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» LymeNet Flash » Questions and Discussion » Medical Questions » Problems with IVs

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Author Topic: Problems with IVs
DolphinLady
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I've had a couple of IV's and end up with knotted bruised veins!

Has this happened to anyone else? Are some people just not candidates for IV?

I wonder if I'm just not healing well enough from such a minor thing or maybe I'm hypercoagulating?

My llmd suggested a get a port in my chest, I forget the name. But if I'm not doing well with the regular IV I'm afraid something more major will cause greater problems.

Any thoughts appreciated.

[This message has been edited by DolphinLady (edited 08 May 2005).]


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breathwork
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The central lines in the chest are through much larger veins, so people tend to have fewer problems. If you doctor is Dr. S, he is also board certified in hematology, so should be on top of any coagulation issues, clotting, etc...

Why do you think you are "hypercoagulating"?
Bruising can be a sign of lowered clotting factors rather than higher...


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docdave130
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the llmd should be putting in a picc line not just a regular iv. the picc line goes from the arm to the aorta and should not clot.the picc line is about 2 feet long and an xray must be taken to see that is near the heart.
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riversinger
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What were they infusing through the IV? If rocephin, or anything caustic, yes, you will almost always do better with a PICC or a PORT.

A regular IV puts the med into the vein where the vein is very small and the blood volume is low. A PICC lets the med out in a very large vein, so the medication is much more quickly diluted, causing less trouble.

Some people still have problems, however, so this is not a promise. But have very tiny, difficult veins, and also having used a PICC for three months, there is a world of difference.

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Sonoma County Lyme Support


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DolphinLady
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I've been doing complimentary/alternative treatments all along with abx. Up until the IVs it's been mostly oral supplementation and body work.

The IVs I refer to were for nutritional and detoxification purposes (Vit C, glutathione etc) not prescribed by my llmd but with his knowledge.

I've only done two IVs and had to use a different arm each time because of the knotting/scar tissue.

I was thinking about hypercoagulation because since having lyme I have more clotting during menses. I know that chronic infections can make the blood thick. At least one fellow in the past two years had a problem drawing my blood but that could be due to low blood pressure.

On the other hand I bruise a lot more easily since having lyme.

I do take fish oils and these can thin the blood as well.

I guess I should find out more with blood testing.

Thanks all.


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riversinger
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Vit C is well known for causing trouble in IVs. It can be very caustic. So it may just be the reaction to that, and nothing about your blood. The vitamin C will burn the small veins, therefore causing bruising.

It is the same as the rocephen, it will cause less trouble if it is infused in a larger vein, so that it is more diluted. They could also dilute the solution more when putting it in the vein, using dextrose solution or sodium, whatever they use with the particular drip or push you are using.

It may also make a difference which vein is used, and also whether the solution is done by push or drip, how fast it is infused. The longer a concentrated solution is in contact with a small, fragile vein, the more likely you are to have trouble.

Maybe less vitamin C?

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Sonoma County Lyme Support


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breathwork
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FYI, the central lines like the PICC and the ones inserted through the chest go to the superior vena cava, just outside the entrance to the heart...not the aorta...the aorta is on the other side of the heart, the exit pathway or an artery, rather than the entrance or a vein...
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DolphinLady
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Riversinger, I think you figured it out for me - thanks. It was a two hour drip with Vitamin C.

Any ideas on how to heal the burnt vein? It's been a month and it's still bruised and knotted!

I won't be getting any more IV's for the time being that's for sure!


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