Dermal_and_Pediatric_Phlebotomy

Dermal_and_Pediatric_Phlebotomy - Composition of Skin...

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Composition of Skin (Dermal) Puncture Blood Arterioles Venules Capillaries Tissue Fluid Always wipe the first drop of blood away Resembles arterial blood Chemical Differences from venous blood Glucose higher Hemoglobin higher Protein lower Calcium lower Potassium lower
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Indications for Skin (Dermal) Puncture Neonates, infants and children Adults who are difficult to draw Burns Chemotherapy Obese Home testing and point-of-care Fragile and scarred veins
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Equipment for Skin (Dermal) Puncture Puncture devices (depth and width varies) Correlate with use and age of patient Manual Retractable (Use one-step blade activation) Laser Limit either depth or width to less than 2.4 mm Visit BD web site http://www.bd.com
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Equipment Newborn
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Microhematocrit tubes (do not use glass) Natelson and Caraway micropipets (discontinued in most labs) Microtainers (same color coded system as
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Dermal_and_Pediatric_Phlebotomy - Composition of Skin...

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