Key Terms
What Dose CBG stand for?
Capillary Blood Gas
The device to puncture the skin when performing a capillary is called a?
Lancet
What must you do with the first drop of blood from a capillary collection?
Wipe Away (tissue fluid contamination)
What are the most common capillary test done?
Glucose monitoring
Anemia screening
How long do you warm an infant's heel
3-5 minutes
The term that describes bluish color due to the lack of oxygen?
Cyanotic
What is capillary blood collected in?
Micro-tubes
(bullets)
What type of patient should you avoid a capillary collection
Mastectomy sides
What test needs to be collected in an amber tube?
Bilirubin
Do not take no more than what percent of blood volume from an infant in a 24-hour period
5%
3% preferred
What is the Calcaneus
Heel Bone
Do not bandage children under what age?
2 years of age
(choke on bandage)
What do you not want to clean the capillary site with
Iodine/Chlorhexidine Gluconate
What tests do all infants get done in hospital right after birth?
PKU (phenylketonuria)
Hypothyroidism (insufficient levels of thyroid hormones)
Galactosemia (inherited disorder/lack of enzymes)
Heel-warming devices should not exceed what temperature when warming a heel
42*C
Osteochondritis
inflammation of the bone and cartilage, due to infection.
The Infant lancet depth on a heel should be no more than
2.0 mm
Where is the location to perform a capillary collection on an adult or older child
Palmer surface of the distal segment of middle or ring finger
What tests cannot be done through capillary collection?
Blood Cultures
ESR (Sed Rate)
Most Coagulation
The criteria to perform a heel puncture collection on an infant is.
Under one-year of age and NOT walking
Osteomyelitis
Inflammation of the bone marrow and adjacent bone
What is the order of draw with capillary draws
Capillary Blood Gas (CBG)
Glass slides first
Lavender (EDTA)
Plasma
Serum
Where is the location to perform a capillary collection on an infant's heel?
Medial/lateral portion of the plantar surface of the heel
How many times do you invert a capillary EDTA tube
10 times
When making a Blood smear what is the goal of the smear?
To create a feathered edge covering one-half to two-thirds of the slide.