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Hematoma ???



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  #1  
Old Feb 15, 2007, 03:51 PM
Registered User
Join Date: Jan 2007
Hematoma ???

I'm a new LPN and RN student. Many times when I try and get my IV stick my Pat winds up with a 'lump' in their vein. Hematoma?

WHAT am I doing incorrectly?

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  #2  
Old Feb 15, 2007, 04:47 PM
Registered User
Join Date: Feb 2007
Re: Hematoma ???

Are you "blowing" the vein? You shouldn't have a lump or anything if the cathalon is in the vein.

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  #3  
Old Feb 15, 2007, 04:49 PM
Registered User
Join Date: Jan 2007
Re: Hematoma ???

It was during a 'practice' session. I got blood and then removed the angio. After taking it out it blew up like a 2 peas.

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  #4  
Old Feb 15, 2007, 04:52 PM
Registered User
Join Date: Feb 2007
Re: Hematoma ???

You obviously weren't in the vein or you had perforated the vein during your IV start.

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  #5  
Old Feb 15, 2007, 08:54 PM
Registered User
Join Date: Oct 2006
Re: Hematoma ???

you either A: didnt completely thread the catheter in the vein (insert it a litte more after the flash) or B:went through both sides of the vein.

Some older people that are on anticoagulants require less pressure by either not using a turnequett (sp) or using a BP cuff instead becaue their veins blow the minute you touch them with a needle.

Swtooth

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  #6  
Old Feb 15, 2007, 08:58 PM
Angie O'Plasty, RN's Avatar
Moderator
Join Date: Aug 2004
Re: Hematoma ???

Also with the elderly, don't withdraw the needle too quickly.

Sometimes it just takes a half a second more to get a blood return.

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  #7  
Old Feb 20, 2007, 08:42 AM
Registered User
Join Date: Jan 2005
Re: Hematoma ???

Sounds like you went through the vein instead of into it. It happens often and don't let it scare you off. Just keep practicing!

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Hematoma ???

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