Podcast
Questions and Answers
Match the following steps with their purposes in capillary blood collection:
Match the following steps with their purposes in capillary blood collection:
STEP 1 = Increase arterial blood flow STEP 8 = Clean and air-dry the site STEP 11 = Fill and mix tubes STEP 15 = Check the site and apply bandage
Match the following techniques with their purposes in capillary blood collection:
Match the following techniques with their purposes in capillary blood collection:
Milking = Causes hemolysis Puncture the site = Collect blood sample Wipe the first drop of blood = Remove contaminated tissue fluids Elevate the incision site = Diminish blood flow
Match the following equipment with their uses in capillary blood collection:
Match the following equipment with their uses in capillary blood collection:
Lancet = Make a puncture in the skin Gauze = Apply pressure to the incision site Antiseptics = Clean the site Bandage = Dress the wound
Match the following steps with their importance in capillary blood collection:
Match the following steps with their importance in capillary blood collection:
Match the following techniques with their effects on blood composition:
Match the following techniques with their effects on blood composition:
Match the following sites with their hold techniques in capillary blood collection:
Match the following sites with their hold techniques in capillary blood collection:
Match the following components of capillary blood specimen with their characteristics:
Match the following components of capillary blood specimen with their characteristics:
Match the following situations with when capillary puncture is the method of choice:
Match the following situations with when capillary puncture is the method of choice:
Match the following blood tests with why capillary puncture is not recommended:
Match the following blood tests with why capillary puncture is not recommended:
Match the following conditions with when capillary puncture is used in adults:
Match the following conditions with when capillary puncture is used in adults:
Match the following characteristics with the type of blood sample:
Match the following characteristics with the type of blood sample:
Match the following medical conditions with why capillary puncture is used:
Match the following medical conditions with why capillary puncture is used:
Match the following components with their typical levels in capillary blood:
Match the following components with their typical levels in capillary blood:
Match the following types of lancets with their characteristics:
Match the following types of lancets with their characteristics:
Match the following microsample containers with their capacities:
Match the following microsample containers with their capacities:
Match the following capillary blood collection techniques with their purposes:
Match the following capillary blood collection techniques with their purposes:
Match the following coagulation tests with their respective additives:
Match the following coagulation tests with their respective additives:
Match the following additional supplies with their purposes:
Match the following additional supplies with their purposes:
Flashcards
Capillary Puncture
Capillary Puncture
Uses a lancet to make a small incision into the capillary bed of the skin to obtain a small volume of blood specimen.
Lancets
Lancets
Sterile, sharp instruments intended for one-time use to puncture skin.
Microcollection Tubes
Microcollection Tubes
Small plastic tubes used to hold blood specimens, up to 600 uL.
Capillary Tubes
Capillary Tubes
Signup and view all the flashcards
Warming Devices
Warming Devices
Signup and view all the flashcards
Wiping First Drop
Wiping First Drop
Signup and view all the flashcards
Milking
Milking
Signup and view all the flashcards
Hemolysis
Hemolysis
Signup and view all the flashcards
ESR & Capillary Puncture
ESR & Capillary Puncture
Signup and view all the flashcards
Coagulation tests
Coagulation tests
Signup and view all the flashcards
Capillary Blood Composition
Capillary Blood Composition
Signup and view all the flashcards
Glucose Levels
Glucose Levels
Signup and view all the flashcards
Potassium, total Protein, and Calcium
Potassium, total Protein, and Calcium
Signup and view all the flashcards
When to use Capillary Puncture
When to use Capillary Puncture
Signup and view all the flashcards
Laser Lancet
Laser Lancet
Signup and view all the flashcards
Puncture Technique
Puncture Technique
Signup and view all the flashcards
Incision Depth
Incision Depth
Signup and view all the flashcards
Hemolysis in Capillary Puncture
Hemolysis in Capillary Puncture
Signup and view all the flashcards
Study Notes
Capillary Puncture Method
- Also known as Dermal Puncture method
- Uses a lancet to make a small incision into the capillary bed of the skin to obtain a small volume of blood specimen
- Method of choice for collecting blood from infants and children below 2 years old
- Used on adults and older children under certain circumstances:
- Burned or scar patients
- Patients receiving chemotherapy
- Patients with thrombotic tendencies
- Geriatric patients with fragile veins
- Patients with inaccessible veins
- Obese patients
- Apprehensive patients
- Patients requiring home glucose monitoring (POCT)
Contraindications
- Not recommended for:
- Erythrocyte Sedimentation Rate (requires large amount of blood)
- Blood cultures (capillary puncture is prone to bacterial contamination)
- Coagulation tests (needs blood-to-anticoagulant ratio; light blue top with 9:1 ratio)
Composition of Capillary Blood Specimen
- Comes from capillary, arterioles, and venules
- Composition:
- Arterial blood (more arterial blood than venous blood due to arterial pressure)
- Venous blood
- Interstitial fluid
- Intracellular fluid
- Concentration differences:
- Glucose: higher than venous blood
- Potassium, total Protein, and Calcium: lower than venous blood
Equipment
- Lancets: sterile, sharp instruments intended for one-time use only
- Laser Lancet: produces a small hole in the skin by vaporizing water, eliminating the risk of sharp injury
- Microsample Containers:
- Microcollection Tubes (Microtubes): small plastic tubes used to hold blood specimen (up to 600 uL)
- Capillary Tubes (Microhematocrit Tubes): small glass tubes used to collect capillary blood for microhematocrit test (approx. 50-75 uL)
- Additional Supplies:
- Microscope Slides: used for blood films/smear for hematology/parasitology determinations
- Warming Devices: used to warm the puncture site to increase blood flow by 7-fold
Procedure
- Clean and air-dry the site
- Prepare equipment
- Puncture the site (quick and deep)
- Incision depth: 2-2.5 mm
- Wipe the first drop of blood (contaminated with tissue fluids)
- Fill and mix tubes in the correct order
- Place gauze and apply pressure
- Label specimen and observe proper handling
- Check the site and apply bandage
- Dispose of used and contaminated materials
- Transport specimen to the laboratory
Causes of Hemolysis
- Hemolysis is more frequently encountered in capillary puncture than in venipuncture
- Milking (excessive squeezing of puncture site) can cause hemolysis
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.