Venipuncture, ABG, IV

Question 1

Venipuncture Can be used as a therapeutic modality for which disease

Answer 1

Polycythemia

Question 2

Is blood draw CI in the same side as a mastectomy?

Answer 2

yes

Question 3

MC vein used to blood draw

Answer 3

median cubital vein

Question 4

Where do you Apply a tourniquet

Answer 4

5-10 cm above the chosen site

Question 5

Insert the needle, with the bevel facing up, at an angle of

Answer 5

15-30°

Question 6

Light blue tube top

Answer 6

3.2% Sodium citrate, PREVENTS CLOTTING, “Coagulation” - DDIMER

Question 7

Red/ gold Tube top

Answer 7

CLOT ACTIVATOR

Question 8

Drk green tube top

Answer 8

Sodium/ Lithium, Prevents clotting by inhibiting thrombin

Question 9

Lavander/pink tube top

Answer 9

Potassium EDTA, prevents clotting

Question 10

When do you preform Blood Cultures

Answer 10

infection of the blood(bacteremia or septicemia) is suspected

Question 11

Why do you do ABGs

Answer 11

critically ill patients, to determine gas exchange levels in the blood related to respiratory, metabolic, and renal function - acid/ base balance. radial artery after Allens sign

Question 12

What is ABGs Only reliable determination of ventilation - O2 or CO2

Answer 12

Co2

Question 13

Only way of accurately determining the alveolar-arterial oxygen gradient

Answer 13

(A-a Gradient) ABGs

Question 14

Errors in ABG analysis can occur with:

Answer 14

Excess air bubbles or incomplete removal of air bubbles – falsely elevated pO2
Excess heparin in the syringe – false low values of pCO2
Delays in placing the sample on ice

Question 15

Intradermal Injection

Answer 15

TB PPD

Question 16

Subqutaneous Injection

Answer 16

For drugs requiring 
slow absorption and 
long duration of action 
Insulin
Hormones
Vaccines
Heparin/Low Molecular Weight Heparin

Question 17

IM injections

Answer 17

Drugs not easily absorbed orally 
Intermediate rate of onset and duration of action preferred 
When parenteral delivery necessary 

Antibiotics
Narcotics/ Pain meds
Hormones
Vaccines

Question 18

Purpose of Venous Catherization (IV)

Answer 18

Fluid replacement
Delivery of medications
Blood sampling (see venipuncture)

Question 19

Interassoues (IO) lines

Answer 19

Process of injecting directly into the marrow of a bone to provide a non-collapsible entry point
Used to provide fluids and medication when IV access is not available or not feasible
IO Superior Method

Question 20

Placement of IO

Answer 20

2cm distal to tibial tuberosity - STERILE PROCEDURE