What complications may arise as a result of venipunture?
1. Hematoma
- Blood accumulates in the tissues surrounding the venipuncture site, causing swelling, pain, and discoloration.
- Risk factors include:
- Poor venipuncture technique
- Fragile veins
- Needle too large for the vein
- Patient on anticoagulants
2. Infection
- Entry of microorganisms into the bloodstream at the venipuncture site, leading to symptoms such as fever, chills, and localized pain.
- Risk Factors include:
- Not following proper aseptic technique
- Immunosuppressed patients
- Contaminated equipment
3. Nerve Damage
- Injury to a nerve near the venipuncture site can result in numbness, tingling, or even paralysis.
- Risk factors include:
- Inexperienced phlebotomist
- Anatomical variations
- Multiple attempts at venipuncture
4. Vasovagal Syncope
- Also known as fainting, occurs when the vagus nerve is stimulated during venipuncture, leading to a sudden drop in blood pressure and loss of consciousness.
- Risk factors include:
- Anxiety
- Dehydration
- Certain medical conditions
5. Thrombophlebitis
- Inflammation of a vein due to the formation of a blood clot, characterized by pain, redness, and tenderness along the affected vein.
- Risk factors include:
- Prolonged IV therapy
- Immobility
- Underlying clotting disorders
6. Arterial Puncture
- Accidental puncture of an artery instead of a vein, which can lead to uncontrolled bleeding and potential damage to surrounding structures.
- Risk factors include:
- Difficulty in visualizing the veins
- Anatomic variations
- Inexperience
7. Extravasation
- Leakage of fluid from the vein into the surrounding tissues during venipuncture, causing swelling, pain, and potential tissue damage.
- Risk factors include:
- Poor vein selection
- Movement of the patient during venipuncture
- Needle too large for the vein