Why are jaudinced babies harder to start IVs on>

  1. Does anyone know? we were talking about it tonight. Are they dehydrated? is that a reason? Another nurse said maybe because they 3rd space? Any ideas?
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  2. 7 Comments

  3. by   dawngloves
    I've never noticed.
  4. by   Gompers
    We notice that they are harder sticks, too. Either their skin is tough like leather or they're dehydrated. Either way, their veins seem to blow a lot when you start IVs on them. I never really researched WHY this might be. Anyone have any other ideas?
    Last edit by Gompers on Oct 27, '06
  5. by   prmenrs
    They're term babies (more tissue between you and the vein), almost ALWAYS dehydrated. Go slower, wait longer for a blood return. Flush the catheter before--makes it easier for the blood to flow back if the inside of the catheter is wet vs dry.
  6. by   cathys01
    Had this exact issue today with a jaundiced baby - couldn't get an IV to save our lives (or his!), everything blew - even if we'd get a wonderful blood return...
  7. by   Jokerhill
    Their hct is generaly higher, and dehydration. If you notice they also will not bleed well with heelsticks and are slow feeders.
  8. by   ElvishDNP
    I agree and would say dehydration is our biggest issue with these kiddos. If their veins are as dry as their lips, that explains a lot.
  9. by   SFRN
    I think there are numberous reasons why it may be more diffciult to start an IV in a baby. The size of the vein for one. I have found that using my wee-sight transilluminator REALLY helps identify veins that would not normally be visualized. I also notice that I have trouble with the older chubby babies.

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