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Intravenous Catheter Placement 1123.e7





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                                                                                                                      Procedures and   Techniques













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                           INTRAVENOUS CATHETER PLACEMENT.  Step-by-step placement of cephalic vein catheter, as outlined in Procedure
                           section.


                                                                                  •  Intraosseous catheter: useful in neonates or
                                                                                    in patients if IV access cannot otherwise be
                                                                                    achieved.
                                                                                  •  Subcutaneous fluid administration: simple
                                                                                    and inexpensive means of providing small
                                                                                    volumes of crystalloid fluid to animals with
                                                                                    good peripheral perfusion. Cannot be used
                                                                                    effectively with dehydration > 7%
                                                                                  Pearls
                                                                                  •  For  butterfly  catheters  that  will  be  used
                                                                                    briefly, the fur need not be shaved.
                                                                                    ○   The  vessel  is  occluded  as  for  over-the-
                                                                                      needle catheter placement and the needle
                                                                                      inserted directly. Usually, the catheter is
                                                                                      used immediately without anchoring in
                                                                                      place and is removed immediately after
                                                                                      use.
                                                                                  •  Begin  insertion  at  a  distal  position.  This
                                                                                    way, if a second attempt is required, any
                                                                                    hematoma will be distal to a second insertion
           INTRAVENOUS CATHETER PLACEMENT  The   INTRAVENOUS CATHETER PLACEMENT  Pre-
           medial saphenous vein can be used for indwelling   wrapping a thin strip of tape around the catheter hub   site. It also keeps the end of the catheter
           catheter placement in cats, but due to propensity for   can make initial taping easier, but some clinicians find   inside the vein further from the bend of a
           positional flow, it is not preferred.   it cumbersome to keep tape out of the way during   leg, making it less likely to be a positional
                                               placement.                           catheter.

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