Patient Complications

Question 1

ALLERGY TO EQUIPMENT AND SUPPLIES

Answer 1

Adhesive Allergy
Antiseptic Allergy
Latex Allergy

Question 2

place folded gauze square over the site; remove it after 15 minutes

Answer 2

Adhesive Allergy

Question 3

instruct patient to hold pressure for 5 minutes in lieu of applying a
bandage

Answer 3

Adhesive Allergy

Question 4

Alternate antiseptics should be readily available

Answer 4

Antiseptic Allergy

Question 5

wear non latex gloves

Answer 5

Latex Allergy

Question 6

use a nonlatex tourniquet

Answer 6

Latex Allergy

Question 7

use nonlatex bandages

Answer 7

Latex Allergy

Question 8

Adhesive Allergy
● place folded gauze square over the site; remove it after _________

Answer 8

15 minutes

Question 8

Adhesive Allergy
● instruct patient to hold pressure for ________ in lieu of applying a
______

Answer 8

5 minutes

bandage

Question 9

EXCESSIVE BLEEDING
● patients on ____ or anticoagulant therapy

Answer 9

aspirin or anticoagulant therapy

Question 9

maintain pressure over the site until the bleeding stops

Answer 9

EXCESSIVE BLEEDING

Question 10

if the bleeding continues after ______ notify appropriate
personnel

Answer 10

5 minutes,

Question 11

never apply a pressure bandage instead of ______

Answer 11

maintaining pressure

Question 12

do not leave or dismiss a patient until bleeding has stopped

Answer 12

EXCESSIVE BLEEDING

Question 13

if the bleeding continues after 5 minutes, notify appropriate
personnel

Answer 13

EXCESSIVE BLEEDING

Question 14

patients on aspirin or anticoagulant therapy

Answer 14

EXCESSIVE BLEEDING

Question 15

maintain pressure over the site until the bleeding stops

Answer 15

EXCESSIVE BLEEDING

Question 16

if the bleeding continues after 5 minutes, notify appropriate
personnel

Answer 16

EXCESSIVE BLEEDING

Question 16

Temporary loss of consciousness due to insufficiency of
blood flow to brain

Answer 16

FAINTING / SYNCOPE

Question 17

FAINTING / SYNCOPE :
○ Temporary loss of consciousness due to insufficiency of
____

Answer 17

blood flow to brain

Question 18

Sudden faintness or loss of consciousness due to a nervous system
response to abrupt pain, stress, or trauma

Answer 18

Vasovagal syncope

Question 19

2nd most common complication

Answer 19

Vasovagal syncope

Question 19

relating to vagus nerve action on blood vessels

Answer 19

Vasovagal syncope

Question 20

Vasovagal syncope
Sudden faintness or loss of consciousness due to _________

Answer 20

a nervous system
response to abrupt pain, stress, or trauma

Question 21

Syncope :Contributing factors (9)

Answer 21

○ Patient is ill ○ Hypoglycemia ○ Anemia ○ Dehydration ○ Emotional problems ○ Fatigue ○ Hyperventilation ○ Needle phobia ○ Poor compromised breathing

Question 22

(a sensation of spinning)

Answer 22

vertigo

Question 23

pallor

Answer 23

(paleness)

Question 24

Signs of Syncope

Answer 24

● pallor (paleness) ● beads of sweat on the forehead ● hyperventilation ● indication from the patient that he or she is experiencing vertigo (a sensation of spinning), dizziness light-headedness, or nausea

Question 25

Steps to Follow if a Patient Starts to Faint During Venipuncture

Answer 25

1. Release the tourniquet, remove & discard needle. 2. Apply pressure to the site while having the patient lower the head and breathe deeply. 3. Talk to the patient. 4. Physically support the patient. 5. Ask permission to loosen tight collar or tie or belt. 6. Apply cold compress or wet washcloth to the forehead and back of the neck. 7. Have someone stay with the patient until full recovery. 8. Call first aid personnel if the patient does not respond. 9. Document the incident.

Question 25

1st step if Patient Starts to Faint During Venipuncture

Answer 25

Release the tourniquet, remove & discard needle.

Question 26

last step if Patient Starts to Faint During Venipuncture

Answer 26

Document the incident.

Question 27

NAUSEA and VOMITING ● patient is nauseous or show signs similar to fainting?

Answer 27

○ blood draw should not be attempted until the feeling subsides ○ blood draw that is in progress should be discontinued

Question 27

NAUSEA and VOMITING ● What to do?

Answer 27

○ Ask the patient to breathe slowly and deeply ○ Apply a cold, damp washcloth or other cold compress to the patient’s forehead

Question 28

PAIN

Answer 28

● Remove needle immediately ● Signs of nerve involvement: ○ Marked or extreme pain, numbness of the arm, a burning or electric-shock sensation, or pain that radiates up or down the arm ● Pain persists after needle removal? ○ Apply of an ice pack to the site ● Document the incident if the condition persists

Question 29

Signs of nerve involvement

Answer 29

Marked or extreme pain, numbness of the arm, burning or electric-shock sensation, pain that radiates up or down the arm

Question 30

Document the incident if the condition persists

Answer 30

PAIN

Question 31

Pain persists after needle removal?

Answer 31

○ Apply of an ice pack to the site

Question 32

PETECHIAE

Answer 32

○ tiny, non-raised red (or purple) spots that appear on the patient’s skin when a tourniquet is applied. ○ minute drops of blood that escape the capillaries ○ result of capillary wall defects or platelet abnormalities

Question 32

PETECHIAE ○ ________ that appear on the patient’s skin when a tourniquet is applied.

Answer 32

tiny, non-raised red (or purple) spots

Question 33

result of capillary wall defects or ______

Answer 33

platelet abnormalities

Question 33

result of capillary wall defects or platelet abnormalities

Answer 33

PETECHIAE

Question 33

SEIZURES and CONVULSIONS

Answer 33

● Discontinue the draw immediately ● Hold pressure over the site ● Do not attempt to put anything into the patient’s mouth ● Notify the appropriate fi rst-aid personnel

Question 33

Patient Complications

Answer 33

Allergy to equipment and supplies Excessive Bleeding Fainting/Syncope Nausea and Vomiting Pain Petechiae Seizures and Convulsions