Venipuncture: Restrain & Procecures - 04/06

Question 1

if sedation for a patient can be given SQ, IM, & IV, why might the vet advise given the sedation inravenously

Answer 1

if rapid onset of action is preferred or required

Question 2

T or F: giving something IV is to inject it directly into the circulatory system

Answer 2

true

Question 3

veins carry ______ blood back to the heart & arteries carry ______ away from the heart

Answer 3

deoxygenated; blood

Question 4

T or F: occluding or “holding off” a vei stops or slows the blood on its journey back to the heart

Answer 4

true

Question 5

T or F: a vein full of blood is easier to feel, visualize & insert a needle into

Answer 5

true

Question 6

T or F: If you’re struggling to keep the patient still enough to apply consistent pressure,
use a simple pressure bandage

Answer 6

true

Question 7

a pressure bandage should be removed by yourself or the owner within the hour

Answer 7

yes - the paw should be monitored for swelling

Question 8

Important considerations for venipuncture

Answer 8

-needle size
-difficult vs easy draw or injetion
-time - always bandage after removing IV catheters

Question 9

Define hematoma

Answer 9

a pool of mostly clotted blood that forms in an organ, tissue, or body space

Question 10

what is a hematoma usually caused by

Answer 10

a broken blood vessel that was damaged by surgery or an injury ( in this case, venipuncture)

Question 11

T or F: without adequate pressure the puncture site is prone to bleeding & hematoma formation

Answer 11

true

Question 12

T or F: venipuncture is the highest risk in cases where the
blood vessel has been broken, often referred
to as “a blown vein”

Answer 12

true

Question 13

T or F: cephalic veins are the most common sites for catheter placements

Answer 13

true

Question 14

3 reasons why we try to preserve the cephalic vein for IV catheterization

Answer 14

-surgery patients
-sick patients that may need hospitalization
-every patient- we never know what could happen

Question 15

T or F: burrito wraps (cats) can help with cephalic venipuncture restraint

Answer 15

true - stops the cat from backing up & can tuck away the other paw

Question 16

Which restraint is not commonly used for cephalic venipuncture?

Answer 16

lateral recumbency

Question 17

T or F: the burrito can be used to help for jugular venipuncture restraint

Answer 17

true

Question 18

T ro F: the sitting position used on dogs for jugular restraint can be used for cats too

Answer 18

true

Question 19

T or F: jugular venipuncture restraint can also be performed in lateral recumbency

Answer 19

true - retsrainer should be holding the head straight back & neck extended to expose the jugular vein

Question 20

T or F: the medial saphenous vein is the worse for hematomas

Answer 20

true - especially if there’s more than one puncture site, it’s an easy to vein to blow & there’s plenty of loose SQ space for the blood to pool

Question 21

T or F: the medial saphenous vein can be conveient for bully breads with a lot of muscle around the cephlica veins, & dogs with stubby legs when the pimary blood collection site is difficult to visualize

Answer 21

true

Question 22

T or F: the lateral saphenous vein is the ideal site for blood collection via syringe or butterfly

Answer 22

true

Question 23

list the 4 possible restraint positions for cephalic venipuncture

Answer 23

-standing
-sitting
-sternal recumbency
-partial towel wrap

Question 24

list the 5 possible restraint positions for jugular venipuncture

Answer 24

-standing
-sitting
-lateral recumbency
-sternal recumbency
-partial towel wrap

Question 25

list the 3 possible restraint positons for lateral saphenous venipuncture

Answer 25

-standing
-sternal recumbency ( with hind leg extended)
-lateral recumbency

Question 26

list the 3 possible restraint positions for medial saphenous venipuncture

Answer 26

-sternal recumbency (with hind leg extended)
-lateral recumbency
-partial towel wrap