Topics
- Anatomy
- Modes
- Forms
- Syringes
- Needles
Notes
Procedure
- Cubital Fossa & Dorsum of Wrist
- Vein names ABC
- Labels & Forms
- Roll
- Bifurcation
- Apply pressure
Blood Results
- Know 3 things about everything
- FBC, Us&Es, LFTs
FBC: WCC, Hb, Platelets
Us: Ur, Cr, eGfr
Es: Na, K
LFTs: BAA AL
- Infection: WCC, CRP, ProCalcitonin
Anemia: Hb, Hematocrit, MCV
Coagulation: Platelets, INR, APTTr - Others
Sugar: Glucose, HbA1c
MI: Troponin (+ ECG)
PE: d-Dimer (+ CTPA)
Ischemia: Lactate >2
- Modes x 3
- Equipment required
- Anatomy
- Blood amounts required
- Syringes
- Needles
- Difficult access
- Do yourself and others a favour – leave out blood forms/requests for next day
- Benefit of reaching early – last minute blood requests
- Phlebotomists don’t do blood gas
- Cannula most distal – dorsum of wrist – bifurcation
- Blood sample – antecubital fossa
- Get all equipment before you start
- Vein names ABC
- Handwritten bottles
- Blood required
- FBC 1.5ml Biochem 5ml Coag 2ml. Total =8.5ml
- G & S 4.9ml
- Roll bottle
- When you can’t get a sample
- Surgical Registrar – Femoral Vein Puncture
- Anaesthetic 1st on call
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