In a situation where an elderly patient with left sided paralysis needs an IV, which site is most appropriate?

Choosing the correct IV site for an elderly patient with left-sided paralysis requires careful consideration of their physical condition and the functional use of their limbs. The right basilic vein is the most appropriate choice in this situation.

Using the right basilic vein allows for effective venous access while avoiding the left side, which is impacted by paralysis. This site is typically larger, providing a greater opportunity for challenging infusions. The basilic vein is located on the medial aspect of the forearm and is considered a good access point because of its size and depth, making it suitable for various types of IV therapy.

Additionally, utilizing the right side of the body prevents complications associated with using the weakened left side, such as potential for improper placement or difficulties in securing the IV line. Ultimately, the right basilic vein strikes a balance between accessibility and safety for this patient.