introductio Flashcards
where are the puncture site for infants <1 year during skin puncture
plantar surface
medial side of the heel
lateral side of the heel
for older child and adults the site for skin puncture ____
palmar surface of the non-dominant hand
(3rd or 4th finger distal portion)
recommended depth of skin puncture for infants?
<2.0mm
recommended depth of skin puncture for adults and older children.
2.0-2.5 mm
what are the possible effects of squeezing, milking the site?
cause hemolysis and introduce to excess interstitial fluid
why do we need to discard the 1st drop of blood?
to discard excess tissue fluid
to discard dead epidermal cells
to facilitate free flow of f blood
order of draw for skin puncture
tube for blood gas analysis
slides
EDTA microcollection tube
other microcollection tube with anticoagulant
serum micro collection tube
what is the 1st tube collected from skin puncture?
blood gas
what is the 1st micrrocollection tube to be collected in skin puncture?
EDTA
MOST COMMON SITE FOR VENPUNCTURE
SUPERFICIAL VENIS ON THE ANTECUBITAL FOSSA
CLEANSE THE SITE USING __ SCRUB WITH MOVEMENT _____
FRICTION
BACK AND FORTH
VEINS TO BE USED IN ORDER OF PREFERENCES
H PATTERN
MEIDAN CUBITAL VEIN
CEPHALIC VEIN
BASILIC VEIN
VEINS TO BE USED IN ORDER OF PREFERENCE FORR M PATTER
MEDIAN VEIN
ACCESSORY CEPHALIC VEIN
BASILIC VEIN
ANGLE BETWEEN SKIN AND NEEDLE
<30 DEGREE
OR 7.5-10 CM
WHAT IS THE LENGTH OF TIME FOR TOURNIQUET APPLICATION
LESS THAN 1 MINUTE
DISTANCE OF TOURNIQUET
3-4 INCHES
EFFECTS OF PROLONGEED TOURNIQUET APPLICATION
HEMOLYSIS
HEMOCONCENTRATION
SHORTENED COOAGULATION TIME
SOME SITE TO AVOID DURING VENIPUNCTURE
VEINS IN THE INNER WRIST
VEINS OF THE FEET
FISTULA
ARTERIES
Inflammous SITE
EDEMATOUS SITE
SOME CAUSE OF SPX HEMOLYSIS
PROLONGED TOURNIQUET APPLICATION
MOISTURE/CONTAMINATION IN THE BLOOD COLLETION TUBE
USING NEEDLE WITH TOO SMALL. BORE
EXCESSIVE AGITATIOM
FROTHING OF THE BLOOD SAMPLE
MOST COMMON. SKIN ANTISEPTIC
70% ISOPROPYL ALCOHOL
MOST COMMON NEEDLE SIZE FOR ADULTS
AND LENGTH
21 G
LENGTH OF 1 INCH
MOST COMMON CAUSE OF A NEEDLE PUNCTURE FROM OTHER SHARP OBJECT IS ____
IMPROPER DISPOSAL
MOST COMMONLY USED BLOD COLLECTION TUBE IN THE HEMA SECTION
EDTA (LAVENDER/PURPLE TOP)
ANTICOAGULANT USED FOR HEMA DETERMINATION
K2 EDTA
CBC IS ALSO CALLED
HEMOGRAM
POSSIBLE CAUSES OF CLOTTED BLOOD SPECIMEN
DIFFICULT PHLEBOTOMY
BLOD SAMPLE WAS NOT INVETED IN THE CORRECT NUMBER OF TIMES
EEXPIRED BLOOD TUBE
OVERFILLED TUBE
OPTIMAL ANTICOAGULANT CONCENTRATION IS FOR EDTA
1.5 MG PER ML OF BLOOD
BLOOD SPECIMENS FOR CBC MUST BE ANALYZED WITHIN (IF STORED IN ROOM TEMP)
6 HRS OF COLLECTION
BLOOD SPECIMENS FORR CBC MUST BE ANALYZED WITHIN __ (STORED AT 4C)
24 HOURS
PREFFERED ANTICOAGULANT FOR PLATELET COUNT
EDTA
BLOOD. SMEAR SHOULD BE MADE WITHIN
3 HOURS OF COLLECTION
WHAT IS THE CAUSE OF INSUFFICIENT EDTA
OVER FILLED TUBE