Venipuncture Flashcards

1
Q

is the most integral part in any laboratory procedures

A

specimen collection

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2
Q

it is but proper that the specimen to be collected should be, as much as possible, have the same _____ as when it is inside the body.

A

integrity

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3
Q

Venipuncture using the ______ system is a closed system with sterile evacuated tubes, blood flows directly into the tube and no messy specimen transfer is needed.

A

vacutainer system

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4
Q

veni using vacutainer system will draw blood automatically in accordance with the amount of _____ incorporated because it has vacuum inside its system

A

anticoagulant

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5
Q

in veni using vacutainer, blood comes into ___ contact with the ___

A

direct contact with the additive

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6
Q

preserves the integrity of the specimen and ensure more accurate results (vacutainer system)

A

blood comes into direct contact with the additive

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7
Q

it can be used in collecting multiple specimens for different laboratory tests in one puncture wound only

A

vacutainer system

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8
Q

materials for vacutainer system

A

-vacutainer adaptor
-gloves
- vacutainer needles and tube
- tourniquet
- cotton swab

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9
Q

venipuncture using the syringe is usually used for

A

beginners and for veins which are not very prominent

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10
Q

one would know if the vein of the patient is hit by the needle since a little amount of blood would appear in the hub of the syringe needle

A

syringe

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11
Q

how would u know if the vein is hit when using syringe

A

blood in the hub

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12
Q

one must have a steady grip on the ___

A

barrel

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13
Q

offers a disadvantage when using syringe

A

moving of barrel during the pulling of the plunger

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14
Q

materials for venipuncture using syringe

A
  • syringe
  • gloves
  • tourniquet
  • cotton swab
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14
Q

make sure to note the ___ of the vacutainer tube before using

A

expiry date

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15
Q

make sure that the syringe you are about to use has not been ____

A

previously opened nor broken

16
Q

1st step in vacutainer system technique

A

identify the patient. this is the most important step in the procedure

17
Q

2nd step in vacutainer system technique

A

Assemble the equipment.

18
Q

insert the ____ end of the vacutainer needle into the vacutainer ____

A

shorter end into holder/adaptor

19
Q

the end of the needle is generally covered by ___ to prevent blood from leaking the needle when collecting more than one tube of blood

A

rubber like sleeve

20
Q

insert the first tube into the vacutainer holder until ____

A

the top is even with the line on the holder

21
Q

do not puncture the top of the needle inside because ___

A

puncturing the top causes loss of the vacuum

22
Q

3rd step in vacutainer technique

A

apply tourniquet 3-4 inches above the elbow

23
Q

the patient’s arm should be in a ___ position

A

slightly downward

24
Q

why should the patients arm be positioned slightly downard

A

so that when blood enters the vacutainer tube it will go directly to the bottom of the tube and not remain at the top where it might flow back into the patient’s vein.

25
Q

4th step in vacutainer technique

A

ask the patient to make a fist (massage or tap site with index and 3rd finger for veins to dilate)

26
Q

makes the vein more easily palpable

A

asking the patient to make a fist

27
Q

if veins are still not palpable you may apply a ____ about ___ to the site or allow it to hang in a ____ position so that the veins will fill to capacity with blood

A

warm moist cloth (40 degree C) hang in vertical position

28
Q

5th step in vacutainer technique

A

select a suitable vein to puncture

29
Q

The veins of the arm, which are the
site of the majority of venipunctures,

A

cephalic, median cubital, basilica

30
Q

6th step in vacutainer technique

A

cleanse the site with 70% alcohol after the suitable vein has been chosen

30
Q

generally preferred vein because this is the largest and best anchored.

A

median cubital

30
Q

grasp the patient’s arm ____ the puncture site, pulling the skin tight with your thumb

A

1-2 inches below

31
Q

hold the vacutainer assembly with the ____ hand, between the ___ and ___ fingers

A

opposite hand, between the thumb and last three fingers

32
Q

when holding the vacutainer assembly, rest the index finger against the ___ of the needle to serve as a guide

A

hub

33
Q

make sure that the syringe has been inspected and tested by pulling and pushing
the plunger back and forth ____

A

3 to 5 times.

34
Q

If bleeding has ceased, apply hypoallergenic tape over the pad at site and advise the
patient to leave it on for ___ minutes.

A

15 minutes

35
Q

Make sure that in transferring, the specimen will touch the __ side of the test tube. This is to avoid ___

A

inner side, to avoid hemolysis