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Special_Collections - • Examples – Home glucose...

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Types of Special Collections Fasting and Basal State Timed Glucose Collections Diurnal variation 2-hr postprandial Oral Glucose Tolerance Test (GTT) Other tolerance tests Therapeutic Drug Monitoring (TDM) Baseline, Peaks, Trough (lowest) Blood Cultures Malaria smears Special Specimen Handling Environmental sensitive Legal and forensic (alcohol and toxicology) Blood Donor
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Special Collections in Specific Populations Newborns Newborn screening tests (PKU) Bilirubin (protect from light) Elderly Mental impairment Physical impairment Loss of vascular elasticity
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Arterial Punctures Arterial blood gases (ABGs) and acid-base Equipment Heparinized syringe, needle, luer tip (prepackaged) Cold transport system Pressure bandages Lidocaine Site Selection Radial artery most common Modified Allen Test Assess the adequacy of collateral circulation
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Point-of-Care Testing Alternate site testing
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Unformatted text preview: • Examples – Home glucose monitoring – Cholesterol – Critical analyte testing in ER, ICUs See Point-of-Care Handout Vascular Access Devices (VAD) • Indwelling line • Name based on the location of the line – Heparin or saline locks – Central venous catheter (CVC) or pressure (CVP) • Broviac, Broshong, Hichman • Arteriovenous shunts (AV) – External cannula – Internal fistula See Handout Blood Collection from Indwelling Legal Specimens • Informed Consent – Special release form signed by patient before blood, urine, or tissue is collected, eg HIV, blood alcohol by police, surgical samples • Chain-of-Custody – Collection procedure requiring a witnessed collection and under special conditions, eg drug, alcohol, paternity testing • Transfusion samples – Requires double ID system or special labeling...
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