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when looking at this hand which portion of these veins do you think you would want to attempt with an iv for me personally i would go right here right above the bifurcation where it begins to go straight let me tell you why the first is that where the two veins join theres a valve here and then the vein becomes larger which means im more likely to be able to get a bigger catheter in there if i need it additionally right above the bifurcation is where theres the most stability so if your patient tends to have rolling veins its going to be better anchored by this bifurcation making it easier to hit and more stable when starting an iv in the hand like this i like to have the patient make a gentle fist and i pull down on the skin over their knuckles to help anchor the vein in place it can also be helpful to have your patient gently hold on to something like a stress ball and that will give you more stability as well
