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Dermal/capillary
Dermal/Capillary puncture
Question | Answer |
---|---|
capillary or dermal punctures are frequently used for: | infants and children or hard draws |
Capillary punctures can be used on patients who are: | obese, elderly, or severely burned |
blood for tests such as ___________ can not be used with a capillary puncture: | coagulation tests or blood cultures |
Dermal puncture blood is obtained from the: | capillaries |
capillaries join the smallest veins and arteries called: | venues and arterioles |
Capillary or dermal blood is a: | mix of venous and arterial blood and interstitial fluid |
interstitial fluid is the: | fluid between cells and tissues |
Capillary blood is higher in_______. and lower in _____: | glucose and potassium |
The draw back to performing dermal or capillary punctures is: | the small amount of blood able to be collected |
The system for preparing for a capillary or dermal puncture is: | the same as a venipuncture |
The skin should be: | pink, warm, free of scars, cuts, rashes, and bruises |
Site for a capillary puncture is: | middle/third finger, or ring/fourth finger |
The site on the foot used for a dermal puncture is: | the medial lateral region of the plantar surface of the heel on infants |
what two sites need to be approved by a doctor to be used for a dermal or capillary puncture? | Toe or earlobe |
Always puncture ___________ the finger print | across or against the grain of |
Dermal punctures can be done on : | infants under 1 year old not walking |
Never do a dermal puncture on a child who: | is walking |
Performing a dermal on a child who is walking can: | cause pain and infection |
Do not puncture the: | calcaneus/heel bone |
Puncturing the calcaneus can cause: | osteomyelitis, an infection of the bone |
Never puncture deeper than | two mm |
This is caused by a build up of fluid | edema |
If both hands are edematous then you should | do a venipuncture |
Site should not be on same side as a: | mastectomy |
pre-warming the site: | increases blood flow sevenfold producing a more accurate result |
Microspecimen containers vary in size and shape, some: | have straw like tubes used for collection |
safety puncture devices have: | a spring loaded blade that retracts after use |
Puncture device is selected according to: | age and size of the patient |
Premature neonate puncture site and depth | heel, 0.85mm |
full term neonate puncture site and depth | heel, less than 2mm |
children 6 months to 8 years old puncture site and depth | finger, 1.5 |
Child over 8 year old to adult puncture site and depth | finger, 2.4 |
If alcohol is not allowed to dry before incision: | hemolysis will occur |
If incision is made between fingerprint lines the blood: | channels into the ridges and won't form good drops |
Always ___________- the first drop | wipe away |
Do not | milk the site |
Milking the site causes | contamination/ diluted sample |
What is the order of collection | edta, heparin, sodium fluoride, non-additive or serum |
Do not puncture | over old sites |
Be aware of _______ __________ in infants | blood volumes |
Collecting too much blood from an infant can cause | iatrogenic anemia or exsanguination |
Blood collection guidelines are based on | body weight |
If blood loss exceeds 10% of body volume | death can occur |
Do not ever ____________ on kids under the age of 2 | use band aids |