Bleeding Time: Duke's Method

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Questions and Answers

What is the purpose of a bleeding time test?

  • To assess platelet function and the body's ability to form a clot (correct)
  • To determine the patient's blood type
  • To measure the level of glucose in the blood
  • To measure the number of red blood cells

Bleeding time is independent of capillary function.

False (B)

Name one material required for the Dukes method of bleeding time measurement.

Sterile, disposable blood lancet

According to the procedure, after the first touch, the pricking part should touch the filter paper every __ seconds.

<p>30</p> Signup and view all the answers

What is the normal bleeding time value in minutes?

<p>1-3 minutes (A)</p> Signup and view all the answers

Squeezing the finger during the bleeding time procedure is recommended for accurate results.

<p>False (B)</p> Signup and view all the answers

Which of the following can prolong bleeding time?

<p>Intake of aspirin (B)</p> Signup and view all the answers

What type of water or fluid is needed during the bleeding time test?

<p>none</p> Signup and view all the answers

Not completely drying the ________ before making the puncture can lead to errors in bleeding time.

<p>alcohol</p> Signup and view all the answers

The number of blood platelets present do not affect bleeding time.

<p>False (B)</p> Signup and view all the answers

What is the first step in the bleeding time procedure?

<p>Take and fold a filter paper (D)</p> Signup and view all the answers

Name another material required for the Dukes method of bleeding time measurement, aside from a lancet.

<p>Stopwatch</p> Signup and view all the answers

Bleeding time assesses platelet ________ and the body's ability to form a clot.

<p>function</p> Signup and view all the answers

The stopwatch should be set to 1 before pricking the finger.

<p>False (B)</p> Signup and view all the answers

When should you start timing on the stopwatch during the bleeding time procedure?

<p>Immediately after pricking the finger (C)</p> Signup and view all the answers

What is the term for a small blood vessel that contributes to bleeding time?

<p>capillary</p> Signup and view all the answers

It is acceptable to use any type of paper for the filter paper component of the bleeding time test.

<p>False (B)</p> Signup and view all the answers

What type of puncture would be considered improper?

<p>All of the above (D)</p> Signup and view all the answers

Match the following materials with their purpose in the bleeding time test:

<p>Sterile Lancet = To puncture the finger and initiate bleeding Stopwatch = To accurately measure the time until bleeding stops Filter Paper = To absorb blood drops at regular intervals Cotton Swabs = To clean the puncture site</p> Signup and view all the answers

The inability to form a _________ affects bleeding time.

<p>platelet plug</p> Signup and view all the answers

Flashcards

Bleeding Time

A lab test assessing platelet function and the body's clotting ability.

Capillary Function

The function of blood vessels that aids the clotting process.

Blood Platelet Count

Number of platelets present in the blood.

Platelet Plug Formation

A key part of how bleeding stops involving platelets.

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Dukes Method Materials

Sterile lancet, stopwatch, filter paper, spirit & cotton swabs, gloves.

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Dukes Method

A common approach to measuring bleeding time involving pricking the finger at set time intervals.

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Dukes Method Procedure

Fold filter paper, set stopwatch, prick finger, touch filter paper every 30 seconds.

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Bleeding Time Measurement

The amount of time (in seconds) that dots of blood stop appearing on the filter paper.

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Normal Bleeding Time

Typically 1-3 minutes.

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Sources of Error in Bleeding Time

Aspirin intake 7-10 days prior, improper puncture, residual alcohol.

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Aspirin

Medication that inhibits platelet aggregation.

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Dry puncture site

Ensuring the skin is properly cleaned to avoid interference of test results.

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Study Notes

  • Bleeding time is a lab test that assesses platelet function and the body's ability to form clots.
  • Bleeding time relies on capillary function.
  • Bleeding time relies on the number of blood platelets present.
  • Bleeding time relies on the ability to form a platelet plug.

Dukes Method: Materials

  • Sterile, disposable blood lancet
  • Stopwatch/timer
  • Circular filter paper
  • Spirit and cotton swabs
  • Gloves

Dukes Method: Prodedure

  • Take 1 filter paper, fold it, and write the number of seconds.
  • Set the stopwatch to zero and prick the finger.
  • Immediately touch the pricking point to 0 seconds on the filter paper and start the stopwatch.
  • After the first touch, touch the pricking part to the filter paper every 30 seconds without squeezing the finger.
  • Check the seconds mark on the filter paper when the blood stops.
  • Normal bleeding time is 1-3 minutes.

Sources of Error

  • Aspirin intake 7 to 10 days before the procedure can cause prolonged bleeding time.
  • An improperly performed puncture (too shallow, too deep, or in an inappropriate location) can affect results.
  • Residual alcohol before making the puncture can prolong bleeding time.
  • Ensure that alcohol is completely dried before making the puncture, as residual alcohol can prolong bleeding time.

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