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[Nurse Tips] Ten new methods of venipuncture!(3)

November 15 , 2022

05#Remedial method after piercing

For venipuncture, after the blood vessel is punctured, use finger pressure to puncture the site to stop bleeding as a remedy, that is, after the blood vessel is punctured, the needle is slowly withdrawn, and when the blood returns stop, immediately finger press the punctured site, and at the same time loosen the tourniquet. Secure the needle handle with 1 strip of adhesive tape. First press with your fingers for about 1 second, then open the infusion regulator, press lightly with your fingers to see if the liquid can pass through slowly, and stop pressing after observing that there is no extravasation for about 1 minute, fix the needle with adhesive tape, and adjust the number of drops.

This method is especially suitable for infants, the elderly and patients who are not easy to find blood vessels. A further supplement is made to this method, that is, after the blood vessel is punctured, the needle should not be stopped after the needle is withdrawn and the blood returns. When doing venipuncture, the infusion needle should leave 1/4 of the length of the needle stick outside the skin, so as to achieve rescue after puncturing the blood vessel.
06# Selection of needle entry angle

In order to achieve the purpose of easy needle insertion and improve the success rate of puncture, the general patient can choose to insert the needle at an angle of 45° or close to 45°; For dorsal venipuncture, the needle should be inserted at an angle of 10-15°; for elderly patients with thick, hard, and easy-to-roll blood vessel walls, the needle should be inserted at an angle of more than 40°; Insert the needle at an angle of 10° to 45° for the intervening vein, and insert the needle at an angle of 20° to 30° for the cubital vein, great saphenous vein, and small saphenous vein.
Increasing the angle between the needle and the skin can reduce the pain caused by the needle or achieve painless injection, which is related to the pressure on the skin during injection, the distribution of blood vessels and nerves in the skin, and the structural characteristics of the skin.


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