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76 Cards in this Set

  • Front
  • Back

- Process of obtaining blood in the vein. - Can be performed in 3 Different Methods:


Venipuncture

3 different methods of Venipuncture

•Syringe Method


•Butterfly Infusion Method


•Vacutainer/Evacuated Tube System Method

Equipments in General

•Cotton


•Torniquet


•Needle


•70% Ethyl Alchohol


•Diaposable Container


What happens if the ethyl alchohol is less than 70%

Not as effective

What happens if the alchohol is greater than 70%

Easily evaporates

Equipments for syringe method

•Syringe


•Needles


•Tansfer Device


•Tubes

Equipments for ETS Method

•Tube Holder (Tube Adapter)


•Multiple Sample Needles


•Evacuated Tubes

Equipments fo Butterfly System

•Wing Infusion set


•Rubber Tubing


•Plastic Wings


Plastic Wings


The rupture or destruction of red blood Cells

Hemolysis

Bruise or solid swelling of clotted blood within the tissues

Hematoma

False increase of blood elements

Hemoconcentration

It is used in blood culture in microbiology

Povidone Iodine

Used in microcollections or skin puncture

Lancets

- Constrict flow of blood - Makes the vein more prominent


Torniquet

Torniquet is place ---- above the puncture site

3-4 inches

Torniquet shoul be apply not longer than

1 minute

Blood Pressure Cuffs are used in

•Obese


•Pediatric


•Geriartric


Oldest method of collecting blood

Syringe Method

- Before, used only for pus extractor or miniature flame thrower

Syringe Method

• Materials: Needles, syringe, transfer device

Syringe Method

- Single sample needle

Syringe

These gauges are commonly used

20-21g

Used for blood Collection

21-22g

Used for children

23

Used in butterfly infusion needle

21-23g and 25g

Yellow needle

20g

Green needle

21g

Black Needle

22g

Blue Needle

23g

Orange Needle

25g

Brown Needle

26g

Needle lengths

1 or 1.5 Inches

Length of butterfly needle

.5-.75 inches

Gauge use in blood donation

18g

Similar size of a zesto straw

18g

PDD Skin test

27g

For IM (Intramascular) Injection; w/ Fragile vein (Geriatric, pediatric, and Cancer Patients)


25g

Syring butterfly method

23g

22-21-20 g Syringe/Butterfly/ Evacuated Method

20-22g

IVS/Blood Collection

16-18g

Syringe can be

Glass or Plastic

“To avoid syringe resistance; can result to hemoconcentration

Breathing the syringe

The larger the syringe

The freater amount of Vacuum obtained

 is NOT ADVISABLE for blood collection/syringe method; used only for Butterfly method.

10-15 cc

- Syringe barrel that slides over needle - device that slides over the needle after use


Safety Cap

- used for infants, children, patient with fragile vein

Butterfly Method

- winged infusion set - short needle with a thin tube with attached plastic wings


Butterfly Method System

- Could be connected to Syringe or Evacuated Tubes - 21/23 gauge:


Butterfly method

o safety device sleeves that slides over the needles

Butterfly method

Length of the rubber tubing of a butterfly method

3-12 inches

Double pointed needles

Multisample needles

Evacuated Tube System Materials

•Multi Sample Needles


•Tube Holders


•Evacuated Tubes

Gauge of Multi Sample Needles

20-22g

- double pointed needles - both ends are sharp - The tube end has a rubber cover to prevent leakage between tubes


Multi sample Needle Set

Angle of draw in a syringe or ets

15-30°

Angle for butterfly method

Angle for arterial puncture

90°

- helps plane and remove tubes - has an indentation about ¼ inch - Grasp the same way of holding the barrel of syringe


Tube Holder (Needle Adapter)

-Soda lime Borosilicate glass/ Plastic-Tube are color coded-have different additives/ anti-coagulant-vacuum inside-Has expiration date-must be sterileoif not, can result to introduction of infection/ contamination-Different diameter (10; 13& 16 COMMON)


Evacuated Collevtion Tubes

Different diameters of tubes

10, 13, 16

- preserve specific blood constituent - used to improve sample quality or accelerate sample processing - aid in the separation of serum from cell


Tube Additives

-interrupt the process of coagulation-Example: EDTA, Citrate, Heparin, Oxalate


Anti Coagulants

Example of anticoagulants

•EDTA


•Citrate


•Heparin


•Oxalate

- inhibits the metabolism of glucose by cells in a specimen of blood


Anti-glycolitic

Coagulation Process

•Primary Hemostasis


•Secondary Hemostasis

: (Vaso constriction-Adhesion-Activation-Secretion of granules-Aggregation)

Primary Hemostasis

- actual clot formation - mode of extrusive/ intrusive & all common pathway - Calcium required for the activation of coagulation factors.


Secondary Hemostasis

- against coagulation of blood - # of inversions: 1-8x o EDTA/Heparin: 8x o Citrate: 3-4x


Anti-Coagulants

Dextrose

Acid Citrate

Bloodbank

Citrate Phosphate

Blood Culture

Sodium Polyethanol Sulfate

It ia a process where in EDTA is combined with Calcium

Chelation

EDTA means

EthyleneDiamine Tetraacetic Acid

Light Blue

Citrate

- Action: combines calcium in non ionized form

Citrate

Violet

Edta