Phlebotomy STL Chpt. 2 (Anatomy of the arm & Vein selection)

Vein Selection:
*1st* Choice,
*2nd* Choice,
*3rd* Choice (last choice, more sensitive area)
*1.* Median Cubital= Due to it’s size & turgor (bounce back)
*2.* Cephalic= Harder to palpate (feel)
*3.* Basilic= location next to nearby important structures (easier to hit a nerve, but rarely)

Vein selection Criteria:
Location, Size, Depth (5-45 degree angel), Direction, Condition, Turgor

Iodine is used when doing what type of test?
Alcohol

How to prevent a “rolling vein”?
Anchor the skin 6″ under the site

Vein Selection Guide: *Bumpy Veins*
Unsuitable- A bumpy feel may mean that a vein is thrombosed or extremely vascular.

Vein Selection Guide: *Deep Veins*
*Very* Suitable- Deep veins are common in heavy arms; usually large and well anchored; may need to adapt venipuncture technique.

Vein Selection Guide: *Muscular Arms*
Suitable- Veins in muscular arms may lie over bone and/or muscle and lack good tissue support.

Vein Selection Guide: *Heavy Arms*
Suitable- Some times the easiest to get blood from, however can tend to be difficult to palpate but are usually large and well anchored.

Vein Selection Guide: *Hard, Cord-like veins*
Unsuitable- The veins may be sclerotic which are common among the elderly and among narcotic addicts.

Vein Selection Guide: *Rolling Veins*
Unsuitable- Rolling veins lack good tissue support and often “roll” away from the needle; may be used but may need to anchor well.

Vein Selection Guide: *Small Veins*
Unsuitable- Some small veins may be usable with the appropriate distention; small caliber needles should be highly considered*.

Vein Selections Guide *Swollen Veins*
Unsuitable- Appear swollen or “bulbous” are likely varicose or contain a valve, which makes them unsuitable for draw.

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When blood is removed from a vein, it is called venipuncture or phlebotomy. Venipuncture should be performed with care. The veins of a patient are the main source of specimens for testing, the entry point of medications, and the site …

When blood is removed from a vein, it is called venipuncture or phlebotomy. Venipuncture should be performed with care. The veins of a patient are the main source of specimens for testing, the entry point of medications, and the site …

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