Severe Tricuspid Regurgitation demonstrated in the Cephalic Vein. Patient with severe pulmonary hypertension and severe tricuspid regurgitation. Jugular vein pulsation was buried under the jaw even sitting upright. So this is another way of measuring pulsation height from axila, after asking the the patient to raise hand above head. | YMed

Stephanee Beggs, MSN, RN on Instagram: "Uncommon ≠ wrong!!! 🗣️💉👍🏼 Every ER nurse can agree with me on this one…thumb IV’s ARE a legit backup when access is trash everywhere else! Of course, the thumb is not an ideal spot, BUT sometimes it IS the only form of access we can get for the time being! ➖VEIN: A branch of the cephalic vein runs over the top of the knuckle! We call this a “Hail Mary” IV site…one of three or four sites in the hands where you can always see them or they tend to be in a