Knowledge (XXG)

Venipuncture

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to four weeks. In case repeated blood samples are required at short intervals, a maximum of 0.6 ml/kg/day or 1.0% of an animal's total blood volume can be removed every 24 hours. The estimated blood volume in adult animals is 55 to 70 ml/kg body weight. Care should be taken for older and obese animals. If blood collection volume exceeds more than 10% of total blood volume, fluid replacement may be required. Lactated Ringer's solution (LRS) is recommended as the best fluid replacement by National Institutes of Health (NIH). If the volume of blood collection exceeds more than 30% of the total circulatory blood volume, adequate care should be taken so that the animal does not develop hypovolemia.
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needle on each end. After first cleaning the venipuncture site and applying a tourniquet, the phlebotomist uncaps the needle attached to the tube holder, inserts the needle into the vein, then slides evacuated tubes into the tube holder, where the tube's stopper is pierced by the back end of the needle. The vacuum in the tube then automatically draws the needed blood directly from the vein. Multiple vacuum tubes can be attached to and removed in turn from a single needle, allowing multiple samples to be obtained from a single procedure. This is possible due to the multiple sample sleeve, which is a flexible rubber fitting over the posterior end of the needle
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needle exposure to health care workers. Dermal anesthesia can also be achieved without needles by the topical application of local anesthetics or by lidocaine iontophoresis. By contrast, noninvasive dermal anesthesia can be established in 5–15 min without distorting underlying tissues by lidocaine iontophoresis, where a direct electric current facilitates dermal penetration of positively charged lidocaine molecules when placed under the positive electrode.
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controlled. This is particularly helpful when veins are small which may collapse under the suction of an evacuated tube. In children or other circumstances where the quantity of blood gained may be limited it can be helpful to know how much blood can be obtained before distributing it amongst the various additives that the laboratory will require. Another alternative is drawing blood from indwelling cannulae.
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the needle used to fill the tubes, they must be drawn in a specific order to ensure that cross contamination will not negatively affect testing of the samples if multiple tubes are to be drawn at once. The "order of draw" varies by collection method. Below in the order of draw generally required for the Evacuated Tube System (ETS) collection method are the most common tubes, listing additive and color:
991:(living with oxygen), blood is collected to test for both. The aerobic bottle is filled first, and then the anaerobic bottle is filled. However, if the collection is performed using a syringe, the anaerobic bottle is filled first. If a butterfly collection kit is used, the aerobic bottle is filled first, so that any air in the tubing is released into the oxygen-containing bottle. 51: 50: 47: 52: 49: 1070:
The volume of the blood sample collection is very important in experimental animals. All nonterminal blood collection without replacement of fluids is limited up to 10% of total circulating blood volume in healthy, normal, adult animals on a single occasion and collection may be repeated after three
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The bottles are then incubated in specialized units for 24 hours before a lab technician studies and/or tests it. This step allows the very small numbers of bacteria (potentially 1 or 2 organisms) to multiply to a level which is sufficient for identification +/-antibiotic resistance testing. Modern
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delivery system has been shown to decrease the pain of venipuncture in children. Rapid dermal anesthesia can be achieved by local anesthetic infiltration, but it may evoke anxiety in children frightened by needles or distort the skin, making vascular access more difficult and increasing the risk of
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The amount of blood that is collected is critical for the optimal recovery of microorganisms. Up to 10mL of blood is typical, but can vary according to the recommends of the manufacturer of the collection bottle. Collection from infants and children are 1 to 5 mL. If too little blood is collected,
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Test tubes are labeled with the additive they contain, but the stopper on each tube is color coded according to additive as well. While colors vary between manufacturers, stopper colors generally are associated with each additive as listed below. Because the additives from each tube can be left on
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calcium to prevent clotting. EDTA is preferred for hematology tests because it does minimum damage to cell morphology. Sodium citrate is the anticoagulant used in specimens collected for coagulation tests. The majority of chemistry and immunology tests are performed on serum, which is produced by
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Greiner Bio-One manufactured the first ever plastic evacuated blood collection tube in 1985 under the VACUETTE brand name. Today, many companies sell vacuum tubes as the patent for this device is now in the public domain. These tubes are manufactured with a specific volume of gas removed from the
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in 70% ethanol or isopropyl alcohol solution is preferred and time must be allowed for it to dry. The tops of any containers used when drawing a blood culture should also be disinfected using a similar solution. Some labs will actively discourage iodine use where iodine is thought to degrade the
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The basic Evacuated Tube System (ETS) consists of a needle, a tube holder, and the evacuated tubes. The needle is attached to the tube holder by the phlebotomist prior to collection, or may come from the manufacturer as one unit. The needle protrudes through the end of the tube holder, and has a
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Garcia, RA; Spitzer, ED; Beaudry, J; Beck, C; Diblasi, R; Gilleeny-Blabac, M; Haugaard, C; Heuschneider, S; Kranz, BP; McLean, K; Morales, KL; Owens, S; Paciella, ME; Torregrosa, E (November 2015). "Multidisciplinary Team Review of Best Practices for Collection and Handling of Blood Cultures to
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Specially designed blood culture collection bottles eliminate the need for either the syringe or butterfly collection method. These specially designed bottles have long necks that fit into the evacuated tubes holders that are use for regular venipuncture collection. These bottles also allow for
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was safe and effective in providing dermal anesthesia for venipuncture in children 6–17 years old. This technique may not be applicable to all children. Future studies may provide information on the minimum effective iontophoretic dose for dermal anesthesia in children and the comparison of the
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The blood is collected into special transport bottles, which are like vacuum tubes but shaped differently. The blood culture bottle contains transport media to preserve any microorganisms present while they are being transported to the laboratory for cultures. Because it is unknown whether the
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There are several needle gauges for a phlebotomist to choose from. The most commonly used are as follows: a 21g (green top) needle, a 22g (black top) needle, a 21g (green label) butterfly needle, a 23g (light blue label) butterfly needle, and a 25g (orange or dark blue label) butterfly needle
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test. This has been related largely to the potential legal implications associated with the use of alcohol-based cleaners that could theoretically impact analysis. Numerous police alcohol collection kits have been marketed that incorporate a sodium fluoride/potassium oxalate preservative and
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manufactures a blood-drawing system (S-Monovette) that uses this principle. This method can be preferred on the elderly, those with cancer, severe burns, obesity, or where the veins are unreliable or fragile. Because syringes are manually operated, the amount of suction applied may be easily
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blood culture bottles have an indicator in the base which changes color in the presence of bacterial growth and can be read automatically by machine. (For this reason the barcoded stickers found on these bottles should not be removed as they are used by the laboratory's automated systems.)
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and potassium oxalate is used for glucose tests, as these additives both prevent clotting and stop glycolosis, so that blood glucose levels are preserved after collection. Another specialty tube is an opaque amber colored tube used to collect blood for light sensitive analytes, such as
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the ratio of blood-to-nutrient broth will inhibit the growth of microorganisms. If too much blood is collected, there is the risk of a hospital-induced anemia and the ratio of blood-to-nutrient broth will tilt in the opposite direction, which also is not conductive to optimal growth.
965:. This is done using sterile gloves, while not wiping away the surgical solution, touching the puncture site, or in any way compromising the sterile process. It is vital that the procedure is performed in as sterile a manner as possible as the persistent presence of skin 973:
but they are most often found as contaminants. It is encouraged to use an abrasive method of skin preparation. This removes the upper layers of dead skin cells along with their contaminating bacteria. Povidone-iodine has traditionally been used but in the UK a 2%
261:(Becton, Dickinson and company) and Vacuette (Greiner Bio-One). The equipment consists of a plastic adapter, also known as a tube or needle holder/hub, a hypodermic needle and a vacuum tube. Under certain circumstances, a syringe may be used, often with a 301:(however this needle is only used in pediatrics or extreme cases as it is so small that it can often result in hemolyzing the blood sample). There are also a variety of tube and bottle sizes and volumes for different test requirements. 931:(CBT) the reduction of pain was even greater. Other interventions have not been found to be effective and these are suggestion, blowing out air, and distraction with parent coaching did not differ from control for pain and distress. 121:
It is essential to follow a standard procedure for the collection of blood specimens to get accurate laboratory results. Any error in collecting the blood or filling the test tubes may lead to erroneous laboratory results.
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The test tubes in which blood is collected may contain one or more of several additives. In general, tests requiring whole blood call for blood samples collected in test tubes containing some form of the anticoagulant
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There are times when a blood culture collection is required. The culture will determine if there are pathogens in the blood. Normally blood is sterile. When drawing blood from cultures use a sterile solution such as
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which seals the needle until it is pushed out of the way. This keeps blood from freely draining out of the back of the needle inserted in the vein, as each test tube is removed and the next impaled.
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Determine Effective Interventions for Increasing the Yield of True-positive Bacteremias, Reducing Contamination, and Eliminating False-positive Central Line-associated Bloodstream Infections".
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anterior to the elbow, is close to the surface of the skin without many large nerves positioned nearby. Other veins that can be used in the cubital fossa for venipuncture include the
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Robertson, J (July 2007). "Review: Distraction, Hypnosis, and Combined Cognitive-Behavioural Interventions Reduce Needle Related Pain and Distress in Children and Adolescents".
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safety regulations require that needles or tube holders come equipped with a safety device to cover the needle after the procedure to prevent accidental needle stick injury.
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There are many ways in which blood can be drawn from a vein, and the method used depends on the person's age, the equipment available, and the type of tests required.
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sealed tube. When a needle from a hub or transfer device is inserted into the stopper, the tube's vacuum automatically pulls in the required volume of blood.
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A 1996 study of blood donors (a larger needle is used in blood donation than in routine venipuncture) found that 1 in 6,300 donors sustained a nerve injury.
265:, which is a plastic catheter attached to a short needle. In the developing world, the evacuated tube system is the preferred method of drawing blood. 1561: 319:
clotting and then separating the blood specimen via centrifuge. These specimens are collected in either a non-additive tube or one containing a
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Lacroix, Helene (October 2008). "A needle-free powder lignocaine delivery system reduced the pain of venipuncture in children".
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anesthetic efficacy and satisfaction of lidocaine iontophoresis with topical anesthetic creams and subcutaneous infiltration.
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Risk and side affects can include a variety of things. Dizziness, sweating, and a drop in your heart rate and blood pressure.
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Usually drawn first for minimal risk of contamination. Two bottles are typically collected in one blood draw; one for
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Venipuncture is one of the most routinely performed invasive procedures and is carried out for any of five reasons:
1846:"Blood sampled from existing peripheral IV cannulae yields results equivalent to venepuncture: a systematic review" 1362: 2074: 826: 473: 2365: 2319: 2065: 1734:
Robertson, J (January 2006). "Liposomal lidocaine improved intravenous cannulation success rates in children".
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Fittings and adapters used to fill evacuated tubes from butterfly needle kits and syringes are also available.
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is effective for reducing pain and alleviating distress during venipuncture in children. A needle-free powder
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collection of other blood specimens via evacuated tubes, to be collected without additional venipuncture.
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rubber stopper through which blood enters the bottle, thus allowing contaminates to enter the container.
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1. Grey (nil) tube 2. Green (TB1 antigen) tube 3. Yellow (TB2 antigen) tube 4. Purple (mitogen) tube
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in the US, UK, Canada and Hong Kong is done with an evacuated tube system. Two common systems are
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non-alcohol-based cleansing agents to ensure proper collection. Using soap and hot water or a
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used to temporarily restrict blood flow. The tourniquet distends the veins, making them more
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Non-pharmacological treatments for pain associated with venipuncture in children includes
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Blood samples from living laboratory animals may be collected using following methods:
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to administer therapeutic treatments including medications, nutrition, or chemotherapy;
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Rose, John B.; Galinkin, Jeffrey L.; Jantzen, Ellen C.; Chiavacci, Rosetta M. (2002).
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Accurate Results in the Clinical Laboratory: A Guide to Error Detection and Correction
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and distraction. These treatments reduced self reported pain and when combined with
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Phlebotomy (incision into a vein) is also the treatment of certain diseases such as
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Blood is most commonly obtained from the superficial veins of the upper limb. The
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is an important diagnostic tool available to clinicians within healthcare.
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is the process of obtaining intravenous access for the purpose of venous
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Lavery, I; Ingram, P (August 2005). "Venepuncture: Best Practice".
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swab are advisable alternatives to isopropyl alcohol in this case.
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Blood collection requiring anesthesia (local/general anesthesia):
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to cleanse the venipuncture site when obtaining a specimen for a
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Lesser, Finnian D; Lanham, David A; Davis, Daniel (6 May 2020).
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to remove blood due to excess levels of iron or erythrocytes (
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One study concluded that the iontophoretic administration of
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Pathology & Laboratory Medicine, UCI School of Medicine
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activator. This clotting activator can interfere with some
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Mosby's Diagnostic and Laboratory Test Reference - E-Book
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Pagana, KD; Pagana, TJ; Pagana, TN (19 September 2014).
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Cardiac puncture (rat, mice, guinea pig, rabbit, ferret)
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Amitava Dasgupta; Jorge L. Sepulveda (20 July 2019).
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Ialongo, Cristiano; Bernardini, Sergio (2016-02-15).
2383: 2358: 2335: 2290: 2281: 2219: 2191: 2158: 2125: 2073: 2059: 1287:"'A Little Sting' Can Become a Debilitating Injury" 1974:Parasuraman, S; Raveendran, R; Kesavan, R (2010). 1969: 1967: 30:"Drawing blood" redirects here. For the book, see 1980:Journal of Pharmacology and Pharmacotherapeutics 707:Trace elements, heavy metals, most drug levels, 82:. In healthcare, this procedure is performed by 1448:University of North Carolina School of Medicine 1386:Castellini MA, Castellini JM, Kirby VL (1992). 2037: 1381: 1379: 1340:(7th ed.). Wolters Kluwer. p. 193. 1044:Blood vessel cannulation (guinea pig, ferret) 8: 1015:Blood collection not requiring anesthesia: 190:Minute quantities of blood may be taken by 2287: 2070: 2044: 2030: 2022: 1933:"Methods of Blood Collection in the Mouse" 1468:. Elsevier Health Sciences. p. xiii. 484:Gold (sometimes red and grey "tiger top") 2001: 1991: 1871: 1861: 1659: 1492:Clinical Microbiology Procedures Handbook 1261: 1120: 1118: 1104:is taken from an artery instead of a vein 939:Some health care workers prefer to use a 194:and collected from infants by means of a 106:technicians, and other nursing staff. In 342: 145:to collect blood for later uses, mainly 129:to obtain blood for diagnostic purposes; 1821:"Blood collection with the S-Monovette" 1637: 1635: 1363:"Ask the Lab: Hemolyze blood specimens" 1114: 369:Tube cap color or type in order of draw 41:Still photo of a venipuncture procedure 27:Process of obtaining intravenous access 1620:Oklahoma State Bureau of Investigation 1018:Saphenous vein (rat, mice, guinea pig) 132:to monitor levels of blood components; 1079:It is generally not advisable to use 7: 1050:Marginal ear vein or artery (rabbit) 943:-needle technique for venipuncture. 2242:Extracorporeal membrane oxygenation 1517:"Test Tube Guide and Order of Draw" 587:. Tube inversions prevent clotting 2237:Isolated organ perfusion technique 1538:"Specimen requirements/containers" 1182:from the original on Sep 18, 2020. 1125:Higgins, Dan (28 September 2004). 25: 1594:. Elsevier Science. p. 131. 1441:Christopher Parker (2019-01-31). 1007:Taking blood samples from animals 969:in blood cultures could indicate 56:Video of a venipuncture procedure 1661:10.1097/00000539-200204000-00017 1654:(4): 867–71, table of contents. 1207:10.7748/ns2005.08.19.49.55.c3936 456:(TT). Tube must be filled 100%. 110:, the procedure is performed by 2300:Digital subtraction angiography 1064:Posterior vena cava (rat, mice) 2325:Magnetic resonance angiography 269:With evacuated or vacuum tubes 1: 2396:Ankle–brachial pressure index 1041:Temporary cannula (rat, mice) 1021:Dorsal pedal vein (rat, mice) 929:cognitive-behavioural therapy 84:medical laboratory scientists 2206:Endovascular aneurysm repair 1285:Japenga, Ann (30 May 2006). 868:Grey, Green, Yellow, Purple 389:Sodium polyanethol sulfonate 1946:(10): 47–53. Archived from 1524:Guthrie Laboratory Services 987:(living without oxygen) or 899:Pain management in children 450:partial thromboplastin time 305:Additives and order of draw 198:or from scalp veins with a 2448: 1910:10.1016/j.ajic.2015.06.030 1648:Anesthesia & Analgesia 1162:Dg, Dayyal (22 May 2018). 896: 209:and primary and secondary 29: 1061:Orbital sinus (rat, mice) 1035:Orbital sinus (rat, mice) 474:Total complement activity 185:median antebrachial veins 2366:Intravascular ultrasound 2320:Radionuclide angiography 1863:10.1177/2054270419894817 1495:. Wiley. 6 August 2020. 1365:. Nursing.advanceweb.com 1047:Tarsal vein (guinea pig) 1038:Jugular vein (rat, mice) 171:, which lies within the 2371:Carotid ultrasonography 2315:Fluorescein angiography 1993:10.4103/0976-500X.72350 935:With needle and syringe 628:, platelet antibodies, 433:(weak calcium chelator/ 2350:Impedance phlebography 2227:Cardiopulmonary bypass 2135:Ambulatory phlebectomy 2103:Carotid endarterectomy 1693:Evidence-Based Nursing 1562:"Proper Order of Draw" 809:Pearlescent ("white") 278: 277:Vacutainer blood vials 247: 200:winged infusion needle 116:veterinary technicians 57: 42: 1569:Memorial Lab Services 1443:"Phlebotomy Services" 1422:www.osfhealthcare.org 1361:Perry, Sally (2007). 1338:Phlebotomy Essentials 1336:McCall, Ruth (2020). 1313:"What Is Phlebotomy?" 1029:Tail vein (rat, mice) 897:Further information: 790:Acid-citrate-dextrose 578:Plasma separator gel 531:serum-separating tube 499:Serum-separating tube 276: 237: 88:medical practitioners 55: 40: 2305:Cerebral angiography 2066:Endovascular surgery 1705:10.1136/ebn.11.4.106 1246:10.11613/BM.2016.002 1055:Terminal procedure: 592:Lavender ("purple") 551:Chromosome testing, 192:fingerstick sampling 2264:Seldinger technique 2259:First rib resection 2211:Open aortic surgery 1898:Am J Infect Control 1791:10.1136/ebn.10.3.75 1168:BioScience Pakistan 1075:Blood alcohol tests 413:anaerobic organisms 375:Usage and comments 365: 169:median cubital vein 108:veterinary medicine 80:intravenous therapy 1748:10.1136/ebn.9.1.10 1392:J Am Vet Med Assoc 1291:The New York Times 632:, blood levels of 343: 279: 248: 58: 43: 2409: 2408: 2379: 2378: 2277: 2276: 2254:Revascularization 1931:Hoff, J. (2000). 1601:978-0-12-813777-2 1502:978-1-55581-881-4 1475:978-0-323-22592-2 1081:isopropyl alcohol 903:Use of lidocaine 890: 889: 765:Potassium oxalate 442:Coagulation tests 409:aerobic organisms 155:in another person 53: 16:(Redirected from 2439: 2384:Other diagnostic 2288: 2115:Carotid stenting 2075:Arterial disease 2071: 2053:Vascular surgery 2046: 2039: 2032: 2023: 2016: 2015: 2005: 1995: 1971: 1962: 1961: 1959: 1958: 1952: 1937: 1928: 1922: 1921: 1892: 1886: 1885: 1875: 1865: 1841: 1835: 1834: 1832: 1830: 1825: 1817: 1811: 1810: 1774: 1768: 1767: 1731: 1725: 1724: 1688: 1682: 1681: 1663: 1639: 1630: 1629: 1627: 1626: 1612: 1606: 1605: 1585: 1579: 1578: 1576: 1575: 1566: 1558: 1552: 1551: 1549: 1548: 1534: 1528: 1527: 1521: 1513: 1507: 1506: 1486: 1480: 1479: 1459: 1453: 1452: 1438: 1432: 1431: 1429: 1428: 1414: 1408: 1407: 1383: 1374: 1373: 1371: 1370: 1358: 1352: 1351: 1333: 1327: 1326: 1324: 1323: 1311:Nelson, Angela. 1308: 1302: 1301: 1299: 1297: 1282: 1276: 1275: 1265: 1234:Biochemia Medica 1225: 1219: 1218: 1190: 1184: 1183: 1159: 1153: 1152: 1147:. Archived from 1122: 1032:Tail snip (mice) 746:Fluoride Oxalate 576:(anticoagulant) 523:serum separating 492:serum separating 446:prothrombin time 366: 364: 263:butterfly needle 255:blood collection 54: 21: 2447: 2446: 2442: 2441: 2440: 2438: 2437: 2436: 2412: 2411: 2410: 2405: 2375: 2354: 2331: 2283:Medical imaging 2273: 2249:Vascular access 2215: 2193:Aortic aneurysm 2187: 2154: 2121: 2083:Vascular bypass 2064: 2055: 2050: 2020: 2019: 1973: 1972: 1965: 1956: 1954: 1950: 1935: 1930: 1929: 1925: 1904:(11): 1222–37. 1894: 1893: 1889: 1843: 1842: 1838: 1828: 1826: 1823: 1819: 1818: 1814: 1779:Evid-Based Nurs 1776: 1775: 1771: 1736:Evid-Based Nurs 1733: 1732: 1728: 1690: 1689: 1685: 1641: 1640: 1633: 1624: 1622: 1614: 1613: 1609: 1602: 1587: 1586: 1582: 1573: 1571: 1564: 1560: 1559: 1555: 1546: 1544: 1536: 1535: 1531: 1519: 1515: 1514: 1510: 1503: 1488: 1487: 1483: 1476: 1461: 1460: 1456: 1440: 1439: 1435: 1426: 1424: 1416: 1415: 1411: 1385: 1384: 1377: 1368: 1366: 1360: 1359: 1355: 1348: 1335: 1334: 1330: 1321: 1319: 1310: 1309: 1305: 1295: 1293: 1284: 1283: 1279: 1227: 1226: 1222: 1192: 1191: 1187: 1161: 1160: 1156: 1151:on Jan 2, 2020. 1124: 1123: 1116: 1111: 1098: 1090:povidone-iodine 1077: 1009: 954: 937: 901: 895: 818: 800:, DNA studies, 794:(anticoagulant) 767:(anticoagulant) 651: 548:(anticoagulant) 422:("light blue") 329:sodium fluoride 307: 271: 232: 219: 207:hemochromatosis 140:red blood cells 45: 35: 28: 23: 22: 15: 12: 11: 5: 2445: 2443: 2435: 2434: 2429: 2424: 2414: 2413: 2407: 2406: 2404: 2403: 2398: 2393: 2387: 2385: 2381: 2380: 2377: 2376: 2374: 2373: 2368: 2362: 2360: 2356: 2355: 2353: 2352: 2347: 2341: 2339: 2333: 2332: 2330: 2329: 2328: 2327: 2322: 2317: 2312: 2307: 2296: 2294: 2285: 2279: 2278: 2275: 2274: 2272: 2271: 2269:Vascular snare 2266: 2261: 2256: 2251: 2246: 2245: 2244: 2234: 2229: 2223: 2221: 2217: 2216: 2214: 2213: 2208: 2202: 2200: 2189: 2188: 2186: 2185: 2180: 2175: 2173:Venous cutdown 2169: 2167: 2156: 2155: 2153: 2152: 2150:Vein stripping 2147: 2142: 2137: 2131: 2129: 2127:Venous disease 2123: 2122: 2120: 2119: 2118: 2117: 2107: 2106: 2105: 2098:Endarterectomy 2095: 2090: 2085: 2079: 2077: 2068: 2057: 2056: 2051: 2049: 2048: 2041: 2034: 2026: 2018: 2017: 1963: 1923: 1887: 1836: 1812: 1769: 1726: 1683: 1631: 1607: 1600: 1580: 1553: 1529: 1508: 1501: 1481: 1474: 1454: 1433: 1409: 1375: 1353: 1346: 1328: 1303: 1277: 1220: 1185: 1154: 1127:"Venepuncture" 1113: 1112: 1110: 1107: 1106: 1105: 1102:Arterial blood 1097: 1094: 1076: 1073: 1068: 1067: 1066: 1065: 1062: 1059: 1053: 1052: 1051: 1048: 1045: 1042: 1039: 1036: 1033: 1030: 1024: 1023: 1022: 1019: 1008: 1005: 983:pathogens are 953: 952:Blood cultures 950: 936: 933: 894: 891: 888: 887: 880: 870: 863: 862: 854: 851:Sodium Citrate 847: 843: 842: 823: 816: 813:Separating gel 810: 806: 805: 795: 786: 782: 781: 770: 769: 768: 762: 742: 738: 737: 730: 716: 712: 711: 705: 691: 684: 683: 672:cross-matching 663: 649: 645: 641: 640: 630:flow cytometry 609: 593: 589: 588: 580: 568: 564: 563: 549: 540: 536: 535: 526: 519:Clot activator 516: 512: 511: 495: 488:Clot activator 485: 481: 480: 467: 462: 458: 457: 439: 424: 417: 416: 405: 403:microorganisms 386: 377: 376: 373: 370: 306: 303: 270: 267: 231: 228: 218: 215: 162:Blood analysis 159: 158: 143: 136: 133: 130: 70:blood sampling 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2444: 2433: 2430: 2428: 2425: 2423: 2420: 2419: 2417: 2402: 2399: 2397: 2394: 2392: 2389: 2388: 2386: 2382: 2372: 2369: 2367: 2364: 2363: 2361: 2357: 2351: 2348: 2346: 2343: 2342: 2340: 2338: 2334: 2326: 2323: 2321: 2318: 2316: 2313: 2311: 2308: 2306: 2303: 2302: 2301: 2298: 2297: 2295: 2293: 2289: 2286: 2284: 2280: 2270: 2267: 2265: 2262: 2260: 2257: 2255: 2252: 2250: 2247: 2243: 2240: 2239: 2238: 2235: 2233: 2230: 2228: 2225: 2224: 2222: 2218: 2212: 2209: 2207: 2204: 2203: 2201: 2198: 2194: 2190: 2184: 2181: 2179: 2176: 2174: 2171: 2170: 2168: 2165: 2161: 2157: 2151: 2148: 2146: 2145:Sclerotherapy 2143: 2141: 2140:Laser surgery 2138: 2136: 2133: 2132: 2130: 2128: 2124: 2116: 2113: 2112: 2111: 2108: 2104: 2101: 2100: 2099: 2096: 2094: 2091: 2089: 2086: 2084: 2081: 2080: 2078: 2076: 2072: 2069: 2067: 2062: 2058: 2054: 2047: 2042: 2040: 2035: 2033: 2028: 2027: 2024: 2013: 2009: 2004: 1999: 1994: 1989: 1985: 1981: 1977: 1970: 1968: 1964: 1953:on 2012-09-15 1949: 1945: 1941: 1934: 1927: 1924: 1919: 1915: 1911: 1907: 1903: 1899: 1891: 1888: 1883: 1879: 1874: 1869: 1864: 1859: 1855: 1851: 1847: 1840: 1837: 1822: 1816: 1813: 1808: 1804: 1800: 1796: 1792: 1788: 1784: 1780: 1773: 1770: 1765: 1761: 1757: 1753: 1749: 1745: 1741: 1737: 1730: 1727: 1722: 1718: 1714: 1710: 1706: 1702: 1698: 1694: 1687: 1684: 1679: 1675: 1671: 1667: 1662: 1657: 1653: 1649: 1645: 1638: 1636: 1632: 1621: 1617: 1611: 1608: 1603: 1597: 1593: 1592: 1584: 1581: 1570: 1563: 1557: 1554: 1543: 1539: 1533: 1530: 1525: 1518: 1512: 1509: 1504: 1498: 1494: 1493: 1485: 1482: 1477: 1471: 1467: 1466: 1458: 1455: 1450: 1449: 1444: 1437: 1434: 1423: 1419: 1413: 1410: 1405: 1401: 1397: 1393: 1389: 1382: 1380: 1376: 1364: 1357: 1354: 1349: 1347:9781496387073 1343: 1339: 1332: 1329: 1318: 1314: 1307: 1304: 1292: 1288: 1281: 1278: 1273: 1269: 1264: 1259: 1255: 1251: 1247: 1243: 1239: 1235: 1231: 1224: 1221: 1216: 1212: 1208: 1204: 1201:(49): 55–65. 1200: 1196: 1189: 1186: 1181: 1177: 1173: 1169: 1165: 1158: 1155: 1150: 1146: 1142: 1138: 1134: 1133: 1132:Nursing Times 1128: 1121: 1119: 1115: 1108: 1103: 1100: 1099: 1095: 1093: 1091: 1086: 1085:blood alcohol 1082: 1074: 1072: 1063: 1060: 1057: 1056: 1054: 1049: 1046: 1043: 1040: 1037: 1034: 1031: 1028: 1027: 1025: 1020: 1017: 1016: 1014: 1013: 1012: 1006: 1004: 1000: 996: 992: 990: 986: 980: 977: 976:chlorhexidine 972: 968: 964: 960: 951: 949: 946: 942: 934: 932: 930: 926: 921: 918: 913: 910: 906: 905:iontophoresis 900: 892: 886: 885: 881: 879: 876: 875: 871: 869: 865: 864: 861: 858: 855: 853: 852: 848: 845: 844: 841: 837: 833: 829: 828: 824: 822: 814: 811: 808: 807: 803: 799: 798:Tissue typing 796: 793: 791: 787: 784: 783: 780: 776: 775: 771: 766: 763: 760: 756: 755: 750: 749: 748: 747: 743: 740: 739: 736: 735: 731: 728: 727:anticoagulant 724: 720: 717: 714: 713: 710: 706: 703: 702:anticoagulant 699: 695: 692: 690: 686: 685: 681: 677: 673: 669: 668: 664: 661: 660:anticoagulant 657: 653: 646: 643: 642: 639: 635: 631: 627: 623: 619: 615: 614: 610: 607: 606:anticoagulant 603: 599: 598: 594: 591: 590: 586: 585: 581: 579: 575: 574: 569: 566: 565: 562: 558: 554: 550: 547: 546: 541: 538: 537: 533: 532: 527: 524: 520: 517: 514: 513: 509: 505: 501: 500: 496: 493: 489: 486: 483: 482: 479: 478:cryoglobulins 475: 471: 468: 466: 463: 460: 459: 455: 454:thrombin time 451: 447: 443: 440: 438: 436: 435:anticoagulant 431: 430: 425: 423: 419: 418: 414: 410: 406: 404: 400: 399: 394: 393:anticoagulant 390: 387: 384: 383: 382:Blood culture 379: 378: 374: 371: 368: 367: 363: 358: 354: 350: 346: 341: 337: 335: 330: 326: 322: 317: 313: 304: 302: 298: 295: 293: 289: 283: 275: 268: 266: 264: 260: 256: 251: 245: 241: 236: 229: 227: 226: 222: 217:Complications 216: 214: 212: 208: 203: 201: 197: 193: 188: 186: 182: 178: 174: 173:cubital fossa 170: 165: 163: 156: 152: 148: 144: 141: 137: 134: 131: 128: 127: 126: 123: 119: 117: 113: 112:veterinarians 109: 105: 101: 100:phlebotomists 97: 93: 89: 85: 81: 77: 76: 72:(also called 71: 67: 63: 60:In medicine, 39: 33: 32:Drawing Blood 19: 2401:Toe pressure 2232:Cardioplegia 1986:(2): 87–93. 1983: 1979: 1955:. Retrieved 1948:the original 1943: 1939: 1926: 1901: 1897: 1890: 1853: 1849: 1839: 1827:. Retrieved 1815: 1782: 1778: 1772: 1739: 1735: 1729: 1696: 1692: 1686: 1651: 1647: 1623:. Retrieved 1619: 1610: 1590: 1583: 1572:. Retrieved 1568: 1556: 1545:. Retrieved 1541: 1532: 1526:. June 2019. 1523: 1511: 1491: 1484: 1464: 1457: 1446: 1436: 1425:. Retrieved 1421: 1418:"Collection" 1412: 1398:(1): 145–8. 1395: 1391: 1367:. Retrieved 1356: 1337: 1331: 1320:. Retrieved 1316: 1306: 1294:. Retrieved 1290: 1280: 1240:(1): 17–33. 1237: 1233: 1223: 1198: 1194: 1188: 1167: 1157: 1149:the original 1139:(39): 30–1. 1136: 1130: 1078: 1069: 1010: 1001: 997: 993: 981: 971:endocarditis 961:rather than 955: 944: 938: 922: 914: 902: 884:Tuberculosis 882: 877: 872: 867: 866:QuantiFERON 849: 825: 820: 812: 788: 772: 753: 745: 744: 732: 718: 693: 688: 667:Blood typing 665: 647: 611: 595: 582: 577: 571: 567:Light green 543: 529: 522: 518: 497: 491: 487: 469: 464: 441: 432: 428: 421: 411:and one for 398:growth media 396: 388: 380: 353:venipuncture 352: 338: 308: 299: 296: 284: 280: 252: 249: 246:and visible. 223: 220: 211:polycythemia 204: 189: 166: 160: 151:in the donor 124: 120: 73: 66:venepuncture 65: 62:venipuncture 61: 59: 18:Venepuncture 2422:Blood tests 2345:Portography 2310:Aortography 2292:Angiography 2178:Arteriotomy 2093:Atherectomy 2088:Angioplasty 893:In children 874:QuantiFERON 777:, lactate, 719:Sodium EDTA 687:Royal blue 682:viral load 676:Coombs test 638:cyclosporin 626:Coombs test 613:Whole blood 539:Dark green 465:No additive 349:sample tube 238:An elastic 147:transfusion 2432:Phlebotomy 2427:Hematology 2416:Categories 2391:Angioscopy 2359:Ultrasound 2337:Venography 2197:dissection 2183:Phlebotomy 1957:2013-12-29 1940:Lab Animal 1699:(4): 106. 1625:2024-01-24 1574:2023-06-15 1547:2020-09-10 1427:2019-12-08 1369:2013-12-29 1322:2024-02-01 1195:Nurs Stand 1109:References 967:commensals 909:lignocaine 857:Paediatric 836:toxoplasma 832:adenovirus 779:toxicology 761:inhibitor) 759:glycolysis 709:toxicology 634:tacrolimus 461:Plain red 452:(PTT) and 357:phlebotomy 351:types for 345:Vacutainer 259:Vacutainer 240:tourniquet 96:paramedics 75:phlebotomy 1850:JRSM Open 1785:(3): 75. 1742:(1): 10. 1254:1330-0962 1176:2521-5760 985:anaerobic 917:lidocaine 804:cultures 689:("navy") 674:, direct 504:hepatitis 448:(PT) and 334:bilirubin 230:Equipment 196:heelprick 2160:Arterial 2110:Stenting 2061:Vascular 2012:21350616 1918:26298636 1882:32523703 1807:34364928 1799:17596380 1764:45422187 1756:16437788 1721:44888650 1713:18815318 1678:25591907 1670:11916787 1296:25 March 1272:26981016 1215:16134421 1180:Archived 1145:15500234 1096:See also 959:Betadine 945:Sarstedt 925:hypnosis 754:fluoride 723:chelator 698:chelator 656:chelator 602:chelator 570:Lithium 555:typing, 444:such as 372:Additive 321:clotting 316:chelates 244:palpable 177:cephalic 104:dialysis 2003:3043327 1873:7236571 1404:1644639 1263:4783087 989:aerobic 963:alcohol 941:syringe 785:Yellow 774:Glucose 752:Sodium 573:heparin 561:lactate 557:ammonia 545:heparin 542:Sodium 534:(RST). 515:Orange 429:citrate 427:Sodium 359:  314:. EDTA 288:cannula 181:basilic 149:either 90:, some 2166:access 2164:venous 2010:  2000:  1916:  1880:  1870:  1829:27 May 1805:  1797:  1762:  1754:  1719:  1711:  1676:  1668:  1598:  1499:  1472:  1402:  1344:  1270:  1260:  1252:  1213:  1174:  1143:  846:Black 815:and (K 584:Plasma 528:Rapid 395:) and 385:bottle 325:assays 183:, and 2220:Other 1951:(PDF) 1936:(PDF) 1856:(5). 1824:(PDF) 1803:S2CID 1760:S2CID 1717:S2CID 1674:S2CID 1565:(PDF) 1520:(PDF) 1317:WebMD 840:HHV-6 741:Gray 644:Pink 470:Serum 420:Blue 253:Most 142:); or 78:) or 2162:and 2063:and 2008:PMID 1914:PMID 1878:PMID 1831:2020 1795:PMID 1752:PMID 1709:PMID 1666:PMID 1596:ISBN 1497:ISBN 1470:ISBN 1400:PMID 1342:ISBN 1298:2020 1268:PMID 1250:ISSN 1211:PMID 1172:ISSN 1141:PMID 838:and 830:for 821:EDTA 734:Lead 715:Tan 694:EDTA 670:and 652:EDTA 636:and 597:EDTA 521:and 506:and 490:and 401:for 362:edit 312:EDTA 292:OSHA 114:and 92:EMTs 1998:PMC 1988:doi 1906:doi 1868:PMC 1858:doi 1787:doi 1744:doi 1701:doi 1656:doi 1396:201 1258:PMC 1242:doi 1203:doi 1137:100 860:ESR 827:PCR 802:HIV 680:HIV 622:ESR 618:CBC 553:HLA 525:gel 508:HIV 494:gel 437:) 153:or 64:or 2418:: 2195:/ 2006:. 1996:. 1982:. 1978:. 1966:^ 1944:29 1942:. 1938:. 1912:. 1902:43 1900:. 1876:. 1866:. 1854:11 1852:. 1848:. 1801:. 1793:. 1783:10 1781:. 1758:. 1750:. 1738:. 1715:. 1707:. 1697:11 1695:. 1672:. 1664:. 1652:94 1650:. 1646:. 1634:^ 1618:. 1567:. 1540:. 1522:. 1445:. 1420:. 1394:. 1390:. 1378:^ 1315:. 1289:. 1266:. 1256:. 1248:. 1238:26 1236:. 1232:. 1209:. 1199:19 1197:. 1178:. 1170:. 1166:. 1135:. 1129:. 1117:^ 834:, 725:/ 700:/ 678:, 658:/ 624:, 620:, 616:: 604:/ 559:, 510:. 476:, 472:: 415:. 336:. 213:. 202:. 187:. 179:, 118:. 102:, 98:, 94:, 86:, 2199:: 2045:e 2038:t 2031:v 2014:. 1990:: 1984:1 1960:. 1920:. 1908:: 1884:. 1860:: 1833:. 1809:. 1789:: 1766:. 1746:: 1740:9 1723:. 1703:: 1680:. 1658:: 1628:. 1604:. 1577:. 1550:. 1505:. 1478:. 1451:. 1430:. 1406:. 1372:. 1350:. 1325:. 1300:. 1274:. 1244:: 1217:. 1205:: 819:) 817:2 792:A 757:( 729:) 721:( 704:) 696:( 662:) 654:( 650:2 648:K 608:) 600:( 391:( 355:/ 347:/ 157:. 34:. 20:)

Index

Venepuncture
Drawing Blood

blood sampling
phlebotomy
intravenous therapy
medical laboratory scientists
medical practitioners
EMTs
paramedics
phlebotomists
dialysis
veterinary medicine
veterinarians
veterinary technicians
red blood cells
transfusion
in the donor
in another person
Blood analysis
median cubital vein
cubital fossa
cephalic
basilic
median antebrachial veins
fingerstick sampling
heelprick
winged infusion needle
hemochromatosis
polycythemia

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