Venepuncture
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Venepuncture
In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called ''phlebotomy'') or intravenous therapy. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. In veterinary medicine, the procedure is performed by veterinarians and veterinary technicians. It is essential to follow a standard procedure for the collection of blood specimens to get accurate laboratory results. Any error in collecting the blood or filling the test tubes may lead to erroneous laboratory results. Venipuncture is one of the most routinely performed invasive procedures and is carried out for any of five reasons: # to obtain blood for diagnostic purposes; # to monitor levels of blood components; # to administer therapeutic treatments including medications, nutrition, or chemotherapy; # to remove ...
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Venipuncture Using A BD Vacutainer
In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called ''phlebotomy'') or intravenous therapy. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. In veterinary medicine, the procedure is performed by veterinarians and veterinary technicians. It is essential to follow a standard procedure for the collection of blood specimens to get accurate laboratory results. Any error in collecting the blood or filling the test tubes may lead to erroneous laboratory results. Venipuncture is one of the most routinely performed invasive procedures and is carried out for any of five reasons: # to obtain blood for diagnostic purposes; # to monitor levels of blood components; # to administer therapeutic treatments including medications, nutrition, or chemotherapy; # to remove ...
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Blood Analysis
A blood test is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a hypodermic needle, or via fingerprick. Multiple tests for specific blood components, such as a glucose test or a cholesterol test, are often grouped together into one test panel called a blood panel or blood work. Blood tests are often used in health care to determine physiological and biochemical states, such as disease, mineral content, pharmaceutical drug effectiveness, and organ function. Typical clinical blood panels include a basic metabolic panel or a complete blood count. Blood tests are also used in drug tests to detect drug abuse. Extraction A venipuncture is useful as it is a minimally invasive way to obtain cells and extracellular fluid (plasma) from the body for analysis. Blood flows throughout the body, acting as a medium that provides oxygen and nutrients to tissues and carries waste products back to the excretory systems for disposal. Conseq ...
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Autologous Blood Transfusion
Autotransplantation is the transplantation of organs, tissues, or even particular proteins from one part of the body to another in the same person ('' auto-'' meaning "self" in Greek). The autologous tissue (also called autogenous, autogeneic, or autogenic tissue) transplanted by such a procedure is called an autograft or autotransplant. It is contrasted with allotransplantation (from other individual of the same species), syngeneic transplantation (grafts transplanted between two genetically identical individuals of the same species) and xenotransplantation (from other species). A common example is the removal of a piece of bone (usually from the hip) and its being ground into a paste for the reconstruction of another portion of bone. Autotransplantation, although most common with blood, bone, or skin, can be used for a wide variety of organs. One of the rare examples is autotransplantation of a kidney from one side of the body to the other. Kidney autotransplantation is ...
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Blood Collection
In medicine, sampling is gathering of matter from the body to aid in the process of a medical diagnosis and/or evaluation of an indication for treatment, further medical tests or other procedures. In this sense, the sample is the gathered matter, and the sampling tool or sampler is the person or material to collect the sample. Sampling is a prerequisite for many medical tests, but generally not for medical history, physical examination and radiologic tests. By sampling technique *Obtaining excretions or materials that leave the body anyway, such as urine, stool, sputum, or vomitus, by direct collection as they exit. A sample of saliva can also be collected from the mouth. Excision (cutting out), a surgical method for the removal of solid or soft tissue samples. *Puncture (also called ''centesis'') followed by aspiration is the main method used for sampling of many types of tissues and body fluids. Examples are thoracocentesis to sample pleural fluid, and amniocentesis t ...
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Polycythemia
Polycythemia (also known as polycythaemia) is a laboratory finding in which the hematocrit (the volume percentage of red blood cells in the blood) and/or hemoglobin concentration are increased in the blood. Polycythemia is sometimes called erythrocytosis, and there is significant overlap in the two findings, but the terms are not the same: polycythemia describes any increase in hematocrit and/or hemoglobin, while erythrocytosis describes an increase specifically in the number of red blood cells in the blood. Polycythemia has many causes. It can describe an increase in the number of red blood cells ("absolute polycythemia") or to a decrease in the volume of plasma ("relative polycythemia"). Absolute polycythemia can be due to genetic mutations in the bone marrow ("primary polycythemia"), physiologic adaptations to one's environment, medications, and/or other health conditions. Laboratory studies such as serum Erythropoietin, erythropoeitin levels and genetic testing might be helpfu ...
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Hemochromatosis
Iron overload or hemochromatosis (also spelled ''haemochromatosis'' in British English) indicates increased total accumulation of iron in the body from any cause and resulting organ damage. The most important causes are hereditary haemochromatosis (HH or HHC), a genetic disorder, and transfusional iron overload, which can result from repeated blood transfusions. Signs and symptoms Organs most commonly affected by hemochromatosis include the liver, heart, and endocrine glands. Hemochromatosis may present with the following clinical syndromes: * liver: chronic liver disease and cirrhosis of the liver. * heart: heart failure, cardiac arrhythmia. * hormones: diabetes (see below) and hypogonadism (insufficiency of the sex hormone producing glands) which leads to low sex drive and/or loss of fertility in men and loss of menstrual cycle in women. * metabolism: diabetes in people with iron overload occurs as a result of selective iron deposition in islet beta cells in the pancreas lead ...
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Winged Infusion Needle
Butterfly needle A winged infusion set—also known as "butterfly" or "scalp vein" set—is a device specialized for venipuncture: i.e. for accessing a superficial vein or artery for either intravenous injection or phlebotomy. It consists, from front to rear, of a hypodermic needle, two bilateral flexible "wings", flexible small-bore transparent tubing (often 20–35 cm long), and lastly a connector (often female Luer). This connector attaches to another device: e.g. syringe, vacuum tube holder/hub, or extension tubing from an infusion pump or gravity-fed infusion/ transfusion bag/bottle. Newer models include a slide and lock safety device slid over the needle after use, which helps prevent accidental needlestick injury and reuse of used needles, which can transmit infectious disease such as HIV and viral hepatitis. Use During venipuncture, the butterfly is held by its wings between thumb and index finger. This grasp very close to the needle facilitates precise placeme ...
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Heelprick
In medicine, some blood tests are conducted on capillary blood obtained by fingerstick (or fingerprick) (or, for neonates, by an analogous heelprick). The site, free of surface arterial flow, where the blood is to be collected is sterilized with a topical germicide, and the skin pierced with a sterile lancet. After a droplet has formed, capillary blood is captured in a capillary tube (usually relying on surface tension). Blood cells drawn from fingersticks have a tendency to undergo hemolysis, especially if the finger is "milked" to obtain more blood. __TOC__ Uses Tests commonly conducted on the capillary blood collected are: * Glucose levels – Diabetics often have a portable blood meter to check on their blood sugar. * Mononucleosis – Fingerstick testing can be used to test for mononucleosis. * Hemoglobin levels – Fingerstick testing of hemoglobin is a quick screening procedure to ensure a blood or plasma donor has an acceptably high blood count for donating blood or blo ...
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Fingerstick
In medicine, some blood tests are conducted on capillary blood obtained by fingerstick (or fingerprick) (or, for neonates, by an analogous heelprick). The site, free of surface arterial flow, where the blood is to be collected is sterilized with a topical germicide, and the skin pierced with a sterile lancet. After a droplet has formed, capillary blood is captured in a capillary tube (usually relying on surface tension). Blood cells drawn from fingersticks have a tendency to undergo hemolysis, especially if the finger is "milked" to obtain more blood. __TOC__ Uses Tests commonly conducted on the capillary blood collected are: * Glucose levels – Diabetics often have a portable blood meter to check on their blood sugar. * Mononucleosis – Fingerstick testing can be used to test for mononucleosis. * Hemoglobin levels – Fingerstick testing of hemoglobin is a quick screening procedure to ensure a blood or plasma donor has an acceptably high blood count for donating blood o ...
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Median Antebrachial Vein
The median antebrachial vein is a superficial vein of the (anterior) forearm. It arises from - and drains - the superficial palmar venous arch, ascending superficially along the anterior forearm before terminating by draining into either the basilic vein and/or median cubital vein In human anatomy, the median cubital vein (or median basilic vein) is a superficial vein of the upper limb. It lies in the cubital fossa superficial to the bicipital aponeurosis. It connects the cephalic vein and the basilic vein. It becomes promi ... (it may bifurcate distal to the elbow and proceed to drain into both aforementioned veins). References Veins of the upper limb {{circulatory-stub ...
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Basilic Vein
The basilic vein is a large superficial vein of the upper limb that helps drain parts of the hand and forearm. It originates on the medial (ulnar) side of the dorsal venous network of the hand and travels up the base of the forearm, where its course is generally visible through the skin as it travels in the subcutaneous fat and fascia lying superficial to the muscles. The basilic vein terminates by uniting with the brachial veins to form the axillary vein. Anatomy Course As it ascends the medial side of the biceps in the arm proper (between the elbow and shoulder), the basilic vein normally perforates the brachial fascia (deep fascia) superior to the medial epicondyle, or even as high as mid-arm. Tributaries and anastomoses Near the region anterior to the cubital fossa (in the bend of the elbow joint), the basilic vein usually communicates with the cephalic vein (the other large superficial vein of the upper extremity) via the median cubital vein. The layout of superfic ...
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Cephalic Vein
In human anatomy, the cephalic vein is a superficial vein in the arm. It originates from the radial end of the dorsal venous network of hand, and ascends along the radial (lateral) side of the arm before emptying into the axillary vein. At the elbow, it communicates with the basilic vein via the median cubital vein. Anatomy The cephalic vein is situated within the superficial fascia along the anterolateral surface of the biceps. Origin The cephalic vein forms over the anatomical snuffbox at the radial end of the dorsal venous network of hand. Course and relations From its origin, it ascends ascends up the lateral aspect of the radius. Near the shoulder, the cephalic vein passes between the deltoid and pectoralis major muscles (deltopectoral groove) and through the clavipectoral triangle, where it empties into the axillary vein. Anastomoses It communicates with the basilic vein via the median cubital vein at the elbow. Clinical significance The cephalic vein ...
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