Arterial Blood Collection Flashcards

1
Q

Not a routine duty for phlebotomists and is not for beginners

A

Arterial Puncture

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2
Q

Arterial blood is primarily requested for evaluation of blood gases (oxygen and carbon dioxide). True or False

A

True

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3
Q

Arterial blood is can be requested for the measurement of lactic acid and ammonia. True or False

A

True

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4
Q

Arterial puncture training includes precautions taken to ensure a safe procedure, sample handling procedures to prevent alteration of test results, correct puncture technique, and supervised puncture performance. True or False

A

True

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5
Q

Measures the ability of the lungs to provide oxygen to the blood and to remove carbon dioxide from the blood and exhale it.

A

ABG Test

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6
Q

ABG Test is best done during the steady-state. True or False

A

True

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7
Q

Arterial blood is collected and transported in specially prepared syringes. Specimens are introduced directly into blood gas analyzers from the collection using a syringe. True or False

A

True

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8
Q

Arterial blood collection kits contain preanticoagulated syringes with hypodermic needles a safety shield and a tightly fitting cap for the Luer tip of the syringe after being removed. True or False

A

True

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9
Q

For arterial puncture, CLSI recommended that syringes should be a glass with freely moving plungers and contain an appropriate anticoagulant. (Heparin is the anticoagulant of choice) True or False

A

False - plastic syringe

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10
Q

Acceptable needles range from 16 to 20 gauge and are 5/8 to 1 1⁄2 inches long. True or False

A

False - 20 to 25

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11
Q

When samples cannot be tested within 5 minutes, glass syringes must be used and should be lubricated and heparinized prior to use.

A

False - within 3 minutes

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12
Q

A container of crushed ice helps in maintaining sample integrity. True or False

A

True

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13
Q

Steady-state refers to refraining from doing exercise for at least 20 – 30 minutes before obtaining the sample. True or False

A

True

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14
Q

To be acceptable as a puncture site, an artery must be small enough to accept at least a 25 gauge needle. True or False

A

False - large enough to accept at least a 25 gauge needle

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15
Q

The artery is much preferred located near the skin surface so that deep puncture is not required. True or False

A

True

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16
Q

What artery has these advantages:

  • Good collateral circulation
  • Easy to palpate
  • Less chance of hematoma formation
A

Radial Artery

17
Q

What artery has these advantages:

  • Large and relatively easy to palpate and puncture
  • Sometimes the preferred artery for a large volume of blood
  • Adequate collateral circulation
A

Brachial Artery

18
Q

The largest artery used, generally used for emergency and performed primarily by Physician

A

Femoral Artery

19
Q

Scalp and Umbilical arteries are can be used for infants. True or False

A

True

20
Q

Dorsalis pedis arteries are can be used as an alternative for adults. True or False

A

True

21
Q

Measures arterial competency, and should be performed before taking an arterial sample.

A

Modified Allen Test Procedure

22
Q

In assessing the results of the modified allen test, the hand should be flushes pink within 15 minutes. True or False

A

False - 15 seconds

23
Q

Administer anesthetic if necessary (numb the area with 1% epinephrine free lidocaine). True or False

A

True

24
Q

It is important to check the ulnar pulse after the puncture. True or False

A

False - radial pulse

25
Q

Sample integrity may be compromised if it fails to analyze the sample in a
timely manner. True or False

A

True

26
Q

A temporary constriction of the artery

CHOICES:
Vasovagal response, Arteriospasm, HemorrhagE, Thrombus formation

A

Arteriospasm

27
Q

sudden loss of consciousness after the puncture

A

Vasovagal response

28
Q

Patients with coagulation disorder are prone to this

A

Hemorrhage

29
Q

Exposure of blood as little as 10 to 30 seconds can significantly alter the results of blood gases. True or False

A

True

30
Q

The arterial puncture site is more likely to bleed than a venipuncture site because of the higher blood pressure in the arteries. True or False

A

True

31
Q

The use of too much/too little heparin is a sampling error. True or False

A

True

32
Q

It doesn’t need to remove the air bubbles. True or False

A

False - it needs to be removed since it will cause a sampling errror