Anatomy
The basilic and cephalic veins are deep/superficial veins
Superficial
A clot in the superficial veins is called
superficial thrombus / superficial thrombophlebitis
what will a catheter line look like on ultrasound?
Bright white straight parallel lines
Larger superficial veins
Upper Extremity
This vein is the most common site of venipuncture and therefore is the most common for thrombus
median cubital vein
The radial normally has how many vein(s)?
Two
A PICC line is usually inserted into which veins?
basilic or cephalic
List two characteristics of an acute thrombus
Hypoechoic echoes; spongy; not well attached
#1 cause of DVT is venous stasis
lower extremity
name two veins that are usually paired
Brachial, ulnar, radial
The external jugular vein is found by lightening up on the transducer pressure and sliding __________ from the position used to view the IJV.
posterior
Name one of three symptoms of a pulmonary embolus
CP; tachy; tachypnea
list any indication for an upper extremity venous
unilateral hand swelling; superficial palpable cord; erythema; pain and tenderness; indwelling catheters
The anatomy is pretty consistent and follows a reliable course
Lower extremity
name a normal waveform in the Subclavian vein
spontaneous, pulsatile, augmentation with sniff
This vein is a continuation of the axillary vein
Subclavian
If a patient presents with facial swelling or dilated chest wall vein collaterals they probably have
SVC thrombus
pacemaker wires are usually introduced through which upper extremity vein
Subclavian vein
Has more superficial thrombus
upper extremity
name any type of treatment if the patient is positive for DVT in the upper extremity
anticoagulation; catheter removal; thrombolytic therapy; conservative treatment
The beginning of the brachiocephalic veins is at the confluence of the ______________ and __________
Internal jugular and subclavian veins
Compression of the subclavian vein at the thoracic outlet that leads to subclavian vein thrombus is called
paget-Schroetter syndrome
external jugular vein
Superficial thrombus is sometimes not treated because it has a low clinical significance
Lower
If a patient is positive for superficial thrombus do you notify a physician?
YES!!!