Problem Venipuncture Sites Flashcards

1
Q

Problem Venipuncture Sites

A
  1. Burns, scars, or tattoos
  2. Damaged Veins
  3. Edema
  4. Hematoma
  5. Mastectomy (surgical breast removal)
  6. Obesity
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2
Q

Burns, scars, or tattoos

A

● Healed burn sites & areas with extensive scarring
○ may have impaired circulation
● Newly burned areas:
○ painful; susceptible to infection
● Tattooed areas
○ impaired circulation,
○ more susceptible to infection
○ contain dyes that can interfere with testing

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3
Q
  1. Damaged Veins
A

● hard and cord-like; occluded or obstructed
● sclerosed (hardened)
● thrombosed (clotted)
● Scarring caused by numerous venipunctures
● Choose another site if possible
● draw below (distal to) damaged veins

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4
Q
  1. Edema
A

● may yield inaccurate test results
(contamination with tissue fluid )
● veins are harder to locate
● tissue is often fragile and easily injured by
tourniquet and antiseptic application
● healing may be prolonged

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5
Q
  1. Hematoma
A

● Swelling or mass of blood that can be caused by blood
leaking from a blood vessel during or following
venipuncture

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6
Q

hard and cord-like; occluded or obstructed

A

Damaged Veins

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6
Q
  1. Mastectomy (surgical breast removal)
A

● Lymph node removal causes lymphostasis (obstruction
or stoppage of normal lymph flow)
● susceptible to swelling and infection
● Applying a tourniquet to the arm can cause injury
● lymphostasis can change blood composition in that arm

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6
Q
  1. Obesity
A

● Veins may be deep and difficult to find
● Proper tourniquet selection and application
● median cubital vein
● cephalic vein
● To locate the cephalic vein, rotate the
patient’s arm so that the hand is prone

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6
Q

sclerosed

A

(hardened)

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6
Q

draw_______damaged veins

A

below (distal to)

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6
Q

thrombosed

A

(clotted)

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7
Q

Scarring caused by numerous venipunctures

A

Damaged Vein

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7
Q

healing may be prolonged

A

Edema

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8
Q

veins are harder to locate

A

Edema

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9
Q

tissue is often fragile and easily injured by
tourniquet and antiseptic application

A

Edema

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10
Q

may yield inaccurate test results
(contamination with tissue fluid )

A

Edema

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11
Q

(surgical breast removal)

A

Mastectomy

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11
Q

Lymph node removal causes __________

A

Lymphostasis (obstruction
or stoppage of normal lymph flow)

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12
Q

susceptible to swelling and infection

A

Mastectomy

13
Q

______ can change blood composition in that arm

A

lymphostasis

13
Q

Applying a tourniquet to the arm can cause injury

A

Mastectomy

14
Q

To locate the cephalic vein, rotate the
patient’s arm so that the hand is ________

15
Q

(hardened)

16
Q

(clotted)

A

thrombosed

17
damaged veins Scarring caused by numerous ______-
venipuncture
18
hard and cord-like; occluded or obstructed
Damaged Veins
19
solution for damaged veins
Choose another site if possible ● draw below (distal to) damaged veins
20
○ impaired circulation, ○ more susceptible to infection ○ contain dyes that can interfere with testing
Tattooed areas
21
painful; susceptible to infection
Newly burned areas:
22
may have impaired circulation
Healed burn sites & areas with extensive scarring
23
(obstruction or stoppage of normal lymph flow)
lymphostasis
23
lymphostasis
Lymph node removal
23
Hematoma ● Swelling or mass of blood that can be caused by ________
blood leaking from a blood vessel during or following venipuncture
24
tissue is often fragile and easily injured by tourniquet and antiseptic application
Edema
24
(surgical breast removal)
Mastectomy
25
veins are harder to locate
Edema
26
healing may be prolonged
Edema
27
may yield inaccurate test results (contamination with tissue fluid )
Edema
28
can change blood composition in that arm
lymphostasis
29
susceptible to swelling and infection
Mastectomy (surgical breast removal)
29
Applying a tourniquet to the arm can cause injury
Mastectomy (surgical breast removal)
30
Veins may be deep and difficult to find
Obesity
31
What vein is best for obese
● median cubital vein ● cephalic vein
32
Proper tourniquet selection and application
Obesity
32
To locate the cephalic vein, _________
otate the patient’s arm so that the hand is prone