What is a contraindication for establishing intravenous (IV) access?

What is a contraindication for establishing intravenous (IV) access?

• A. Burn injuries
• B. Vascular injury proximal to IV site
• C. Minor abrasions
• D. Head injuries

Answer: (B)

Establishing intravenous (IV) access has specific contraindications, and one notable contraindication is the presence of a vascular injury proximal to the IV site. This is because accessing a vein that is close to an injured vessel can lead to complications such as hemorrhage or further damage to the vascular structure. If there is an injury affecting the blood vessels, it is critical to avoid introducing a catheter that could exacerbate bleeding or create other vascular complications. In situations of burn injuries, while there may be considerations regarding skin integrity and the type of site selected, it does not strictly contraindicate IV access. Minor abrasions typically do not pose any significant risks for establishing IV access. Head injuries are also serious but do not inherently prevent the establishment of IV access unless there are other complicating factors such as changes in consciousness or the need for specific precautions regarding fluid management. Therefore, the correct choice emphasizes the priority of avoiding intervening in already compromised vascular anatomy.

Establishing intravenous (IV) access has specific contraindications, and one notable contraindication is the presence of a vascular injury proximal to the IV site. This is because accessing a vein that is close to an injured vessel can lead to complications such as hemorrhage or further damage to the vascular structure. If there is an injury affecting the blood vessels, it is critical to avoid introducing a catheter that could exacerbate bleeding or create other vascular complications.

In situations of burn injuries, while there may be considerations regarding skin integrity and the type of site selected, it does not strictly contraindicate IV access. Minor abrasions typically do not pose any significant risks for establishing IV access. Head injuries are also serious but do not inherently prevent the establishment of IV access unless there are other complicating factors such as changes in consciousness or the need for specific precautions regarding fluid management. Therefore, the correct choice emphasizes the priority of avoiding intervening in already compromised vascular anatomy.