Ch 18 - Upper Extremity Venous

List the 6 DEEP veins of the upper arm

IJV, Brachiocephalic, SVC, Subclavian, Axillary, Brachial

What is another name for the Brachiocephalic Veins

innominate veins

The _____ collects blood from the brain + superficial parts of the face/neck (think what’s next to the CCA)

IJV

The BRACHIOCEPHALIC veins are formed by the junction of the ____ + _____ veins

IJV + subclavian

The ____ is formed by the junction of 2 brachiocephalic veins

SVC

SVC stands for the ____ ____ ____

superior vena cava

The SVC delivers blood to the ___ ___ (think where IVC goes)

right atrium

Label the following image of the upper arm

The _____ vein is the cont. of the axillary vein + begins outside the ___ rib border

subclavian, 1st

The _____ vein begins at the junction of the brachial + basilic veins

axillary

What is one way to tell if you are looking at the Axillary v Brachial vein?

The Axillary vein is only ___ art/ ___vein while the Brachial is ___ art / ___ veins

1, 1, 1, 2

The Brachial veins are usually ____ (single/paired) and ____ the course of the artery

paired, follow

The ____ + ____ are deep paired veins that follow the art (think lower arm)

radial + ulnar

The radial + ulnar veins join at the ____ fossa to make the ___ veins

antecubital, brachial

The ____ (superficial/deep) veins are where they put PICC lines and where its most common to see ____/____

superficial, thrombosis/SVT

Name the 2 superficial veins of the arm

Cephalic, Basilic

The ____ (cephalic/basilic) vein is on the LATERAL/radial side of the arm + empties into the _____ vein

cephalic, axillary

The ____ (cephalic/basilic) vein is on the MEDIAL/ulnar side of the arm + joins the ____ vein to make the axillary vein

basilic, brachial

The cephalic + basilic veins communicate with the ___ ___ vein

median cubital

You should NOT compress the ____ vein as there is a bone there that can hurt if compressed

subclavian

T/F: Upper extremities are more likely to have variants than the Lower extremities

True

The ___ veins are more likely to have duplicated veins

Brachial

List 4 indications for a UEV

• arm/hand _____

• ____ palpable cord

• ____/ ______ (think about hurting)

• _____ swelling/ ____ chest wall

swelling, superficial, pain/tenderness, facial, dilated

Facial swelling/Dilated Chest wall suggest ____ ____

SVC thrombosis

A PICC line is an example of a ____ ____

central catheter

Asympo pt are examined before a ____ ___ or _____ placement

central catheter, pacemaker

A Central catheter goes all the way to the ____ ____

right atrium

List 3 PE symptoms

chest pain, tachycardia, tachypnea

For an exam the pt arms should be ___ (abducted/adducted) and the bed should be ____ (tilted/flat)

abducted, flat

The ___ is an important collateral pathway + the CCA is used as a landmark to ID it

IJV

The IJV will be ____ if patient is sitting/standing

collapsed

The IJV is _____ bc it’s close to the heart

pulsatile

The _____ vein is seen at the confluence of the IJV and _____ veins + ___ (can/can’t) be compressed

Brachiocephalic, subclavian, can’t

To get the Subclavian vein to to collapse w/o compression you should as the patient to ____

sniff

The subclavian art is ___ + ___ to the vein

The subclavian VEIN is ___ + ___ the artery

superior + posterior; below + infront

The subclavian vein has a ____ waveform

phasic

The cephalic vein is associated with the “____ ___” sign and travels in the ____ ____ line

Cleopatra’s eye, superficial fascia

The _____ vein terminates at the junction of the cephalic + subclavian veins

axillary

The Axillary V courses deep from the ___ → ___ and the ___ (cephalic/basilic) vein terminates into the axillary vein near the ___ (prox/distal) axilla

shoulder → axilla, basilic, distal

The axillary vein is more _____ (waveform) bc it’s further from heart

phasic

The Brachial veins are formed by the combo of ___ radial + ___ ulnar veins near the ____ fossa

2, 2, antecubital

The ______ veins starts when the basilic veins enter to become the axillary veins

Brachial

The ___ vein terminates into the axillary vein in the upper arm + is a superficial vein

Basilic