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H and M pattern
H shaped Antecubital veins- 70% of the population have this pattern
Median Cubital vein-near the center of the antecubital fossa, preferred vein for venipuncture in H-
pattern, easiest and least painful to puncture, larger, closer to the surface, better anchored, more
stationary.
Inserting needle- must be parallel
Cephalic Vein- Thumb site
Located in the lateral aspect of the antecubital fossa
Second choice for venipuncture
Fairly well anchored
Often the vein palpated in obese patients
Basilic vein-pinky side
Large vein located in the medial aspect of antecubital area
Last choice for venipuncture in either venous pattern, may hit medial cutaneous nerve and brachial
artery
Easy to palpate
M-shaped antecubital veins
MEDIAN VEINS or Intermediate antebrachial vein, first choice
Median cephalic vein/ Intermediate cephalic vein
Median basilic vein
THE BLOOD