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venipuncture
rad patient care
| Term | Definition |
|---|---|
| hematoma | mass of clotted blood |
| Parenteral | route' is intravenous (IV) considered |
| 'flash back' with an angiocath | appearance of blood in the hub of the needle indicating venous access |
| When should veins in the legs or feet be used for venipuncture? | only as a last resort with physician approval |
| tourniquet is placed | 5 to 6 inches above the venipuncture site |
| pull the skin taut before inserting the needle | helps anchor the vein so it is less likely to roll |
| latex tourniquet | NOT be desired when setting up for a venipuncture |
| antecubital fossa | preferred site for venipuncture |
| springy and spongy | vein feel |
| cephalic | located on the thumb side of the arm |
| median cubital | least likely to roll |
| differentiates arteries from veins | a pulse in the arteries; no pulse in the veins |
| basilic | least firmly anchored vein |
| basilic vein | closest to the median nerve which could cause permanent injury |
| median cubital vein | vein of choice for venipuncture due to it's size |
| damage to the median antebrachial cutaneous nerve | most critical permanent injury that can be caused by the venipuncture |
| used to enhance the prominence of veins | - tapping the antecubital area with the index finger - massaging the arm upward from the wrist to the elbow - breifly hanging the arm down |
| tourniquet is tied too tightly | ppearance of small, reddish discolorations on the patient's arm and blanching of the skin around the tourniquet |
| What is an ampule | sealed glass drug container for one use |
| shallow of an angle and has only partially entered the lumen of the vein, how could you correct the problem to obtain blood 'flash back'? | slowly advance the needle into the vein |
| needle was inserted at too steep of angle and has passed through the vein, how could you correct the problem to obtain blood 'flash back'? | gently pulling the needle back into the vein |
| Of the three veins located in the antecubital area, which one is the vein of choice for venipuncture? | median cubital |
| extravasation | Fluid escaping from a vessel into the surrounding tissue that can potentially cause tissue necrosis |
| Angiocaths are safer devices for venipuncture compared to other systems because | the needle is removed through a protective sheath system |