Venipuncture

Question 1

It is the process of recording in the order received.

Answer 1

Accession

Question 2

Most important step in the venipuncture procedure.

Answer 2

Patient identification

Question 3

Ask patient to spell his/her last name.

Answer 3

CLSI recommedation

Question 4

Normally have blood drawn while LYING down in their beds.

Answer 4

Inpatients

Question 5

At most facilities are drawn while SITTING UP in special blood-drawing chairs.

Answer 5

Outpatients

Question 6

Most preferred venipuncture site.

Answer 6

Antecubital fossa

Question 7

Antecubital means

Answer 7

front of the elbow

Question 8

Fossa means

Answer 8

A shallow depression

Question 9

It is the shallow depression in the arm that is anterior to (in front of) and below the bend of the elbow.

Answer 9

Antecubital Fossa

Question 10

Located near the center of the antecubital fossa.

Answer 10

Median cubital vein

Question 11

Preferred vein because it is typically large, close to the surface.

Answer 11

Medican cubital vein

Question 12

Closer to the surface and the MOST STATIONARY.

Answer 12

Median cubital vein

Question 13

Easiest and least painful to puncture; least likely to bruise.

Answer 13

Median cubital vein

Question 14

Located in the LATERAL aspect (outer side) of the antecubital area; SECOND CHOICE‼️

Answer 14

Cephalic vein

Question 15

Often harder to palpate than medical cubital vein.

Answer 15

Cephalic vein

Question 16

Fairly well anchored.

Answer 16

Cephalic vein

Question 17

Often the only vein felt in OBESE PATIENTS.

Answer 17

Cephalic vein

Question 18

Located on the MEDIAL ASPECT (inner side) of the antecubital area; LAST CHOICE ‼️

Answer 18

Basilic vein

Question 19

Not well anchored and rolls easily.

Answer 19

Basilic vein

Question 20

[3] Other venipuncture sites.

Answer 20

1. Great saphenous vein
2. Femoral vein
3. Jugular vein

Question 21

Recommended antiseptic for cleaning a venipuncture site

Answer 21

70% Isopropyl alcohol

Question 22

Angle of insertion:

Answer 22

15 - 30 degrees

Question 23

Refers to the order in which tubes are collected during a multiple-tube draw or are filled from a syringe.

Answer 23

Order of draw

Question 24

Blood culture tubes

[color]

Answer 24

Yellow

Question 25

Coagulation tube [color]

Answer 25

Light blue

Question 26

Heparin [color]

Answer 26

Green or light green

Question 27

EDTA tube [color]

Answer 27

Lavender or pink stopper

Question 28

Sodium fluoride with or without EDTA or oxalate. [color]

Answer 28

Gray

Question 29

It is swelling caused by the ABNORMAL ACCUMULATION of fluid in the tissues.

Answer 29

Edema

Question 30

SWELLING or MASS OF BLOOD (often clotted) that can be caused by blood leaking from a blood vessel during or following venipuncture.

Answer 30

Hematoma

Question 31

Lymph node removal can cause?

Answer 31

Lymphostasis

Question 32

Impaired lymph flow makes the arm susceptible to swelling, called?

Answer 32

Lymphedema

Question 33

Veins on obese patients may be deep and difficult to find.

Answer 33

Obesity

Question 34

It is a catheter that is placed in an artery.

Answer 34

Arterial line

Question 35

It is most commonly placed in a RADIAL ARTERY and is typically used to provide accurate and continuous measurement of a patient’s blood pressure.

Answer 35

Arterial line

Question 36

It is the PERMANENT SURGICAL CONNECTION OF AN ARTERY AND VEIN by direct fusion (fistula), resulting in a bulging vein, or with a piece of vein or tubing (graft) that creates a loop under the skin.

Answer 36

Arteriovenous Shunt, Fistula or Graft

Question 37

Typically created to TO BE USED FOPR DIALYSIS, commonly joins the radial artery and cephalic vein above the wrist on the underside of the arm.

Answer 37

Arteriovenous Shunt, Fistula or Graft

Question 38

Referred to simply as an IV, is a catheter inserted in a vein to administer fluids.

Answer 38

Intravenous line

Question 39

It is preferred that blood specimens not be drawn from an arm with an IV.

Answer 39

Intravenous sites

Question 40

[3] Complications of Venipuncture.

Answer 40

1. Immediate local complication 2. Late local complication 3. Late general complication

Question 41

It is an INCREASE in the NUMBER FORMED ELEMENTS IN BLOOD resulting either from a decrease or increase (hemodilution) in plasma volume. [immediate local compli.]

Answer 41

Hemoconcentration

Question 42

It is the TRANSIENT LOSS OF CONSCIOUSNESS due to lack of oxygen in the brain and results in an inability to stay in an upright position. [immediate local compli.]

Answer 42

Syncope (fainting)

Question 43

[3] Immediate Local Complications

Answer 43

1. Hemoconcentration 2. Failure of blood to enter the syringe/vacutainer tube 3. Syncope (fainting)

Question 44

[2] Late Local Complication

Answer 44

1. Thrombosis 2. Thrombophlebitis

Question 45

It is an abnormal vascular condition in which THROMBUS DEVELOPES within a blood vessel of the body. [late local compli.]

Answer 45

Thrombosis

Question 46

It is inflammation of a vein often accompanied by a clot which occurs as a result of TRAUMA to the VESSEL WALL. [late local compli.]

Answer 46

Thrombophlebitis

Question 47

[2] Late General Complication

Answer 47

1. Hemolysis 2. Hematoma

Question 48

It is displayed by approximately 70% of the population and includes the median cubital vein, cephalic vein, and basilic vein.

Answer 48

H - Shaped Antecubital Veins

Question 49

It is a catheter or cannula connected to a stopcock or a cap with a diaphragm (thin rubber-like cover) that provides access for administering medication or drawing blood

Answer 49

Heparin or Saline lock

Question 50

This is the first step for the laboratory in the pre-analytical.

Answer 50

Review and accession test request.