Veins
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What are the three main veins in the antecubital fossa?
• Median Cubital • Basilic • Cephalic
Which vein is best for obese patients?
Cephalic
Which vein is the first choice to draw from and why?
• Median cubital vein • B/c large and doesn’t tend to move
Which vein is the second choice to draw from and why?
• Cephalic Vein • Often the only vein to palpate in obese patients although is likely to move and difficult to locate
Which vein is the third choice to draw from and why?
• Basilic Vein • Most likely to move of all and near brachial artery • If in too deep, artery may be punctured
What are the three unsuitable veins?
Sclerosed, Thrombotic, and Tortuous
What’re Sclerosed Veins?
• Hard or cordlike • Caused by disease, inflammation, chemotherapy or repeated venipuncture
What’re Thrombotic Veins?
• Veins with blood clot
What’re Tortuous Veins?
• Winding or crooked veins • Susceptible to infection • Blood flow impaired