I have a patient who has a thrombus in both Left & Right upper arm cephalic veins. Thrombus extends from about the AC to top of the arm. I was request to place PIV. I placed a PIV in right forearm quite easily, not sure if vein was cephalic. Good vein easily collapsible. After placement I was told that prior PIV have been placed via ultrasound "above" the thrombus. As it would be safer.
Pt currently as PIV in foot. Should I attempt to place PIV in upper arm? Is PIV in forearm contraindicted?
Debra Rivie RN VA-BC
Long Beach Memorial Medical Center
Long Beach, CA