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1151.e6  Phlebotomy





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            A                               B

           PHLEBOTOMY  The jugular vein is the preferred site for collection of blood in dogs or cats, especially if   PHLEBOTOMY  The medial saphenous vein is
           multiple different tube types or volumes larger than 6 mL are required. With the patient’s nose pointed up, the   an alternative to the jugular vein for collection of
           thumb is laid across the thoracic inlet to cause the vein to engorge (A). After each Vacutainer tube is full, the   small-volume diagnostic blood samples from cats.
           holder is stabilized while the tube is removed (B). As many additional tubes can be placed on the same needle
           as are required without worry of sample clotting or hemolysis.
                                                                                 Alternatives and Their Relative
                                                                                 Merits
                                                                                 •  A central line placed under sedation facilitates
                                                                                   serial blood draws without multiple sticks
                                                                                   for hospitalized patients. It is more expensive
                                                                                   and can be technically challenging.
                                                                                 •  Small amounts of blood can be collected at
                                                                                   the time of insertion of peripheral catheters.
                                                                                 •  A lancet or needle can be used to collect a
                                                                                   drop of blood from ears, paw pads, or elbows
                                                                                   for use with a glucometer.
                                                                                 Pearls
                                                                                 •  With experience and a cooperative patient,
                                                                                   it is possible for one person to collect blood
                                                                                   alone.
                                                                                 •  Canned cheese can make a good distraction
                                                                                   during venipuncture. The assistant can allow
                                                                                   the pet to sniff or lick a small amount of
                                                                                   cheese during the blood draw.
                                                                                 •  With  cats,  less  is  more  when  it  comes  to
                                                                                   restraint. They often cooperate more with
                                                                                   minimal restraint.
                                                                                 AUTHOR: Savannah Smith, RVT
           PHLEBOTOMY  The lateral saphenous vein is an alternative to the jugular vein for collection of diagnostic   EDITORS: Leah A. Cohn, DVM, PhD, DACVIM; Mark S.
           blood samples from dogs.                                              Thompson, DVM, DABVP



















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