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13 Cards in this Set
- Front
- Back
what are 3 COMMON COMPLICATIONS OF VENIPUNCTURE
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1 INFILTRATION (fluid in extravascular space)
2 LOCAL INFECTION (bacteria in site) 3 PHLEBITIS (vein inflammation) |
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what are some potential complications of venipuncture
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1)SEPTICEMIA (bacteria or fungi in blood)
2)CIRCULATORY OVERLOAD (2 much fluid in system) 3)AIR EMBOLISM (air in circulation 50-100cc) 4)PE (clot in pulmonary artery) 5)CATHETER EMBOLISM (catheter breaks) |
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what are the preferred site selections in the adult for venipuncture
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CEPHALIC, BASILIC, MEDIAN CUBITAL
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SITE TO AVOID IN VENIPUNCTURE
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1 ARTERIES
2 BURNS 3 SCAR TISSUE 4 EDEMATOUS TISSUE 5 AV SHUNT 6 SAME SIDE AS MASTECTOMY 7 ABOVE/BELOW AREA OF REPEATED USE |
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what might INTERFERE WITH SUCCESSFUL VENIPUNCTURE
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1 TOO MANY VEINS IN AREA
2 VEIN COLLAPSE, DUE TO COLD SOLUTION IN INTIMA 3 VEIN SPASM, DUE 2 TEMP, MECH, CHEM CHANGE 4 VEIN VALVES, NO BLOOD RETURN |
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GOLDEN RULE, 5 RIGHTS OF DRUG ADMIN
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1 RIGHT DRUG
2 RIGHT AMOUNT 3 RIGHT PATIENT 4 RIGHT TIME 5 RIGHT ROUTE |
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BIOLOGICAL HAZARD OF VENIPUNCTURE
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BLOODBORNE PATHOGEN EXPOSURE
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PHYSICAL HAZARD OF VENIPUNCTURE
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1 NEEDLESTICK
2 ABRASION 3 CONTUSION 4 CHEM EXPOSURE 5 LATEX ALLERGY |
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vein anatomy TUNICA INTIMA
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inner layer, endothelial lining, potential for injury if stuck
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vein anatomy TUNICA MEDIA
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middle layer, nerves, vaso contstrictors
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vein anatomy TUNICA ADVENTIA
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outer layer, connective tissue, holds vessel together
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why you need venous access
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to give radiopharm to image body and treat disease. we look at physiology and anatomy of of body in establishing treatment and Dx. allowing the intended drug to reach intended organ or placement into intended cavity.
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types of intravenous devices
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1 PERIPHERAL CATHETERS (SHORT IV)
2 PERIPHERAL INSERTED CATHETERS (midline, PICs, PICC's) 3 SUBCUTANEOUSLY IMPLANTED VENOUS (implanted chest and peripheral ports) |