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Venipuncture 6/11

Finals

QuestionAnswer
What size needle usually used in vacutainer holder system 21 G 1-1 1/2" needle
What does vacutainer system mean Air has been sucked out of tube so blood can be sucked in while drawing
What is serum liquid portion the blood without the clotting factor
What type of property does the gel in the serum separator have Thixotropic
What does thixotropic mean Liquify when aggitated or heated
Antecubital space The area of the forearm most frequently used in venipuncture
Anticoagulant A substance that inhibits blood clotting
Artery Blood vessel that carries blood away from the heart
Asepsis Absence of any harmful microorganisms
Buffy Coat A thin, light-colored layer of white blood cells and platelets that lies between a top layer of red blood cells when an anticoagulant has been added to a blood specimen
Contamination Introduction of disease producing organisms into or on normally sterile agents
Fibrinogen A protien found in plasma which aids in clotting
Hematoma A swelling or mass of coagulated blood caused by a break in a blood vessel
Hemolysis The breakdown of blood cells
70% Isopropyl alcohol Antiseptic solution capable of preventing growth of microorganism
Median Basilic Large vein of the antecubital space most commonly used for drawing blood
Plasma The liquid part of blood
Serum The liquid part of blood from which the clotting factor fibrinogen has been removed
Sterile Free of all living organisims, harmful and non-harmful
Syringe Apparatus made of plastic which is fitted to a metal needle, and consists of a barrel and a fitted plunger
Tourniquet A constrictor used ti distend the veins for venipuncture
Vacutainer Method Method of venipuncture using a two way needle. One end is used for the venipuncture, the other is attached to the rubber stopper of a vacuum tube in which the blood is collected.
Vein Blood vessel that carries blood toward the heart
Venipuncture Puncturing of a vein to remoove blood or insert fluids
Why is hand-hygiene important during venipuncture To prevent contamination
How do you make sure that you have the correct patient Ask name and DOB
How do you palpate vein Horizontally
What do veins feel like Rubbery or spongy
How can you make a vein more prominent Tourniquet, pump fist, tap, warm compressions, hold arm down below heart
What vein is most commonly used median cubidian area
Where is the median cubidal vein located antecubital area
The____vein is avoided due its proximity to the______artery and______nerve Basilic-brachial-median
The besst veins to draw from are the ones that you can________ feel
70% isopropyl_____is applied in a_____motion from_____ to______ and must remanin on the skin_____; it is used to _______ reproduction of __________ Alcohol- circular- inner- outer- until dry- inhibit- bacteria
Isopropyl alcohol is not used for Alcohol allergy, Blood alcohol level, Blood culture
What position should the needle tip and bevel be in when you puncture the vein bevel up tip down
What angle is typically used for inserting the needle into the skin 15 degrees
What is the correct tourniquet placement 1-2 inches above site
Why is the physiologic reason for pulling the skin taut Anchors the vein
What do we call a tube that is not filled to exhaustion short draw
Why is order of draw important to prevent contamination
The most important aspect to watch during a procedure the needle
How do you invert a tube of blood gently
How long should you observe the VP site before applying gauze and tape 5-10 seconds
What information is charted in patient chart Date, time, what was drawn, sent to lab, MA name
What do you do if needle comes out pull taut and go back in
What do you do if you accidentlly puncture an artery Remove tourniquet, remove tube, remove needle, apply pressure
How would you know if you punctured an artery Bright red, pulpating
What pathogens can be contracted from a needle stick injury HIV, Hepatitis B, Hepatitis C
What is hemotoma accumalation of blood under the skin
How do you avoid hemotoma Do not leave tourniquet on longer than 1-2 minutes
What is hemolysis ruptured cells
What is petechiae small pinpoint hemorrhage
Created by: bossy777