time I need another such procedure and ask that the nurse anesthetist be on hand -- and that's what I've done. Meanwhile, through the years I have found that emergency room nurses almost always get it right the very first time! Also, nurses and techs know their level of skill and will defer to the "better" ones, although sometimes not until a few failed attempts first. Also, I belong to a HMO and I am always, without exception, asked first on which side the poke should be -- and I was asked that long before I even had breast cancer (I used to wonder why they asked. Now, with mild lymphedema, I know all too well.)
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I agree that you should ask for the BEST person for the FIRST try - if you have minimal good veins you do not want them "wastëd" by ineffective attempts.
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the head nurse in my infursion room gave me 3 names to ask for. No one else can touch my veins. ( small, rolling, lots of valves). They said the dye injection for ct scan would not be a problem. They were wrong!
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