PMLS lec module 5: problem venipuncture sites

Question 1

2 PROBLEM VENIPUNCTURE SITES
Burns, scars and tattoos
D- veins
E-
H-
O-
M-

Answer 1

2 PROBLEM VENIPUNCTURE SITES
Burns, scars and tattoos
Damaged veins
Edema
Hematoma
Obesity
Mastectomy

Question 2

WHY AVOID?
Difficult to palpate or penetrate
Impaired circulation
Susceptible to infection
Contain dyes

NOTE
Insert the needle in a spot that doesn’t contain dye

Answer 2

burns, scars, tattoos

Question 3

Veins that are HARD, CORD LIKE, LACK RESILIENCY because they are occluded or obstruct
1. - or hardened
2. - or clotted

NOTE
Choose another site
Draw below

Answer 3

damaged veins

1. sclerosed
2. thrombosed

Question 4

PATIENTS WITH DAMAGED VEINS
Regular blood —
Persons with —
Illegal — users

Answer 4

PATIENTS WITH DAMAGED VEINS
Regular blood DONORS
Persons with CANCER
Illegal IV DRUG users

Question 5

Is SWELLING caused by the abnormal ACCUMULATION OF FLUID in the tissues
Caused when fluid from IV INFILTRATES the surrounding tissues

REASONS WHY EDAMATOUS AREAS ARE AVOIDED
Yield inaccurate test results
Veins are harder to locate
Healing may be prolonged

Answer 5

edema

Question 6

Is a swelling or mass of clotted blood
Caused by BLOOD LEAKING from a blood vessel during or after venipuncture
It is a LARGE BRUISE that spreads over the surrounding area

REASONS WHY BRUISED AREAS ARE AVOIDED
Painful
Contaminated with hemolyzed blood
Obstruction of blood flow

Answer 6

hematoma

Question 7

Their veins are DEEP and DIFFICULT to find
Use a BLOOD PRESSURE CUFF as the tourniquet

Answer 7

obese patients

Question 8

Refers to SURGICAL BREAST REMOVAL
Blood should never be drawn from an arm on the SAME SIDE without 1st consulting the patients physician

1. STOPPAGE of normal lymph flow
2. SWELLING because of impaired lymph flow

Answer 8

mastectomy

1. lymphostasis
2. lymphedema