MedlinePlus Medical Encyclopedia: Venipuncture

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Venipuncture

Contents of this page:
Illustrations Alternative names Definition How the test is performed How to prepare for the test How the test will feel	Why the test is performed Normal Values What abnormal results mean What the risks are Special considerations

Illustrations

Blood test

Alternative names Return to top

Blood-drawing; Phlebotomy

Definition Return to top

Venipuncture is the collection of blood specimen from a vein, usually for laboratory testing.

How the test is performed Return to top

Blood is drawn from a vein (venipuncture), usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a tourniquet (an elastic band) or blood pressure cuff is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the tourniquet to distend (fill with blood). A sterile needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the tourniquet is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

How to prepare for the test Return to top

Preparation may vary depending on the specific test, and many tests do not require any special preparation. The health care provider may limit certain medications shortly before the test or require an overnight fast to assure an accurate sample.

Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experiences, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:

infant test or procedure preparation (birth to 1 year)
toddler test or procedure preparation (1 to 3 years)
preschooler test or procedure preparation (3 to 6 years)
schoolage test or procedure preparation (6 to 12 years)
adolescent test or procedure preparation (12 to 18 years)

How the test will feel Return to top

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed Return to top

Blood is used by the body for transportation of oxygen, food, waste products, and other materials within the body. It is also used for regulation of body temperature, regulation of fluids, and acid-base equilibrium. Because blood is used for multiple functions within the body, tests on the blood or its components may give valuable clues in the diagnosis of a multitude of medical conditions.

Blood is made up of a fluid portion (plasma) and a cellular portion. Plasma contains various substances dissolved in the fluid. Serum is what remains when fibrinogen has been removed from the plasma (this is the fluid that remains after blood is allowed to clot in a test tube). The cellular portion consists primarily of red blood cells, but also includes white blood cells and platelets.

Normal Values Return to top

Normal results vary with the specific test.

What abnormal results mean Return to top

Abnormal results vary with the specific test.

What the risks are Return to top

Risks associated with venipuncture are slight:

excessive bleeding
fainting or feeling light-headed
hematoma (blood accumulating under the skin)
infection (a slight risk any time the skin is broken)
multiple punctures to locate veins

Special considerations Return to top

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Update Date: 8/18/2003

Updated by: Daniel Levy, M.D., Ph.D., Infectious Diseases, Greater Baltimore Medical Center, Baltimore, MD. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.