A condition where a venipuncture site is swollen is known as "phlebitis." This inflammation of the vein can occur due to irritation from the needle or the intravenous catheter, leading to swelling, redness, and pain at the site. If the swelling is due to fluid accumulation, it may also be referred to as "infiltration." Proper technique and care can help minimize these complications.
If the venipuncture site is swollen, it could be due to a condition called phlebitis, which is inflammation of the vein. It may also be termed as venous thrombosis if there is a blood clot causing the swelling. Proper evaluation and treatment by a healthcare provider are warranted in these cases.
A phlebotomist should avoid performing venipuncture in a patient with clear edema in the arms because the swollen tissue can obscure veins, making it difficult to locate a suitable site for drawing blood. Additionally, puncturing an edematous area may lead to complications such as infection, hematoma, or inaccurate lab results due to altered blood composition. Furthermore, the underlying cause of the edema may indicate a more serious condition that requires medical attention.
Pressure. Is placed on the venipuncture site until bleeding stops
The EtG urine test.
To treat a red and swollen IV site, first, stop the infusion and disconnect the IV line. Assess the site for signs of infection or infiltration, and apply a cool compress to reduce swelling. If there are signs of infection (such as pus or fever), notify a healthcare provider immediately. Proper documentation and monitoring of the patient's condition are also essential.
Pressure should be applied for about 1-2 minutes after venipuncture to ensure the bleeding stops and to prevent hematoma formation. It is important to apply firm pressure directly over the venipuncture site to aid in the formation of a clot and promote proper healing.
When selecting a site for venipuncture, it is best to start with the veins running through the antecubital area. First, locating the Median Antecubital Vein, Cephalic Vein, and Basilic Vein. If unsuccessful with venipuncture, then approaching the dorsum of the hand, and lastly the dorsum of the foot.
The most common antiseptic used in routine venipuncture is alcohol-based solutions, typically 70% isopropyl alcohol. It is effective in reducing the risk of microbial contamination at the site of venipuncture.
The solution commonly used to clean the site before routine venipuncture is 70% isopropyl alcohol or a chlorhexidine-based antiseptic. These solutions effectively reduce the microbial load on the skin, minimizing the risk of infection during the procedure. It is important to allow the antiseptic to dry completely before proceeding with the venipuncture to ensure optimal efficacy.
There are two reasons for this first is for safety. If the patient pulls the arm back when the needle is inserted the needle may recoil as it comes out of the arm, springing back into your finger. Also there is the possibility of contamination of the site that you just cleaned.
AST is determined by analysis of a blood sample, usually from taken from a venipuncture site at the bend of the elbow
For peripheral venipuncture the common site is usually a vein in the arm (the anticubital fossa located on the opposite side of the elbow)