What is the preferred site for an IV insertion in a patient with right sided weakness from an old CVA?

The preferred site for IV insertion in a patient with right-sided weakness due to an old cerebrovascular accident (CVA) is the distal vein in the left arm. This choice is optimal because it takes into consideration the patient's physical limitations; using the left arm avoids challenging the patient’s impaired right side, where weakness could complicate the procedure and subsequent care.

In this case, using the left arm allows for easier manipulation and monitoring of the IV line without risking discomfort or difficulty due to muscle weakness or decreased coordination on the right side. Additionally, it helps in minimizing the risk of potential complications such as infiltration or phlebitis, which could be exacerbated by using a compromised limb.

Choosing the right arm would be less desirable since it is the affected side, which could lead to difficulties for both the healthcare provider performing the insertion and the patient who may struggle with the discomfort or handling of the IV. Accessing veins in the back of the hand on the right side presents similar issues, as this area is still part of the compromised side and could lead to complications. Finally, the left ankle, while a potential site for IV insertion, is generally considered less favorable compared to an upper extremity site, as it can be more difficult to access and