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Exotic Animal Formulary5

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45° angle caudal to heart; pericardial fluid contamination can occur

Lizards

Ventral caudal

vein

Ventral

abdominal

vein

Jugular vein

Ventral aspect of vertebral body under center of middle scale; avoid

hemipenes and anal sacs; this vein can also be approached laterally

by inserting needle under lateral process of vertebral body aiming

toward midline; ventral approach may in rare cases lead to tail

necrosis/paresis

Vein is located on caudal to middle midline within inner surface of

abdominal wall; insert 25-g needle (bent at 45° angle) cranially, at

acute angle to skin and in midline of abdomen, just caudal to

umbilicus; avoid urinary bladder in species that have one

Veins are lateral and deep; insert needle caudal to tympanum; best tried

in larger animals

Chelonians

Jugular vein

Lymphatic contamination can be a concern with most locations of

phlebotomy in chelonians, however, jugular considered less likely

Right vein often larger than left; runs level with tympanum to base of

neck with head extended; may require sedation

Subcarapacial

vein and

plexus

Dorsal caudal

vein

Brachial

vein/plexus

Interdigital

vessels of rear

flippers

The sinus accessed with patient’s head either extended or retracted;

depending on conformation of carapace, needle may be bent up to 60°

and positioned in midline just caudal to skin insertion of dorsal

aspect of neck and ventral aspect of cranial rim of carapace; needle is

advanced in caudodorsal direction, with slight negative pressure; can

cause significant internal hemorrhage or paresis in some cases

Close to carapace, dorsal to dorsal aspect of vertebral body; lymph

dilution common

Near triceps tendon at lateral aspect of radiohumeral joint (elbow),

foreleg grasped/extended, triceps tendon palpated near caudal aspect

of elbow joint, needle inserted ventral to tendon with syringe

perpendicular to forearm

Adult leatherback sea turtles, about 2.5 cm deep, near phalangeal

junctions, best at P1-P2; along side of phalanx, 20°-30° angle to

flipper surface

Crocodilians

Ventral caudal

vein

Supravertebral

vein

Ventral aspect of vertebral body under center of middle scale; avoid

hemipenes and anal sacs; this vein can also be approached laterally

by inserting needle under lateral process of vertebral body aiming

toward midline; ventral approach may in rare cases lead to tail

necrosis/paresis

Position needle in dorsal midline, just caudal to occiput and

perpendicular to skin surface, slowly advance needle with slight

negative pressure; excessive penetration can cause spinal trauma

211

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