Blood Collection Procedures and Considerations

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Questions and Answers

Which vein is primarily used for blood collection in horses and large mammals?

  • Cephalic vein
  • Jugular vein (correct)
  • Ear vein
  • Saphenous vein

What is the purpose of rubbing the collection site with alcohol before drawing blood?

  • It allows better visualization of the vein. (correct)
  • It reduces pain during the procedure.
  • It helps to constrict the vein.
  • It disinfects the area.

In which animal is the cephalic vein commonly used for blood collection?

  • Camel
  • Cat (correct)
  • Horse
  • Big dog (correct)

What action is taken to prepare for blood collection from the jugular vein?

<p>Placing the thumb in the jugular furrow to occlude the vein. (B)</p> Signup and view all the answers

Which of the following species can utilize the ear vein for blood collection?

<p>Rabbit (C)</p> Signup and view all the answers

What is the primary reason blood is the most commonly tested clinical sample?

<p>It provides extensive information from its various components. (B)</p> Signup and view all the answers

Which of the following tests is NOT typically performed on blood samples?

<p>Skin allergen tests (B)</p> Signup and view all the answers

Why is clean venipuncture important during blood collection?

<p>To minimize artefactual changes in test results. (B)</p> Signup and view all the answers

Which gauge needle is recommended for taking blood from small dogs and cats?

<p>22-gauge needle (C)</p> Signup and view all the answers

For which type of blood collection is an 18-gauge needle appropriate?

<p>Taking blood for transfusion purposes. (C)</p> Signup and view all the answers

What is the purpose of using a 25- or 27-gauge needle?

<p>For minimizing trauma in small veins or small blood samples. (B)</p> Signup and view all the answers

What aspect of blood collection requires close attention for accurate results?

<p>Methods of sample collection, handling, and storage. (C)</p> Signup and view all the answers

What must be ensured when collecting blood for hemostasis testing?

<p>The blood must flow freely with few interruptions. (B)</p> Signup and view all the answers

What is the primary use of a 6-mL syringe during blood collection?

<p>For larger blood samples (B)</p> Signup and view all the answers

Which type of collection tube promotes blood clotting?

<p>Plain red-topped tube (B)</p> Signup and view all the answers

What is the purpose of a Serum Separator Tube (SST)?

<p>To accelerate blood clotting and separate serum (A)</p> Signup and view all the answers

How does serum differ from plasma?

<p>Serum is without clotting factors present in plasma (D)</p> Signup and view all the answers

What is the role of anticoagulants in blood collection?

<p>To prevent blood from clumping (A)</p> Signup and view all the answers

Why do we centrifuge blood after it has clotted?

<p>To separate serum from the clot (B)</p> Signup and view all the answers

How long does it typically take for blood to clot in a collection tube?

<p>15 minutes or more (B)</p> Signup and view all the answers

What happens to whole blood if stored in a tube with no anticoagulant?

<p>It clumps due to clotting proteins (A)</p> Signup and view all the answers

What is the primary role of EDTA in blood collection tubes?

<p>To bind calcium and prevent clotting (B)</p> Signup and view all the answers

Which collection tube should be used if a veterinarian suspects a dog has clotting issues?

<p>Light blue-topped tube (B)</p> Signup and view all the answers

What is the function of sodium fluoride in blood collection tubes?

<p>To stabilize blood for glucose level analysis (D)</p> Signup and view all the answers

Which statement about citrate in blood collection tubes is correct?

<p>Citrate can reverse its anticoagulant effect with added calcium (B)</p> Signup and view all the answers

What makes lithium heparin the preferred choice for diagnostic testing?

<p>It does not interfere with sodium measurements (A)</p> Signup and view all the answers

Which tube is appropriate for conducting trace mineral studies?

<p>Dark blue-topped tube (D)</p> Signup and view all the answers

How does heparin function as an anticoagulant?

<p>It is a naturally occurring substance used for blood anticoagulation (A)</p> Signup and view all the answers

Why is it important to control the proportion of citrate to blood in testing?

<p>To prevent dilution effects impacting clotting results (D)</p> Signup and view all the answers

What should be done to the ear before attempting blood collection from the marginal vein?

<p>Remove hair by shaving or clipping (A)</p> Signup and view all the answers

What technique should be used during venipuncture of small animals to avoid vein collapse?

<p>Perform gentle aspiration (A)</p> Signup and view all the answers

What is the purpose of preparing a blood smear?

<p>To examine white blood cells and platelet counts (B)</p> Signup and view all the answers

What is the preferred method for collecting blood from the toe or toenail in smaller animals?

<p>Cutting into the nail base after clipping hair (C)</p> Signup and view all the answers

What is the recommended storage condition for a prepared blood smear?

<p>Room temperature (D)</p> Signup and view all the answers

What can cause artifacts in red blood cells (RBCs) on a blood smear?

<p>Drying too quickly (B)</p> Signup and view all the answers

Where is the coccygeal vein located for blood collection in certain animals?

<p>On the ventral side of the tail (A)</p> Signup and view all the answers

How soon should a blood smear be stained after preparation?

<p>Within 48 hours (B)</p> Signup and view all the answers

What is the primary purpose of using a Vacutainer for blood collection?

<p>To directly fill a tube with blood from a vein (D)</p> Signup and view all the answers

What is the significance of wetting the hair with alcohol before blood collection?

<p>To sterilize the area and improve vein visibility (D)</p> Signup and view all the answers

What should be done if the blood flow stops while using a syringe?

<p>Check if the vein is empty or the needle has slipped out (C)</p> Signup and view all the answers

What action can help prevent a hematoma after withdrawing the needle?

<p>Put pressure on the puncture site (D)</p> Signup and view all the answers

What is the recommended needle orientation when inserting for blood collection?

<p>Needle bevel facing up (B)</p> Signup and view all the answers

Why should positive pressure be avoided when filling blood tubes?

<p>It can cause hemolysis of the blood sample (D)</p> Signup and view all the answers

What should be done if the tube is overfilled after blood collection?

<p>Stick a needle in to remove excess air (D)</p> Signup and view all the answers

What cleaning agent is recommended for removing blood stains from a patient's coat?

<p>Hydrogen peroxide (D)</p> Signup and view all the answers

Flashcards

Why is blood the most commonly tested clinical sample?

The most commonly tested type of clinical sample because it provides a wealth of information about the patient's health.

What does a kidney function blood chemistry profile test?

A series of tests that measure the levels of different substances in the blood, providing insight into kidney function.

What does a liver function blood chemistry profile test?

A series of tests that measure the levels of different substances in the blood, providing insight into liver function.

What is the purpose of hormone concentration blood tests?

Tests that measure the levels of different hormones in the blood, providing information about the endocrine system.

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What are blood clotting tests for?

Tests that measure the blood's ability to clot properly.

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What is the purpose of immunology or serology tests?

Tests that identify specific antibodies in the blood, indicating exposure to or infection with certain viruses or bacteria.

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Describe the Vacutainer system.

A system where a needle is attached to a vacuum tube, making blood collection easier and faster.

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Why are different needle sizes used for blood collection?

Different sizes of needles are used depending on the patient's size and the vein targeted.

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Whole blood

A liquid that contains clotting proteins, red blood cells, white blood cells, and platelets.

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Blood clotting

The process where blood forms a solid mass, often due to clotting proteins.

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Serum

The clear liquid remaining after blood clots. It lacks clotting factors.

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Serum Separator Tube (SST)

A special tube used to collect blood samples. It contains a gel to separate blood cells from serum and particles to speed up clotting.

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Centrifuge

A device used to spin blood samples at high speeds to separate components like serum and cells.

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Anticoagulant

A substance that prevents blood from clotting.

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Plasma

The clear liquid portion of blood that contains clotting factors.

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Anticoagulant tube

A special tube used to collect blood samples that prevents blood from clotting.

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EDTA (ethylenediaminetetraacetic acid)

A chemical compound that binds to calcium in blood, preventing clotting. Found in lavender-topped tubes.

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Citrate

A chemical compound that binds to calcium, preventing clotting, but not as strongly as EDTA. Found in light blue-topped tubes.

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Heparin

A biological substance used in vivo (by injection) and in vitro to prevent blood clotting, usually found in green-capped tubes.

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Lavender-topped tubes

Blood collection tubes with a lavender top contain EDTA, preventing blood clotting, allowing the veterinarian to count blood cells easily.

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Gray-topped tubes

Blood collection tubes with a gray top contain sodium fluoride, used for blood sugar determinations, especially for monitoring insulin treatment in diabetic patients.

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Dark blue-topped tubes

Blood collection tubes with a dark blue top contain sodium EDTA, used for trace mineral studies, especially in large animals for dietary needs.

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Anticoagulant Proportion

The correct proportion of anticoagulant to blood is crucial for accurate results. Dilution can affect the test outcome and can be reversed by adding calcium.

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Jugular vein

The most common blood collection site in horses, cattle, sheep, goats, camels, and large wild mammals. It is also occasionally used in small animals.

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Cephalic vein

The most common blood collection site for small amounts of blood in dogs, located in the forelimb.

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Ear vein

A blood collection site that can be used in small dogs, pigs, cats, and small laboratory animals like rabbits and guinea pigs. It is located in the ear.

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Occlusion

The process of applying pressure on a vein to make it more prominent for blood collection. It is done by pressing on the vein with a thumb or fingers.

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Blood flow in the jugular vein

The blood that flows to the head travels through the carotid artery, returning to the heart through the jugular vein.

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What is the Vacutainer system?

A system that uses a needle connected to a vacuum tube to draw blood directly into a tube, eliminating the need for a syringe.

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Why is alcohol used for blood collection?

To make veins more visible, apply alcohol to the area. This helps ensure you are targeting the correct vein for the blood draw.

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How should the bevel of the needle be positioned during blood collection?

When inserting the needle, ensure the bevel, or slanted edge, is facing upwards. This facilitates a smoother entry into the vein.

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How to determine the speed of blood draw?

Ensure to pull the syringe plunger slowly and match the draw speed with the blood flow. If the flow stops, it indicates the vein might be empty or the needle may have shifted.

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What should be done after withdrawing a needle from a vein?

After withdrawing the needle, apply pressure to the venipuncture site to prevent hematoma formation, causing bleeding.

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What to avoid when filling blood collection tubes?

When filling the tubes, prevent positive pressure. Forceful injection into the tube can cause damage to the blood cells.

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How to prevent the stopper from popping out of the tube?

If the tube is overfilled, puncture the stopper and remove a small amount of air. This ensures the stopper remains secure during transportation.

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How to clean blood stains on a patient's coat?

To clean blood stains from the patient's coat, apply hydrogen peroxide. Afterwards, rinse the area with water.

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What is a blood smear?

A thin layer of blood spread on a microscope slide, stained to visualize blood cells.

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How is a blood smear prepared?

A blood smear is prepared by collecting blood and spreading it in a thin layer on a slide, then drying and staining it.

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Where's the counting area on a blood smear?

The counting area on a blood smear lies between the body and the feathered edge.

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Why should blood smears be dried quickly?

Blood smears should be dried quickly to prevent red blood cell artifacts.

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When should a blood smear be stained?

A blood smear should be stained within 48 hours of preparation.

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How should blood smears be stored and shipped?

Blood smears should be stored at room temperature and shipped separately from formalin-exposed biopsies.

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What are the important regions on a blood smear?

Three key regions are important for blood smear evaluation.

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What common site is used for blood collection in pigs, cattle, sheep, rats, and mice?

The tail is often used for blood collection in pigs, cattle, sheep, rats, and mice.

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Study Notes

Blood Collection

  • Blood is the most common clinical sample due to its accessibility and wealth of information obtainable from its components.

Tests Performed on Blood Samples

  • Blood chemistry profiles (kidney function, sodium, potassium, creatinine, liver function, hormone concentrations)
  • Blood glucose concentrations
  • Blood clotting tests
  • Inflammation tests
  • Blood lipids and cholesterol
  • Immunology/serology tests for antibodies against viruses and bacteria
  • Blood grouping

Blood Collection: General Considerations

  • Accurate clinical results depend on careful sample collection, handling, and storage.
  • Careful venipuncture is essential to minimize artefactual changes.
  • Smooth blood flow without interruption is crucial, especially for hemostasis testing.

Equipment for Blood Collection

  • Vacutainer system
  • Needle and syringe
  • Different needle gauges (18, 20, 22, 25 gauge) for various purposes and animals, size matters.
  • Specific syringe sizes (3 mL, 6 mL) based on the volume of blood needed
  • Collection tubes with various coloured stoppers, each designed for specific purposes, such as clotting or preventing clotting.

Blood Collection - Collection Tubes

  • Whole blood: Unprocessed blood collected from a vein
  • Clotting: Unprocessed blood will clump due to proteins (mainly red blood cells, white blood cells and platelets) in collection tubes
  • Serum: The liquid part of the blood after clotting. Used in tests for glucose, calcium, liver enzymes, and kidney toxins
  • Serum Separator Tubes (SSTs): Contain a gel that quickly separates the blood serum from blood cells, making it easier to extract the serum for testing.
  • EDTA tubes: Contain EDTA which prevents clotting by binding calcium in the blood, used for counting blood cells and screening for infections, anemia, or lack of platelets.
  • Gray-topped tubes: Contain sodium fluoride for blood sugar tests, and this stabilizes glucose more effectively than EDTA tubes
  • Light blue tubes: Contain citrate, an anticoagulant used for coagulation tests when blood is not clotting properly.
  • Dark blue tubes: Contain sodium EDTA (similar to lavender tops). Useful for trace mineral studies in large animals.

Anticoagulants

  • Anticoagulants are drugs that stop blood from clotting.
  • Some anticoagulants are naturally found in leeches and blood-sucking insects.
  • EDTA, citrate, and heparin are examples of anticoagulants used in blood collection.

Blood Smears

  • A blood smear is a thin layer of blood on a microscope slide.

  • It allows for microscopic examination of blood cells.

  • The smear provides information about the number and types of white blood cells, abnormal cells, and rough estimates of white blood cells and platelets.

  • The smear must be dried promptly, stained in 48 hours and kept at room temperature.

Blood Collection Tips

  • Wetting the animal's hair with alcohol (visualizing the vein)
  • Correctly inserting the needle into the vein
  • Slowly drawing blood matching the speed of the flow of blood
  • Applying pressure to the venipuncture site after collection
  • Ensuring the stopper in the tube doesn't pop out during transport by removing any excess air.
  • Removing blood stains on animals with hydrogen peroxide, then wash with water.

Blood Collection Sites

  • Jugular vein: Commonly used in horses, cattle, sheep, goats, camels, and large wild mammals
  • Cephalic vein: Commonly used in dogs and cats
  • Saphenous vein: Commonly used in larger dogs.
  • Lateral saphenous vein: lower rear legs of dogs (useful for anxious animals)
  • Ear vein: Used in small animals (dogs, pigs, cats, and small lab animals)
  • Toe or nail: Used in small dogs, puppies, guinea pigs, etc
  • Tail: Used in pigs, cattle, sheep, rats, and mice (venipuncture of the coccygeal vein)

Where to Collect Blood From

  • The three standard veins for blood collection in dogs and cats are the jugular, cephalic, and saphenous veins.
  • Other specific locations exist appropriate for specific animal types and may vary with the health-related issue.

Blood Smear Evaluation

  • The smear is divided into three regions. The counting area is located between the body and feathered edge of the sample

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