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13 Cards in this Set

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what are 3 COMMON COMPLICATIONS OF VENIPUNCTURE
1 INFILTRATION (fluid in extravascular space)

2 LOCAL INFECTION (bacteria in site)

3 PHLEBITIS (vein inflammation)
what are some potential complications of venipuncture
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)
what are the preferred site selections in the adult for venipuncture
CEPHALIC, BASILIC, MEDIAN CUBITAL
SITE TO AVOID IN VENIPUNCTURE
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
what might INTERFERE WITH SUCCESSFUL VENIPUNCTURE
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
GOLDEN RULE, 5 RIGHTS OF DRUG ADMIN
1 RIGHT DRUG
2 RIGHT AMOUNT
3 RIGHT PATIENT
4 RIGHT TIME
5 RIGHT ROUTE
BIOLOGICAL HAZARD OF VENIPUNCTURE
BLOODBORNE PATHOGEN EXPOSURE
PHYSICAL HAZARD OF VENIPUNCTURE
1 NEEDLESTICK
2 ABRASION
3 CONTUSION
4 CHEM EXPOSURE
5 LATEX ALLERGY
vein anatomy TUNICA INTIMA
inner layer, endothelial lining, potential for injury if stuck
vein anatomy TUNICA MEDIA
middle layer, nerves, vaso contstrictors
vein anatomy TUNICA ADVENTIA
outer layer, connective tissue, holds vessel together
why you need venous access
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.
types of intravenous devices
1 PERIPHERAL CATHETERS (SHORT IV)
2 PERIPHERAL INSERTED CATHETERS (midline, PICs, PICC's)

3 SUBCUTANEOUSLY IMPLANTED VENOUS (implanted chest and peripheral ports)