Blood ollection -Addtl.

Question 1

– – – is the first choice. It is located in
the middle of the arm’s surface, is large and well-anchored, and does not move when the needle is inserted

Answer 1

MEDIAN CUBITAL VEIN

Question 2

– – is the second choice, access to it can be awkward due to its location on the outer edge of the arm. However, it is often the only vein that can be palpated (located by
touch) in an obese patient.

Answer 2

CEPHALIC VEIN

Question 3

– – is the third choice.

Answer 3

BASILIC VEIN

Question 4

Blood can also be drawn from wrist and hand veins, but
these require winged sets (butterflies) with infusion
smaller needles and tubes, making the – – and increasing the risk of –.

Answer 4

draw slower, hemolysis

Question 5

Problem sites: (8)

Answer 5

Burns, Scars, & Tattoos
Damaged
Edema
Hematoma
Mastectomy
Obesity

Question 6

means hardened veins

Answer 6

Veins–Sclerosed

Question 7

means clotted

Answer 7

Thrombosed

Question 8

Swelling caused by abnormal accumulation of fluid in tissues

Answer 8

Edema

Question 9

Results when fluid from IV infiltrates surrounding tissues

Answer 9

Edema

Question 10

Contaminates blood with tissue fluid

Answer 10

Edema

Question 11

Veins are harder to locate, & tissue is fragile

Answer 11

Edema

Question 12

A swelling or mass of blood caused by blood leaking from the vessel during venipuncture

Answer 12

Hematoma

Question 13

Can be painful, contaminate blood samples, obstruct blood flow

Answer 13

Hematoma

Question 14

Surgical removal of the breast

Answer 14

mastectomy

Question 15

Lymph flow is obstructed with the removal of – –

Answer 15

lymph nodes

Question 16

obstruction/stoppage of normal lymph flow

Answer 16

Lymphostasis

Question 17

Veins may be deep & hard to find

Answer 17

Obesity

Question 18

A catheter placed in an artery (usually radial)
Provides accurate & continuous measurement of blood pressure

Answer 18

Arterial Line

Question 19

The permanent, surgical fusion of an artery & a vein

Answer 19

Arteriovenous Shunt or Fistula

Question 20

Fistula: Created to provide access for –

Answer 20

dialysis

Question 21

Fistula Located on the – – – – – – –

Answer 21

back of the arm above the wrist

Question 22

• Connected to the arterial or central venous catheter to collect blood
• Reduces the chance of infection
• Prevents needlesticks
• Minimizes waste from line draws

Answer 22

Blood Sampling Device

Question 23

• A catheter or cannula connected to a stopcock/cap with a diaphragm
• Provides access for administering medicine or drawing blood

Answer 23

Heparin or Saline Lock

Question 24

heparin lock is placed in the vein in the lower arm
above the wrist for up to – –

Answer 24

48 hours

Question 25

a catheter inserted in a vein to administer fluids

Answer 25

IV line

Question 26

it consists of tubing inserted into a main vein or artery

Answer 26

Central Vascular Access Devices (CVADs)

Question 27

Central Vascular Access Devices (CVADs)–Known as -- --

Answer 27

indwelling lines

Question 28

Types of CVADs

Answer 28

Central venous catheter or line Implanted port Peripherally inserted central catheter

Question 29

-- -- -- or line * Inserted into a large vein (--) * Advanced into -- -- --

Answer 29

Central venous catheter, subclavian, superior vena cava

Question 30

A -- also referred to as a --, is an implanted device that allows easy access to a patient’s veins.

Answer 30

port-a-cath, port

Question 31

A port-a-cath is surgically inserted completely beneath the skin and consists of two parts – the -- and the --.

Answer 31

portal, catheter

Question 32

Peripherally inserted central catheter * Inserted in-- -- -- & threaded into -- --

Answer 32

veins of extremities, central veins

Question 33

* Discontinue draw immediately & hold pressure oversite 2 min * Offer cold compress or ice pack if it is large & swollen

Answer 33

Hematoma Formation

Question 34

a condition of lowered hematocrit and hemoglobin count resulting from large or frequent removal of blood samples, usually for laboratory testing

Answer 34

Iatrogenic Anemia

Question 35

-- means: adverse reaction brought on by effects of treatment.

Answer 35

Iatrogenic

Question 36

Iatrogenic Anemia: how much blood is >10% of blood volume

Answer 36

150mL

Question 37

Signs: rapidly forming a hematoma, blood filling tube quick

Answer 37

Inadvertent Arterial Puncture

Question 38

Vein walls draw together temporarily shutting off blood flow

Answer 38

Collapsed Vein

Question 39

Patients on -- or -- may bleed longer

Answer 39

aspirin, anticoagulant

Question 40

Fainting (--)

Answer 40

syncope

Question 41

loss of consciousness due to nervous system response to abrupt pain, stress, or trauma

Answer 41

Vasovagal

Question 42

-- * Tiny, non-raised red spots * Appear on the arm when a tourniquet is applied * An indication that the site may bleed excessively

Answer 42

Petechiae

Question 43

-- * A decrease in the fluid content of blood * An increase in nonfilterable large molecules

Answer 43

Hemoconcentration

Question 44

* Caused by stagnation of normal venous flow due to tourniquet

Answer 44

Hemoconcentration

Question 45

-- * Damage to or destruction of RBCs * Hemoglobin escapes into the fluid part of the specimen

Answer 45

Hemolysis