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Phlebotomy
Phlebotomy Chapter 10
Question | Answer |
---|---|
How long should heel warmers be applied to an infant's heels? | 3-5 minutes |
What is the maximum acceptable width for a dermal puncture? | 2.4mm |
What over-the-counter medication is known to increase bleeding time? | Aspirin |
What is an appropriate dermal site for adults? | Ring finger. perpendicular to the ridges |
What is the usual site for performing a standard bleeding time test? | Forearm, just below the antecubital crease |
What is the standard incision size for a bleeding time test? | 1.0mm deep by 5.0mm long |
At what intervals should blood be wicked with filter paper when performing a bleeding time test? | 30 seconds |
What is the preferred collection site for laboratory testing of a patient at high risk for venous thrombosis? | Dermal puncture |
What test cannot be collected using a dermal puncture? | Blood cultures |
What is an appropriate site for dermal puncture on an infant’s foot? | Medial and lateral borders of plantar surface |
Puncture of a bone during dermal puncture can result in what potentially serious and sometimes fatal bone infection? | Osteomyelitis |
What screening test measures the overall integrity of primary hemostasis? | Bleeding time |
Betadine may elevate results of what test if used to clean the skin for a dermal puncture? | Bilirubin, Uric acid, Phosphorus, Potassium |
What is interpreted as a normal bleeding time? | 6 minutes |
When performing a bleeding time test, what pressure should the blood pressure cuff be inflated? | 40mm Hg |
What is the preferred method of blood collection in newborns and infants? | Dermal Puncture |
What is the maximum acceptable depth for a heel puncture? | 2 mm |
what is the maximum acceptable depth for a dermal puncture on an adult? | 3 mm |
What antiseptic may affect the results of tests for bilirubin, uric, potassium, and phosphorus from a dermal puncture and therefore should not be used on a dermal puncture? | Povidone-iodine |
What blood should be wiped away in dermal puncture? | The first drop |
What bone is close to the surface and at risk of being damaged during a heel puncture? | Calcaneus |
What is the recommended depth for a heel puncture on a premature infant? | 0.65-0.85 mm |
What is the steps during collection of blood by dermal puncture? | Wipe away the first drop of blood with a dry, clean gauze pad |
When should you record the time to a bleeding time test? | When blood is no longer absorbed by the filter paper. |
In what case would a capillary puncture be contraindicated? | Severely dehydrated patients |