Phlebotomy Chapter 12

The Phlebotomy Textbook Chapter 12 Notes and Key Terms

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Why does hemolysis occur more frequently during dermal punctures?
*Excessive squeezing of the puncture site ("milking")
*Newborns have increased numbers of RBCs and RBC fragility
*Residual alcohol at the site
*Vigorous mixing of micro-collection tubes
Capillary blood is a mix of and most closely resembles .
Capillary blood is a mixture of venous blood and arterial blood and most closely resembles arterial blood.
Warming the site before a dermal puncture increases what?
Blood flow by as much as seven-fold.
The concentration of glucose is in blood obtained from dermal puncture.
Higher, glucose is more concentrated in blood obtained from dermal puncture.
Concentrations of potassium, total protein, and calcium are in blood collected from dermal puncture.
Lower.
If a dermal puncture is performed, this factor should be .
Documented on the requisition form.
Define ecchymoses
Bruising
The CLSI (Clinical and Laboratory Standards Institute) recommends that the incision depth should
in a device for heelsticks.
Not exceed 2.0 mm.
Where is the vascular area of the skin?
At the juncture between the dermis and subcutaneous tissue.
Capillary tubes are also commonly referred to as .
Microhematocrit tubes
Microhematocrit tubes that are heparinized are and plain tubes are .
1) Red, 2) Blue
Microcollection tubes collect about and are color coded .
1) 600 microliters, 2) in the same way as evacuated tubes
A primary danger in dermal puncture is , which can can .
1) Accidental contact with the bone, 2) infection (osteomyelitis) or inflammation (osteochondritis).
The primary dermal puncture sites are where?
The heel and distal segments of the third and fourth fingers.
The heel is used for dermal punctures on because it contains more tissue than fingers, but is not calloused.
Infants younger than 1 year old.