Where is the right place for those on dialysis with aaaan arm access to have IV's and blood draws? I've heard the opposite hand from an access arm, but then where if that doesnt work? Will it damage the vein if the opposite arm is used or does it put it at risk of damage? How high a risk? I've also heard that meds given in the hand will burn a lot going in.

It is recommended to use the hand opposite of the access arm. By doing so, you are preserving veins in the opposite arm should your access ever need to be placed there.

If a hand vein doesn't work, I would simply recommend moving 'up' the arm a bit. For a detailed description of what would be best for you, talk to your vascular surgeon. He or she may have different ideas.

There is always the risk with any IV access that some vascular damage may occur. This damage will vary dependent on length and duration of IV, medications given, and problems that may have occured. However, you could be in a situation where IVs need to be started or your health could suffer. Each case must be weighed individually.

It is just as important to remember to maintain your current access site by keeping it clean, checking twice daily for patency, not wearing restrictive clothing or jewelry, and attempting to limit heavy loads that you may need to lift with that arm.

Hope this helps,
Carol