venipunture final
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show | lt blue, red, gold/red gray, green, lavender/pink, gray
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show | sodium citrate, invert 3-4x, stand time 0, centrifuge 15 min, plasma
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red | show 🗑
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gold/red gray | show 🗑
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green | show 🗑
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lavender/pink | show 🗑
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gray | show 🗑
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show | the liquid portion with clotting factors removed
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show | red/gold- chemistry
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what is plasma | show 🗑
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show | (green ,gray), (lav,pink), (blue)- chemistry, hematology, coagulation
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show | 4ml
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what is a separator tube? | show 🗑
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show | synthetic gel
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show | avoid contamination of additives
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which would be drawn first; cbc or coagulation study | show 🗑
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show | 72 hrs
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what size needle is used on a child under 2yrs of age | show 🗑
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local anesthetic cream may be applied on a child before drawing blood. when should it be applied before the procedure | show 🗑
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show | gray first
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cbc, rbc, platelet count, HgB, Hct | show 🗑
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cholesterol, sodium chloride, potassium, electrolytes | show 🗑
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PT/NR | show 🗑
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why do we chart what we have done or not done | show 🗑
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show | date, time, what was done, site, what was done w/ the specimen
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what info is recorded on the tube | show 🗑
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in which types of situations would you choose to perform a syringe blood draw? | show 🗑
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how do you know you are "pulling" the blood at the correct speed? | show 🗑
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show | hemolysis
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are these tubes sterile | show 🗑
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where are blood cultures in the order of draw | show 🗑
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show | aseptic
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show | reduce risk of transmitting infection
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when are hands washed | show 🗑
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show | during actual VP - ok to palpate and prepare without gloves on
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show | verify name and dob
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show | ask permission to draw their blood, explain the procedure, ask if patient has a history of problems with blood draw
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show | on your non-dominate side
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the median vein is most commonly used and is located | show 🗑
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the basilic vein is located is avoided due to its proximity to the | show 🗑
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the best vein to draw blood from are those that you can | show 🗑
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show | blood cultures
alcohol allergy
blood alcohol test
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what can happen if you perform the procedure before the alcohol is dry | show 🗑
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show | 3-4 inches above the elbow
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show | the last tube is 1/2 to 3/4 full
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can the tourniquet be placed over clothing | show 🗑
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show | hemoconcentration, altered test results, petechiae, pain, nerve damage, hemolysis
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show | 5 to 10 sec
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show | distend the vein with blood
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show | self sheathing retractacle needle
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what do you do if the needle comes out | show 🗑
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show | blood come out so fast it froths or bubbles
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what causes frothing | show 🗑
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why is frothing avoided | show 🗑
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show | excessive probing, failure to insert the needle far enough into the vein, needle goes through the vein
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show | concentration of blood cells is increased in proportion to the plasma
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show | don't leave tourniquet on longer than 1 min
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show | breakdown of rbc release of hemogloblin from cell
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how do you know when a specimen is hemolyzed ? | show 🗑
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what are petechiae | show 🗑
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how do you avoid this complication | show 🗑
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show | loosen tourniquet and keep drawing
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show | choose another site because these areas are prone to infections
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what must you consider when drawing blood from an obese pt | show 🗑
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what does it mean when your pt becomes nauseous during the procedure | show 🗑
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what must you consider with a pt with a history of fainting or become light-headed during venipuncture | show 🗑
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show | ampule filled with ammonium carbonate
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how are smelling salts applied | show 🗑
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show | bleeding is more likely and requires extended pressure
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show | suction in tube is too great
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your pt complains of a stinging sensation with the venipuncture procedure most likely cause | show 🗑
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what is necessary prior to drawing blood specimens from the lower extremity | show 🗑
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list 3 ways you can cause nerve damage during the venipuncture procedure | show 🗑
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what percent of physicians base their treatment decisions on blood test | show 🗑
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show | DO IT RIGHT !!
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Created by:
t4achange
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