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Venipuncture anat
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What are 9 arterial flow to the arm?
Aorta
brachiocephalic trunk
subclavian
axillary
brachial (1 in. below antecubital fossa)
Radial
ulnar
superficial
Palmar
Where is the brachial artery and what does this mean?
Just beneath the median basilic vein in antecubital fossa. (medial to midline).
Medial antecubital fossa =last choice.
Which veins do we want to aim for?
a. Deep veins
b. Superficial veins
b. Superficial veins
List veins from dorsal/palmar digital veins to axillary veins.
Dorsal/palmar digital v.
intercapitular v.
dorsal venous network (back of hand)
1. cephalic v.(radial side)
2. basilic v.(ulnar side)
axillary v.
Which veins can be visible from the antecubital fossa (l-->m)
cephalic v.
median cephalic v.
median v.
median basilic v.
basilic v.
2 advantages of placeing IV in dorsom of hand.
1. rare to find arteries here
2. superficial with easy access
4 disadvantages to placing IV in dorsum of hand.
1. veins smaller in size
2. veins tend to be mobile
3. phlebitis more common
4. more painful
5 recommended sites for venipuncture.
1.Dorsum of hand
2. Lateral antecubital fossa
3. Ventral forearm
4. Dorsal wrist
5. Medial antecubital fossa
How do you select a venipuncture site?
1. Select one that is straight/visible/unused.
2. Use larger veins for irritating drugs (valium).
3. If long period of time NOT in joint area
4. Infant/children/obese are challenging
3 Advantages of antecubital fossa?
1. Veins larger than other parts of arm
2. Veins not as mobile
3. Lateral aspect is anatomically safe
3 disadvantages of antecubital fossa.
1. v. may not be as superficial
2. Medial aspect has avoidable anatomy
3. must immobilize if left in place
what 5 avoidable anat in medial side?
1. Central biceps tendon
2. bipipital aponerosis
3. median cutaneous nerve
4.median nerve
5. brachial artery
Adv and disadv of forearm.
A.
larger than wrist and hand
less mobile
no nerves close to venipuncture site
D.
veins may not be as superficial
about forearm
1. basilic and cephalic vein accessible
2. median vein runs midline of ventral arm
about wrist
1. Ventral NOT GOOD PLACE - small/mobile
2. Radial wrist--> "intern's vein"
3. dorsal/ulnar wrist-->superficial but mobile
immobilize if long time
Author
Anonymous
ID
83292
Card Set
Venipuncture anat
Description
venipuncture anat
Updated
2011-05-02T21:24:15Z
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