Bleeding Time Test: Duke's Method

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Questions and Answers

What is the primary purpose of a bleeding time test?

To assess platelet function and the body's ability to form a clot.

List three factors that bleeding time is dependent on.

Capillary function, number of blood platelets present, and the ability to form a platelet plug.

What is the normal range for bleeding time in minutes?

1-3 minutes

According to the Dukes method, how often should the pricking point be touched to the filter paper after the initial touch?

<p>Every 30 seconds.</p>
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Explain how aspirin intake prior to the procedure may affect bleeding time results.

<p>Prolonged bleeding time.</p>
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What is the potential impact of residual alcohol on the puncture site when performing a bleeding time test?

<p>Prolonged bleeding time.</p>
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List the steps that are followed once the finger is pricked.

<p>Immediately touch pricking point to 0 sec on filter paper and start timing on stop watch.</p>
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Name three materials required to conduct a bleeding time test using the Dukes method.

<p>Sterile disposable blood lancet, stopwatch, and circular filter paper.</p>
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Describe one procedural error that could cause inaccurate bleeding time result.

<p>Improperly performed puncture (too shallow, too deep, or inappropriate location).</p>
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What is the step taken when the blood stops?

<p>Checks the seconds mark on the filter paper.</p>
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What does bleeding time measure?

<p>Platelet function and the body's ability to form a clot.</p>
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In the Dukes method, why is it important not to squeeze the finger while blotting the blood?

<p>Squeezing the finger can artificially alter the blood flow and affect the bleeding time.</p>
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Explain why the puncture location matters when performing bleeding time test.

<p>The depth and location can affect capillary blood flow, influencing bleeding time.</p>
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If a patient's bleeding time is significantly longer than the normal range, what might this indicate?

<p>Possible platelet dysfunction or a clotting disorder.</p>
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During the bleeding time procedure, what is the significance of using a sterile lancet?

<p>To prevent infection.</p>
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If the filter paper runs out of space before the bleeding stops, what adjustment should be made in the procedure?

<p>Use a larger filter paper or multiple filter papers, ensuring each is marked with the corresponding time.</p>
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Why is it important to start the stopwatch immediately when performing the bleeding time procedure?

<p>To accurately measure the duration of bleeding from the puncture site.</p>
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What information should be written on the filter paper before beginning the bleeding time procedure?

<p>Number of seconds.</p>
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Why should alcohol completely dry before making the puncture?

<p>Residual alcohol can prolong bleeding time.</p>
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Name the method to determine bleeding time.

<p>Dukes method.</p>
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Flashcards

Bleeding Time

A lab test to assess platelet function and the body's ability to form a clot.

Bleeding time depends on:

Effective capillary function, adequate blood platelet count, and the ability to form a platelet plug.

Dukes method: Materials

Sterile lancet, timer, circular filter paper, spirit and cotton swabs, gloves.

Aspirin and Bleeding Time

Prolonged bleeding time can be caused by aspirin intake 7-10 days prior.

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Puncture errors

Prolonged bleeding time can be cause by improper puncture.

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Alcohol and Bleeding Time

Prolonged bleeding time can be caused by residual alcohol before puncture.

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Normal Bleeding Time

1-3 minutes

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Study Notes

  • Bleeding time is a lab test to assess platelet function and the body's ability to form a clot.
  • Bleeding time depends on capillary function, number of blood platelets present, and 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 Procedure

  • Take filter paper, fold, and record number of seconds.
  • Set stopwatch to zero and prick finger.
  • Immediately touch the pricking point to the filter paper at 0 seconds and start the stopwatch.
  • After initial touch, touch the pricking part to the filter paper every 30 seconds, avoid squeezing finger.
  • Check the seconds mark on the filter paper when the blood stops.
  • Normal bleeding time value is 1-3 minutes.

Sources of Error

  • Prolonged bleeding time can occur with aspirin intake 7 to 10 days prior to the procedure.
  • Improperly performed puncture (too shallow, too deep, or inappropriate location) leads to error.
  • Alcohol must be completely dried before puncture.
  • Residual alcohol leads to prolonged bleeding time (BT).

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