Bone Marrow Aspiration Procedure

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended method for removing the loop mentioned in the text?

Using a 10 ml syringe to pull back and twist (correct)

Leaving it in place for 48 hours

Attempting to start an i o on the extremity

Twisting it out with bare hands

Why is it not advisable to start an i o on the mentioned extremity or bone for the next 48 hours?

It may cause pain and damage (correct)

It will be effective in 48 hours

It will make the loop easier to remove

It is not necessary

What can happen if people try to start an i o on the extremity despite the recommendation?

It will not have any effect

It may result in the needle going through one end of the bone and out the other (correct)

It will make the loop easier to remove

The bone will be strengthened

What is the primary indication for using an intraosseous (IO) procedure?

Failure of IV or prolonged IV insertion time Signup and view all the answers

Which bone is one of the primary IO insertion sites?

Proximal humerus Signup and view all the answers

What is a contraindication for the use of an IO needle?

Previous orthopedic procedures Signup and view all the answers

What is the advantage of using an IO procedure?

Quick administration Signup and view all the answers

Which site should be avoided for IO insertion if there has been another IO placed within the past 48 hours?

Proximal tibia Signup and view all the answers

What is found in the intramedullary space of a bone?

Bone marrow Signup and view all the answers

Which color represents the smallest size of the IO needle for small patients?

Pink Signup and view all the answers

'Absence of anatomic landmarks' is a contraindication for IO insertions. What does this mean?

'Anatomic landmarks' being difficult to palpate or visualize Signup and view all the answers

'Failure of IV or prolonged IV insertion time' is an indication for IO insertions. What does this imply?

'IV insertion time' taking longer than expected or being unsuccessful Signup and view all the answers

What is the main disadvantage of using an IO procedure for medication administration?

Painful and scary looking for patients Signup and view all the answers

When should IO insertions be avoided due to fracture in the targeted bone?

When there is any fracture in the targeted bone Signup and view all the answers

What is one of the advantages of using an IO procedure compared to IV insertion?

Faster onset of action for medications Signup and view all the answers

What is the ideal site for needle insertion into the tibia for CPR or IO fluid administration?

Two centimeters down and two finger widths over the tibial tuberosity Signup and view all the answers

What angle is necessary for proper needle placement into the tibia?

90-degree angle Signup and view all the answers

What risks are associated with going too low during needle insertion into the tibia?

Damaging the needle by hitting high-density bone Signup and view all the answers

What should be done to prepare the site for needle insertion?

Clean and dry the area using aseptic technique Signup and view all the answers

What is used to aid the insertion of the needle into the tibia?

Gentle downward pressure and twisting motion Signup and view all the answers

What is attached to the needle after insertion for fluid administration?

Hollow bore system Signup and view all the answers

How long should the needle be left in a patient for CPR or IO therapy?

24 hours or longer Signup and view all the answers

Which equipment is required for the procedure of inserting a needle into the tibia for CPR or IO fluid administration?

Humeral head, driver, loop and flush, sterile site preparation materials, and a syringe or IV bag Signup and view all the answers

Where is the site for needle insertion identified?

One centimeter above the surgical neck Signup and view all the answers

What should be used to secure the needle in place during fluid administration?

A pressure bag or bulky dressings Signup and view all the answers

What is used to flush fluid into the bone cavity during CPR or IO therapy?

Syringe or IV bag Signup and view all the answers

What risks are associated with going too high during needle insertion into the tibia?

Hitting the joint capsule and compromising fluid administration Signup and view all the answers

What is the recommended needle for patients over 40kg and those with a proximal humerus insertion site?

Yellow needle Signup and view all the answers

Why should the needle not be flushed with air before insertion?

To prevent air embolisms Signup and view all the answers

What is the preferred insertion site for faster fluid flow and less pain?

Proximal humerus Signup and view all the answers

At what angle should the needle be inserted for the proximal humerus?

90-degree angle Signup and view all the answers

Where should the surgical neck be palpated and marked for IO insertion into the proximal humerus?

One centimeter above the surgical neck Signup and view all the answers

What is used to insert the selected needle into the bone?

Driver Signup and view all the answers

What is the suitable insertion site for cardiac arrest cases due to easier access?

Proximal tibia Signup and view all the answers

How far below and over from the tibial tuberosity is the suitable site for IO insertion into the proximal tibia?

Two centimeters below and over Signup and view all the answers

Why should the patient's arm be positioned with the biceps tendon out of the way for IO insertion into the proximal humerus?

To achieve better visualization of the insertion site Signup and view all the answers

What is connected to the needle before insertion?

Surgical loop and flush Signup and view all the answers

What type of needle is best for the proximal tibia due to less adipose tissue?

Blue needle Signup and view all the answers

What type of patients is the yellow needle recommended for?

Patients over 40kg Signup and view all the answers

Study Notes

The text discusses the use of three different types of needles for Intraosseous (IO) infusions: blue, yellow, and the driver.
The blue needle is best for the proximal tibia due to less adipose tissue.
The yellow needle is a 45mm, 15-gauge needle recommended for patients over 40kg and those with a proximal humerus insertion site.
The driver is used to insert the selected needle into the bone.
Before insertion, the site is cleaned with a sterile swab, and a loop and flush are connected to the needle.
The needle should not be flushed with air to prevent air embolisms.
Site identification is crucial, with the proximal humerus preferred for faster fluid flow and less pain, while the proximal tibia is suitable for cardiac arrest cases due to easier access.
To insert an IO into the proximal humerus, the patient's arm is positioned with the biceps tendon out of the way, and the surgical neck is palpated and marked one centimeter above.
The needle is inserted at a 90-degree angle to the skin, one centimeter above the surgical neck.
For the proximal tibia, the site is identified two centimeters below and over from the tibial tuberosity.
The needle is inserted at a 90-degree angle to the skin, two centimeters below and over the tibial tuberosity.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers the proper technique for performing a bone marrow aspiration procedure, including the correct needle insertion angle and depth to avoid complications and ensure a successful extraction.