A 45-year-old woman has a severe asthmatic exacerbation and requires an aerial blood gas specimen for management. If you are planning to draw the sample from the brachial aery, where should you inse the needle
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Correct Answer:
Just medial to the biceps tendon in the cubital fossa
Description:
The brachial aery lies superficial and just medial to the tendon of the biceps brachii in the cubital fossa. The contents of the cubital fossa from medial to lateral are: the median nerve, the brachial aery and the tendon of biceps brachii. Note: * The brachial aery lies deep to the bicipital aponeurosis. It usually divides into the radial and ulnar aeries within the cubital fossa (although this can vary between individuals). * The median nerve exits the cubital fossa between the ulnar and humeral heads of pronator teres. * The medial cutaneous nerve of the forearm (a direct branch of the medial cord of the brachial plexus) lies superficial to pronator teres. * The radial nerve enters the anterior compament of the arm between brachialis and brachioradialis. It commonly divides into a deep motor and superficial cutaneous branch in the cubital fossa. * The lateral cutaneous nerve of the forearm emerges between biceps and brachialis. * Superficially, the median cubital vein lies between the basilic and cephalic veins.
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