Answer by Gavin Harrington. Confidence votes 4.0K. A bitch is a female canine. The same word is often used in reference to something unpleasant or difficult to do. E.g- We had to deliver twenty large crates to the top floor, and the lift was out-that job was a bitch.
The internal jugular vein should be imaged and placed in the center of the ultrasound field. The needle should be angled at 40 to 60 degrees from the plane of the neck and 1 cm back from the middle of the ultrasound probe (Image 5).
Click image to play. To initiate IV access, place the patientâs extremity in a dependent position and apply a tourniquet around the arm to distend the veins. Place the tourniquet above the antecubital fossa or approximately 4 to 6 inches (10 to 15 centimeters) above the anticipated site. Click image to play.