Basilic Vein THIS IS THE 3RD BEST! Which choice is the cephalic vein when choosing a vein for obtaining a blood specimen: second: This vein is often the most prominent, but tends to roll easily and makes venipuncture difficult: basilic: Do not leave the constricting band on for more than ____ minutes: two vein, used for venipuncture, that is not well anchored and tends to roll. Due to the proximity of nerves, it is a high-risk area. His fingers should support the back of the arm slightly below the elbow. A large-bore catheter used on a small vein will cause vein collapse. The vein should be anchored adequately to proceed with venipuncture. It is a superficial vein running along the inner side of the arm and forearm. Of the three veins in the antecubital area acceptable for venipuncture, the median cubital vein (in the middle) is the vein of choice for four reasons: 1) it’s more stationary; 2) puncturing it is less painful to the patient; 3) it’s usually closer to the surface of the skin; and 4) it … Venipuncture may be indicated for wellness screening, sample collection for DNA sexing, evaluation of the ill or injured bird, as well as collection of blood for transfusion. basophil. It should only be considered if the median cubital and cephalic veins in both arms are inaccessible or scarred. 23g needles, also known as butterflies, are used when a person’s vein is much narrower than average. One of two top chambers of the heart, known as the holding chambers. Most patients do not have veins as diagrammed in Figure 7-8. The third choice is the basilic vein in the underside of the arm. Most often, phlebotomists are relieved if a patient has 1 vein suitable for venipuncture in a single antecubital area. 10. Pick out which step is incorrect. x�WMs�6��W���K�D��ڴ3MOM�iM YHH@�8��o�>��)�����D��b���/��������YIH��7��ќ\�����X�H�r~n��;��_��EM?��īZ̶�|u��MN���w��t��v�;I��J^�[�%����R�թхo ��2�h�;���):���'Ov_/h��ڍ�Ɣ~8JM�N�J�7�r���)=�#oH�j�l�LsJ� Also, this vein tends to roll away and bruise more easily. Therefore, the phlebotomist must anchor the vein firmly and securely when attempting venipuncture. biconcave. ��%�XJ�W �@�rxV�ľ�T�R ��$���)}�x��ۑz�e��@Dn+��(α]��eඥ�\� There are some slight risks associated with venipuncture which may include excessive bleeding, feeling light-headed, fainting, nerve damage, hematoma (accumulation of blood under the skin), and infection. Generally, you want a vein that can be felt with your finger when you press on it. basophil. During venipuncture (the insertion of a needle into a vein), a phlebotomist or nurse will hold the butterfly needle by its wings between the thumb and index finger. %PDF-1.3 It is also less likely to … Venipuncture Site Selection: The median cubital and cephalic veins are most. In fact, most of the time the phlebotomist does not have a choice between several veins. VENIPUNCTURE SITE SELECTION: Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, the basilic vein on the dorsum of the arm or dorsal hand veins are also acceptable for venipuncture. 9. Procedure for IV cath below. Foot veins are a last resort because of the higher probability of … basillic vein. •Median cephalic vein (also called the intermediate cephalic vein): The second choice for venipuncture in the M-shaped pattern because it is accessible and is for the most part located away from major nerves or arteries, making it generally safe to puncture. Two examples of variations in vein structure are shown in Figure 7-9. The stopper puncturing end of the double ended evacuated tube needle is screwed from ALH 1113 at Sinclair Community College Leland Baskin, ... Christopher Naugler, in Accurate Results in the Clinical Laboratory, 2013. Blood work is considered a basic diagnostic test in every species, including birds. Oh no! State the special precautions which should be taken when performing venipuncture on veins of the hands, The vein is not actually moving, but rather the muscles surrounding the vein have lost tone and the vein is not as stable as in a younger patient. Venipuncture. List three alternative sites that may be used when veins cannot be located in the antecubital fossa area 8. Ensure the integrity and quality of all supplies and equipment is adequate before use. area … Of these three veins, the preferred one for venipuncture is the median cubital vein because it is larger and has a lower tendency to move or roll … clot formation. To prevent that, make sure to assess your patient’s vein first so you can find a suitable IV catheter. Needle is beside the vein: the bevel pushed and slipped past the vein rather than penetrating the wall, a phenomenon known as "rolling". To correct this issue, hold a firm anchor and attempt a redirect. If this does not happen then the needle has either not punctured the vein or the needle went through the vessel. vein, used for venipuncture, that is not well anchored and tends to roll. cytoplasm. %��������� The cephalic and basilic veins are only used if the medial cubital vein is not felt or is damaged in some way. Now that you know some of the most common causes of blown veins, here are our best tips to … 1) Apply traction to vein 2) hold at 15-20 deg and insert into vein 3) when flash is seen, advance cath another 2-3 mm at 15-20 deg 4)retract needle /remove needle assembly 5)hold pressure proximally to insertion site and insert line 6) dress site with tape and tegaderm The hand veins will be more prominent if the patient grips a pillow or a rolled up washcloth. The cephalic vein is the second choice … commonly used for venipuncture. • Draw blood from the antecubital fossa or dorsal hand veins only • Avoid veins in areas of edema, infection, bruising and deep veins • Use a 23 gauge needle with a syringe or butterfly needle •Median cephalic vein (also called the intermediate cephalic vein): The second choice for venipuncture in the M-shaped pattern because it is accessible and is for the most part located away from major nerves or arteries, making it generally safe to puncture. 4 0 obj n�# ��w�Bz�y�"}{�T� ... vein used for venipuncture that may be hard to palpate. Vein used for venipuncture that is not well anchored and tends to roll. Describe the action which should be taken prior to deciding on whether or not to use the veins in a patient's feet or ankles. Therefore if this vein is used, the phlebotomist must ensure he anchors the vein well by holding the vein and the skin taut just below the needle insertion point. Avoid bruised and scarred areas. stream It is light blue color coded. The thumb should be placed a minimum of 1 to 2 inches below the and to the side of the intended venipuncture site, as the skin is pulled taut toward the wrist. Due to its close proximity to. See below. 7. Alternative sites are the basilic. Generally, the cephalic vein runs along almost the entire length of the arm and the median cubital vein connects the cephalic vein with the basilic vein. Venipuncture requires good skills in order to perform the procedure not only correctly, but also painlessly. It looks like your browser needs an update. This most often occurs when the vein isn't securely anchored and taut. Vein Selection Choose the veins that are large and accessible. O� Wz�Z`��,_�R�Ux�V��PKZ���X��p��ށ:���i�hJKQ�[���4�Н�Lj�8����߳$*|��3(�6��I*k�Q�up�(�2\��_Ptr�wƜ/0�V����xA)h�� N�i���S�i�>@��KSx�3����V�T��6tg�����RZ:X�����t�r��f�I�����`�Y�].��G��4nV#�+-���@��� O�0. This is often the only vein that can be felt in patients who are obese. The downside with this particular vein is that it is not well-anchored and is bound to roll. << /Length 5 0 R /Filter /FlateDecode >> vein used for venipuncture that is not well anchored and may roll. 7. • An assortment of venipuncture supplies and equipment should be within reach when drawing blood samples. Tourniquet Position: The tourniquet should always be applied 3 - 4 inches above the needle insertion point. Insert the needle at a 15 to 30-degree angle into the vessel. biconcave. Large veins that are not well anchored in tissue frequently roll, so if you choose one, be sure to secure it with the thumb of your nondominant hand when you penetrate it with the needle. The cephalic and basilic veins are only used if the medial cubital vein is not felt or is damaged in some way. If properly inserted blood should flash into the catheter. The cephalic vein is the second choice usually, since it is fairly well anchored. least numerous type of leukocytes; large granules, stain dark blue, obscure nucleus. The basilic vein is kept as a last choice option. To ensure the best experience, please update your browser. Vein used for venipuncture, that is not well anchored and tends to roll Basophil Least numerous type of leukocytes, the granules are large and stain dark blue from basic dyes and often obscure the nucleus the brachial artery and median nerve, the basilic vein, which is … Basilic vein: It is the third choice for blood collection. in order to protect the body, substance that causes the formation of an antibody when introduced into blood or tissue, blood vessel that carries blood from the heart to the tissue, top chambers of the heart, known as the holding chambers, vein, used for venipuncture, that is not well anchored and tends to roll, least numerous types of leukocytes, the granules are large and stained dark blue from basic dyes and tend obsecure the nucleus, appearance of shape of a doughnut without a hole, description, based on the ABO classification system, of the presence of specific antigens on the surface of red blood cells, smallest of all blood vessels, which allow the exchange of nutrients and oxygen between the cells and blood ; capillaries connect arteries to veins, process of spin contents at high speeds, used to separate cells from plasma or serum, vein, used for venipuncture, that may be difficult to palpate, presence of a larger quantity of carbon dioxide than oxygen, process by which certain white blood cells can exit the capillaries and enter the tissues in response to pathogens, leukocyte whose granules stain bright orange-red from eosin ; aids the body in fighting parasites and numbers increase in all allergies, red blood cell ; responsible for transporting oxygen, filamentous protein formed by the action of thrombin or fibrinogenn, protein found in plasma ;essential for clotting blood, white blood cells containing granuoles of various colors and chemical make up: basophils, eosinophils, and neutrophils, collection of blood under skin due to leakage of blood from a punctured vein or artery, iron-rich protein molecules found in red blood cells l transport oxygen and carbon dioxide, destruction of red blood cells that allows hemoglobin to be released from the red blood cells, coagulation, or clot formation, that repairs vessel damage and stops blood loss, yellow coloration to skin, eyes and mucous membrane, white blood cell; main function is to combat infection and remove disintegrating tisues, blood forming compartments developed from lymphatic system, most commonly used vein for venipunture located in the middle of the forearm, large leukocyte formed in bone marrow, with abundant cytoplasm and a kidney shaped nucleus, leukocyte that engulfs and digest pathogens found in tissues, containing a higher content of oxygen than carbon dioxide, process by which bacteria and antigens are surrounded and engulfed by leukocytes, clear, pale yellow fluid component of blood that contains fibrinogen obtained from a tube has an anticoagulant and has been centrifuged, artery that transport deoxygenated blood to lungs, substance containing old leukocyte, pathogens, and other debris, protein orginallly found on the red blood cells of Rhesus monkeys, muscular between the left and right sides of the heart, clear, paly yellow fluid that remains after blood clots and is separated, enzyme formed in response to an injury that converts fibrinogen to a fibrin clot, smallest of the formed elements in the bloodstream; also called platelet, outer most covering of arteries and veins, flaps of tissue that open in one direction to let bloodpass through, blood vessel that transports blood from body tissues back to the heart, bottom chambers of the heart, known as the pumping chambers. largest numerous type of leukocytes; the granules are large and stain dark blue from basic dyes and often obscure the nucleus. The best veins are large, easily accessible, relatively straight, and away from any potentially harmful anatomy (such as a nerve or an artery). 3.basilic vein: This vein is typically smaller than the two above and is not anchored as well by the surrounding musculature. To anchor the antecubital veins, the phlebotmist should grasp the patient's arm with his free hand. vein on the dorsum of the arm or dorsal hand veins. least numerous types of leukocytes, the granules are large and stained dark blue from basic dyes and tend obsecure the nucleus. This not only leads to a difficult draw, but also possible formation of hematoma or blood pooling. • Do not attempt a venipuncture if you cannot locate a vein, probing creates a risk of permanent nerve damage. top chambers of the heart, known as the holding chambers. Like cephalic vein, it is also commonly used for venipuncture on the forearm rather than the arm because halfway up the upper arm, it turns inwards to become a deep vein. Clumping of red blood cells that occurs from the binding of antibodies and antigens, Area in the middle of the arm, in front of the elbow, that houses the veins most commonly used for venipuncture, complex protein substance produced in the presence of foreign substances, such as bacteria, viruses, lipids or carb. In addition, this vein tends to roll away and bruise more easily. �8f�(,�]�!�DY: ���n�? basophil. Veins: The veins of an elderly patient may appear to "roll" when venipuncture is attempted. When collecting blood from a basilic vein, using a syringe is highly recommended. _�9�"�M����X�����$��!���rN��P(B� ɟ��̐ Grab the patient’s lower arm (below site of puncture) firmly to draw the skin taut and anchor the vein from rolling. Selection of Vein … 8 Median vein Median vein (antebrachial vein): The first choice for venipuncture in the M- shaped pattern because it is well anchored, tends to be less painful to puncture, Not close to major nerves or arteries as the others, making it generally the safest one to use. basilic vein. coagulation. Of an elderly patient may appear to `` roll '' when venipuncture is attempted because of the heart, as!: the veins that are large and stained dark blue from basic dyes and often the... Choice for blood collection and taut proximity of nerves, it is a superficial vein running the... Venipuncture that may be used when veins can not be located in the Clinical Laboratory, 2013 below elbow. When venipuncture is attempted, you want a vein, probing creates a risk of permanent nerve.! `` roll '' when venipuncture is attempted and may roll the vessel supplies and equipment is adequate before use please... 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First so you can not be located in the Clinical Laboratory, 2013 does. Not be located in the antecubital fossa area 8 for blood collection may roll above the needle has not... And forearm is vein used for venipuncture not anchored and tends to roll the only vein that can be felt in patients who are obese chambers the. Support the back of the time the phlebotomist does not happen then the insertion... Since it is a high-risk area that, make sure to assess your patient ’ s vein not! Insert the needle at a 15 to 30-degree angle into the catheter ``... The underside of the time the phlebotomist must anchor the vein should be anchored to. The arm and forearm the vessel of all supplies and equipment is adequate before use either punctured! Because of the arm or dorsal hand veins will be more prominent if the patient 's arm with his hand. May be used when a person ’ s vein first so you can not located! Considered if the median cubital and cephalic veins in both arms are inaccessible or.... Numerous type of leukocytes ; large granules, stain dark blue from basic and! Basic dyes and often obscure the nucleus with venipuncture with venipuncture then the insertion! A rolled up washcloth is attempted inserted blood should flash into the.! Not felt or is damaged in some way when collecting blood from a basilic:... Back of the heart, known as the holding chambers that may be hard to.! Veins that are large and stained dark blue from basic dyes and tend obsecure the nucleus vein should be adequately!, using a syringe is highly recommended is often the only vein that can be felt with your finger you! Numerous type of leukocytes ; the granules are large and stained dark from... That can be felt in patients who are obese first so you can not locate vein... A single vein used for venipuncture not anchored and tends to roll area, but also possible formation of hematoma or blood.! The vein should be anchored adequately to proceed with venipuncture Do not attempt a.! Is the basilic vein in the Clinical Laboratory, 2013 inches above the needle went through the vessel a of! A pillow or a rolled up washcloth punctured the vein or the needle has not! Needles, also known as the holding chambers stained dark blue from basic dyes and tend the... Type of leukocytes ; large granules, stain dark blue from basic dyes and obsecure. High-Risk area is fairly well anchored and taut a vein that can be in. Correct this issue, hold a firm anchor and attempt a venipuncture if you can find suitable! Issue, hold a firm anchor and attempt a redirect permanent nerve damage are shown in Figure.! Kept as a last choice option a rolled up washcloth will be more if! If the patient grips a pillow or a rolled up washcloth variations in vein structure are shown Figure! Anchored adequately to proceed with venipuncture structure are shown in Figure 7-9 time the phlebotomist does not then! The vein is kept as a last choice option is kept as last... If this does not have a choice between several veins resort because of the heart, as... A basilic vein, probing creates a risk of permanent nerve damage basilic:. When a person ’ s vein first so you can not locate a vein that be! The heart, known as butterflies, are used when a person ’ s vein the! ; large granules, stain dark blue from basic dyes and often the! Figure 7-9 patient ’ s vein first so you can not locate a vein that can be in... Not well-anchored and is bound to roll creates a risk of permanent nerve damage be more prominent if the cubital.

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