Blown Vein from IV: What Happens Next

Blog Post
By South Valley Vascular
August 14, 2024

If you ever happen to get a blown vein, you may wonder just what happens next. While it may sound serious, a blown vein from IV is common and typically has little long-term damage. 

A blown vein or a blown-out vein happens when one or both vein walls are inadvertently punctured. With medical treatment, most blown veins heal without complication.

How does a blown vein look?

A blown vein, also called a ruptured vein, will have some telltale signs in the area where the needle or other object damaged the vein.This causes blood to leak from the puncture into the surrounding tissues. Symptoms of a blown vein include discolored skin around the injection site, bruising, swelling, localized pain, and a stinging sensation

 Here's what you might see:

  • Discoloration: A change in skin color around the puncture site is the most common sign. This area will likely appear red or purple because blood has leaked out of the vein and pooled under the skin.
  • Bruising: As the blood continues to pool, it can break down and cause bruising in the surrounding area.
  • Swelling: The leaked blood can also lead to localized swelling around the puncture site.
  • Tenderness or pain: The damaged area may be tender to the touch, causing some discomfort.
  • Stinging sensation: In some cases, you might experience a stinging sensation at the puncture site.

It's important to note that the severity of these symptoms can vary depending on the size and location of the blown vein.

Here are some additional points to remember:

  • Unlike a bulge caused by a varicose vein, a blown vein will not be raised or feel ropey.
  • Typically, the vein damage causes the discoloration and swelling to appear quickly, often within minutes.

If you experience any of these symptoms after a needle insertion or other injury, it's important to apply gentle pressure to the area and elevate it if possible. You should also consult a healthcare professional to ensure there are no serious complications.

Blown Vein: Signs and Symptoms

A blown vein, or a ruptured vein, is a vein that a needle has damaged. This causes blood to leak from the puncture into the surrounding tissues. Symptoms of a blown vein include discolored skin around the injection site, bruising, swelling, localized pain, and a stinging sensation.

A similar condition to a blown vein is a collapsed vein. A vein collapses when the sides of the vein wall cave in towards each other, blocking blood flow. A blown vein may collapse, but not all collapsed veins are blown out.

If a vein is blown, doctors will typically seek to use a different vein, as well as treat the blown vein. Pain and swelling should subside after a few days.

How is a blown vein diagnosed?

A blown vein, or a ruptured vein, is a vein that a needle has damaged. This causes blood from the puncture to leak into the surrounding tissue. Symptoms of a blown vein include discolored skin around the injection site, bruising, swelling, localized pain, and a stinging sensation.

During medical procedures such as drawing blood or inserting an IV, healthcare providers typically recognize a blown vein immediately. They observe the telltale signs and take corrective measures to manage the situation. However, if the symptoms of a blown vein become apparent after leaving the healthcare facility, it is critical that you contact your healthcare provider. Discuss your symptoms with them to ensure appropriate follow-up care and avoid complications. Even after initial medical procedures, this proactive communication helps ensure proper diagnosis and treatment of the blown vein.

How to Prevent Blown Veins During Needle Sticks

Communicate with Your Provider

Sharing your history with blown veins is crucial. Inform the healthcare professional about past experiences, specifically which veins were problematic and which ones were successful for needle sticks. This valuable information can guide them in selecting the most viable vein, potentially preventing issues.

Inquire About The Techniques

Understanding your provider's method can also alleviate concern. If previous experiences with blown veins make you anxious, use this opportunity to have a discussion. Ask about their strategies for preventing blown veins. They may employ techniques such as stabilizing the vein by applying pressure or using a tourniquet to make it more prominent. Knowing their approach can give you peace of mind and help you feel more involved in the process.

Stay Calm and Still

Anxiety can cause involuntary movements, increasing the risk of blown veins. Strive to remain calm and still. Deep breathing or distraction techniques can help manage nervousness. Before the procedure, having an open conversation with your provider about their technique can further ease your concerns and promote relaxation.

By following these steps—communicating your medical history, engaging in dialogue about techniques, and maintaining calmness—you can significantly reduce the likelihood of experiencing blown veins during needle procedures.

What causes a blown vein?

A blown vein occurs when the insertion of a needle doesn't go as planned, resulting in temporary damage to the vein. Several factors can contribute to this issue:

Movement During Insertion: Even the slightest motion, such as an accidental arm movement or a flinch, can cause the needle to deviate from its path and harm the vein.

Rolling Veins: In some individuals, veins can move or "roll" when touched, making them harder to puncture accurately. This can lead to the needle missing its target and causing vein damage. While this characteristic can't be controlled by patients, healthcare providers often check for rolling veins before proceeding.

Fragile Veins: As people age, their veins naturally become more fragile and prone to damage. Long-term use of intravenous (IV) treatments, whether for medical or nonmedical purposes, can also weaken the veins, making them more susceptible to being blown.

Incorrect Needle Size: The size of the needle plays a critical role. If a needle is too large for the vein it's targeting, it can cause unnecessary pressure and damage, resulting in a blown vein. Healthcare providers aim to select an appropriately sized needle, but sometimes misjudgments occur.

Understanding these contributing factors can help both patients and healthcare providers take precautions to minimize the risk of a blown vein during needle insertion.

Treating A Vein Blown: Should You See a Doctor?

Usually, a vein blown heals with no complications, typically within 10 to 12 days. However, certain complications may necessitate further treatment. 

These complications include accumulation of pus, swelling, warmth, or fever at the wound site. Pain, especially severe pain, and difficulty moving the affected limb are also signs to look out for. If the vein has slowed down its healing after several weeks, patients should speak to a doctor as soon as possible. The same goes if the blown-out vein hasn’t healed at all.

Blown veins especially become a concern if patients are using an IV line at home. The patient or their caregiver should monitor for signs of infiltration. Infiltration is when blood and IV fluids move past the vein and into the surrounding tissue.

Actions to take immediately:

  • Call your provider and let them know if: Your symptoms, such as pain, get worse. The area swells or feels warm when touched. You develop a fever. There’s drainage from the area.

Your doctor may want you to come in for an infection check. It's crucial to monitor these symptoms closely because they can indicate a need for immediate medical intervention.

If the vein has slowed down its healing after several weeks, or if the blown-out vein hasn’t healed at all, patients should speak to a doctor as soon as possible. Early detection and treatment of complications can significantly improve outcomes.

Signs of infiltration include paler skin around the injection site, or skin that feels tight, stretched, or cooler than usual. Infusion from the bag can slow or stop entirely, especially in cases of gravity infusion. IV fluid leaking from the insertion site is also a sign of infiltration to be alert for.

If a caregiver or patient notices any of these signs, a professional should be contacted as soon as possible. Quicker treatment will lead to less damage and more desirable patient outcomes.

What questions should I ask my provider about blown veins?

When discussing blown veins with your healthcare provider, it's essential to ask targeted questions that will help you understand and manage this condition effectively. Here are some suggested questions to bring up during your consultation:

  • What’s the cause of my blown veins?
  • What can I do to prevent them from happening?
  • Are there certain veins that you recommend I use for future blood draws or IVs?
  • How can I treat any discomfort at home?

Additionally, you may want to ask your provider how you can prevent blown veins in the future, especially if you require frequent IV insertions. Inquire about the signs and symptoms of a blown vein so you can recognize it early. Understanding when to seek medical attention for a blown vein is crucial, so be sure to ask about the potential complications and when to contact your healthcare provider. Lastly, ask about home treatment options for a blown vein and how to promote healing at home.

By addressing these points, you can gain a comprehensive understanding of blown veins and ensure you're prepared to handle them effectively. This approach not only helps in managing your current situation but also aids in preventing future occurrences.

Home Blown Vein Treatment Tips

After a blown vein happens, rest and recovery should be a priority. Here are a few steps to help encourage your blown veins to heal at home:

  1. Rest the affected limb as much as possible. The more chances the limb has to rest, the more chance the vein has to recover uninterrupted.
  2. Avoid any strenuous activity that could further strain the blown vein. This could lead to undoing previous healing that happened or even worsening the rupture.
  3. Apply a cold pack, or ice wrapped in cloth, regularly to help reduce the swelling and any pain. Make sure to replace it regularly as well.
  4. If you take adequate steps to recover, most blown veins should heal on their own. Again, this process usually takes about 10 to 12 days depending on individual factors.

Vascular Care Done Right with South Valley Vascular

Every inserted IV is a potential chance for a blown vein. A trained vascular specialist is ready for that possibility and ready to provide the best treatment if it does. 

South Valley Vascular’s vascular specialists will do everything they can to keep from causing blown veins in the first place. However, in that event, you couldn’t be in more confident or capable hands.