Baby stuff Flashcards
Heel stick (premature/neonates) puncture depth
.065-.085 mm
Heel stick (1 year and younger) puncture depth
2.0 mm
Limit of % of blood volume for removal from infants in 24 hours
5%
Preferred % of blood volume for removal from infants
3%
Limit of % of blood volume for removal from infants per month
10%
Proportion of RBCs in infants vs. adults
60% vs 45%
Proportion of plasma in infants vs. adults
40% vs 55%
EMLA
eutectic mixture of local anesthetics
What is the anesthetic used for pediatric venipuncture?
EMLA- lidocaine + prilocaine
Anesthetic not recommended for what tests?
PKU testing
How long should the heel be warmed for?
3-5 minutes
Neonatal screening
29 tests mandated by the state
Neonatal screening collection
routine heel stick, sample collect on special paper, fill circles completely and let dry for 3 hours, keep at room temp away from direct sunlight
Venipuncture in newborns
used when larger blood volume is needed for newborns or kids 2 and younger
Venipuncture procedure
- use dorsal hand veins
- no tourniquet, grip wrist with fingers
- use 23 gauge needle and syringe