PMLS 2

Question 1

AKA Skin Puncture

Answer 1

Capillary Puncture

Question 2

Method of Collecting Blood from the finger tips/heels with the use of the incision device called LANCET?

Answer 2

Capillary Puncture/Skin Puncture

Question 3

Puncture Site for Infants <1y.o

Answer 3

*Lateral Side of the Feet/ Fleshy Part

Question 4

Depth of Incision for Infants <1y.o

Answer 4

<1.5mm

Question 5

What disease can the infant get if the incision was accidentally deeper the <1.5mm

Answer 5

Osteomyelitis

Question 6

A bone infection that can cause complete amputation of the arms and limbs

Answer 6

Osteomyelitis

Question 7

Puncture Site for Older Children >1y.o

Answer 7

*3rd Finger (Middle Finger) or 4th Finger (Ring Finger)

Question 8

Proper Angle of Incision for Older Children >1y.o

Answer 8

Puncture across fingertips in PERPENDICULAR MOTION

Question 9

Depth of Incision for Older Children >1y.o

Answer 9

<2.0mm

Question 10

Blood to form a Dome Shape

Answer 10

Blood Button

Question 11

Why perform Capillary Puncture

Answer 11

1.) Px has Fragile Veins
2.) Px has Scars of Burns
3.) Veins are reserved for other procedures (e.g Chromotography)
4.) Px has clotting Tendencies
5.) Px has fear of needles
6.) Veins will be used for Glucose Monitoring
7.) Preferred for infants and young children

Question 12

Materials used for Capillary Puncture

Answer 12

1.) Lancet/Incision Device
2.) Laser Lancet
3.) Micro collection Tube
4.) Microhematocrit/ Capillary Tubes
5.) Sealant/ Sealant Clay
6.) Microscope Slide
7.) Warming Devices
8.) Capillary Blood Gas Equipment

Question 13

it is QUICK but FIRM

Answer 13

Lancet

Question 14

it is mostly used in Hospitals

Answer 14

Bullet Lancet

Question 15

is an advanced equipment that used vaporized H2O to create a hole in the puncture site.

Answer 15

Laser Lancet

Question 16

Order of Draw in Capillary Puncture

Answer 16

1.) Blood Gas
2.) EDTA
3.) Lithium Heparin
4.) Lithium Heparin w/Gel Separator
5.) Sodium Fluoride or Potassium Oxalate
6.) Serum w/Clot Activator
7.) Serum w/No Additive
8.) Newborn Spot Card

Question 17

Shorcut for the Order of Draw in Capillary Puncture

Answer 17

1.) Tube for Blood Gas
2.) Slides for Smear
3.) EDTA
4.) Other Microcollection Tubes
5.) Serum Microcollection Tubes

Question 18

It is to detect if infants have metabolic disease or illnesses

Answer 18

Newborn Spot Card

Question 19

2 Types of Microhematocrit /Capillary Tubes?

Answer 19

1.) Tubes with Red Line- w/anticoagulant (Heparin)
2.) Tubes with Blue Line- w/out anticoagulant

Question 20

Prescribed amount of blood to be filled in the Microhematocrit/Capillary Tube?

Answer 20

2/3 of the Tube

Question 21

Alternative for Sealant Clay

Answer 21

White Perla Bar Soap

Question 22

Ideal look of Blood Smear

Answer 22

Tongue Shaped with Rainbow Halo

Question 23

Proper Labelling Technique of Smears in Microscope Slide

Answer 23

Use Pencil- if Frosted (Microscope Slide with rough part)
Use Marker- if not Frosted (Microscope Slide with

Question 24

Warming Devices Specifics

Answer 24

*40-42 Degrees Celsius
*no longer than 3-5 minutes

Question 25

Capillary Blood is composed of

Answer 25

1.) Arterial Blood
2.) Venous Blood
3.) Capillary Blood
4.) Interstitial Fluid (fills spaces)
5.) Intracellular Fluids (inside cells)

Question 26

Difference of Capillary Blood to Venous Blood

Answer 26

it tends to have higher values