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CH10
Dermal Puncture
| Question | Answer |
|---|---|
| Dermal puncture, non appropriate patients | severely dehydrated, swollen, compromised lymphatic drainage (masectomy) |
| Dermal puncture, appropriate patients | IV therapy, obese, geriatric, pediatric, one blood test ordered |
| Heel warmer temperature | <42 degrees C |
| Heel warmer time | Apply for 3-5 minutes |
| Osteochondritis | inflammation of bone or cartilage |
| Osteomyelitis | bone infection, sometimes fatal |
| Puncture depth | <3.0 mm |
| Heel puncture depth | <2.0 mm |
| Heel puncture premature baby | < 0.65 - 0.85 mm |
| Puncture width | <2.4 mm |
| Puncture position | perpendicular to the ridges of the fingerprint |
| Heel puncture age | <1 year old babies |
| iodine interferes with the following tests | BURPP >> Bilirubin / URic acid /Phosphorus /Potassium |
| Order of Collection | 1. Blood Smears 2. Hematology 3. Other Tests |
| Salicylates (aspirin) inhibit platelet function for ___days after the last dose. | 7-10 days |
| Ibuprofen inhibits platelet function for __days | 24 hours |
| Bleeding time test, inflated cuff pressure | 40 mm Hg |
| Wick blood away every | 30 seconds |
| Normal BT | 2-10 minutes |