Term
|
Definition
| Artery contraction due to pain, irritation by a needle, or anxiety |
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|
Term
| Formation of a thrombus during arterial puncture can result from |
|
Definition
| Injury to the arterial wall |
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|
Term
| Significantly inaccurate ABG values can result from |
|
Definition
| Microdots that are undetected |
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|
Term
| Integrity of blood gas specimen affected by |
|
Definition
| Ratio of blood to anticoagulant |
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|
Term
| Thumb should not be used to feel for artery because |
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Definition
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|
Term
| Patient complication associated with arterial puncture |
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Definition
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Term
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Definition
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Term
| Why is arterial blood better for blood gas |
|
Definition
| Composition of arterial blood more consistent |
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Term
| Blood gas parameter HCO3 measures amount of |
|
Definition
| Bicarbonate circulating in blood |
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|
Term
| Test requiring arterial specimen |
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Definition
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|
Term
| Analyte routinely part of blood gas analysis |
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Definition
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|
Term
| ABG evaluation would most likely be performed on patient |
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Definition
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|
Term
| Arterial puncture instruction includes |
|
Definition
| Observation of procedures |
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|
Term
| Arterial puncture site selection is based on |
|
Definition
| Existence of collateral circulation |
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|
Term
| One reason to favor site as choice for arterial puncture |
|
Definition
| Very little tissue covering the artery |
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|
Term
| Preferred and most common site for arterial puncture |
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Definition
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|
Term
| Artery easiest to acess during low cardiac output |
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Definition
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|
Term
| Biggest advantage of choosing radial artery for ABG |
|
Definition
| Usually has good collateral circulation |
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|
Term
| Disadvantage of using radial artery for ABG |
|
Definition
| Small and difficult to feel |
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|
Term
| Advantage of using brachial artery for arterial blood collection |
|
Definition
| Large and fairly easy to palpate |
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|
Term
| Disadvantage of puncturing brachial artery |
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Definition
|
|
Term
| Arterial site poses greatest risk of infection |
|
Definition
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|
Term
| Arterial specimens can also be collected from |
|
Definition
| Dorsalis pedis arteries of most adults |
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|
Term
| Supplemental information on ABG requisition |
|
Definition
| Patient activity and body position |
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|
Term
| Required for ABG collection |
|
Definition
| 1-5 ml self-filling syringe |
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|
Term
| ABG specimens are collected in syringes rather than tubes |
|
Definition
| Evacuated tube pressure can change results |
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|
Term
| PPE used when collecting arterial specimens |
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Definition
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|
Term
| Commercially prepared arterial sampling kits rarely contain |
|
Definition
| 1% lidocaine-filled syringe |
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|
Term
| Heparin is used in arterial sample collection to |
|
Definition
| Prevent clotting of the specimen |
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|
Term
| Lidocaine is used during arterial puncture |
|
Definition
| Anesthetize the site prior to the puncture |
|
|
Term
| Prior to ABG collection, patient should be in steady state for at least |
|
Definition
|
|
Term
| Patient in steady for ABG collection |
|
Definition
| Had no suction changes in 20 minutes |
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|
Term
| Purpose of performing modified Allen test |
|
Definition
| Determine collateral circulation |
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|
Term
| Which artery released first in modified allen test |
|
Definition
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|
Term
| Positive modified allen test |
|
Definition
| Hand color returns to normal in 15 seconds |
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|
Term
| Proper procedure if Allen test is negative |
|
Definition
| Check for collateral circulation in the other arm |
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|
Term
| Patient who has collateral circulation |
|
Definition
| Has multiple arteries supplying blood to an area |
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|
Term
| ABG procedure actions in order |
|
Definition
| Assess, position, clean, puncture, fill, expel, label |
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|
Term
| ABG specimen collection step optional |
|
Definition
| Administration of local anesthetic |
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|
Term
| Positioning of arm for radial ABG includes |
|
Definition
| Extending wrist approximately 30 degreees |
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|
Term
| Reason to terminate arterial puncture |
|
Definition
| Patient complaints of extreme pain and discomfort |
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|
Term
| Improper antisepsis prior to arterial puncture |
|
Definition
| Scrubbing site with alcohol for 2 minutes |
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|
Term
| Arterial puncture, needle must be directed |
|
Definition
| Away from hand, facing blood flow |
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|
Term
| Acceptable angle of needle insertion for drawing radial ABG |
|
Definition
|
|
Term
| Proper angle of needle insertion for drawing femoral artery |
|
Definition
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|
Term
| Typical needle used to collect from radial artery |
|
Definition
|
|
Term
| How to know when you hit artery during ABG |
|
Definition
| Flash of blood appears in syringe hub |
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|
Term
| As soon as needle is withdrawn following ABG |
|
Definition
| Phleb should apply site pressure for 3 to 5 minutes |
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|
Term
| Best way to tell if specimen is arterial |
|
Definition
| Blood will pump or pulse into syringe |
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|
Term
| Proper specimen handling immediately following collection |
|
Definition
| Mixing the specimen to prevent clotting |
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|
Term
| After arterial puncture, phleb should check pulse |
|
Definition
|
|
Term
| If pulse is absent following ABG collection |
|
Definition
| Notify patient's nurse or lab supervisor |
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|
Term
| Arterial specimen collected in plastic syringe transported |
|
Definition
|
|
Term
| Specimens for electrolyte testing in addition to ABG am drsic |
|
Definition
| Transported at room temperature |
|
|
Term
| If patient has high WBC ABG specimen |
|
Definition
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|
Term
| Common arterial complication even when proper procedure followed |
|
Definition
|
|
Term
| Blood gas specimen rejection criteria |
|
Definition
Improper labeling or missing label
Inadequate volume of the specimen
Visible hemolysis os specimen
ALL OF THE ABOVE |
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|
Term
| Sudden fainting during arterial puncture |
|
Definition
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|
Term
| Most likely to cause erroneous ABG results |
|
Definition
| Microlots present in the specimen |
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|
Term
| Primary reason for arterial puncture is to determine hemoglobin levels |
|
Definition
|
|
Term
| Femoral artery is first location for performing arterial puncture |
|
Definition
|
|
Term
| ABG supplies include heparinized syringes |
|
Definition
|
|
Term
| Commonly measured ABG parameters include pH, PaCO2 and O2 saturation |
|
Definition
|
|
Term
| Purpose of modified Allen test is to determine collateral circulation |
|
Definition
|
|
Term
| Needle for radial ABG should be inserted at 90 degree angle |
|
Definition
|
|
Term
| Arteriospasm is a complication associated with arterial punctures |
|
Definition
|
|
Term
| Hematoma is a complication associated with arterial punctures |
|
Definition
|
|
Term
| Infection is not a complication associated with arterial punctures |
|
Definition
|
|
Term
| Presence of air bubbles can cause erroneous ABG values |
|
Definition
|
|
Term
| Delay in analysis exceeding 30 minutes can cause erroneous ABG values |
|
Definition
|
|
Term
| Inadequate mixing results in microclots that can cause erroneous ABG values |
|
Definition
|
|
Term
| For accurate results ABGs specimen must be exposed to air |
|
Definition
|
|
Term
| ABGs should not be drawn on a limb with AV shunt |
|
Definition
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|
Term
| Radial pulse can be felt on thumb side of wrist approximately 1 inch distal to wrist |
|
Definition
|
|
Term
| Presence of ulnar circulation should be assesed after radial puncture |
|
Definition
|
|
Term
| Median cutaneous nerve lies medial to the brachial artery |
|
Definition
|
|
Term
| According to CLSI the brachial artery is not common in children as it lacks collateral circulation |
|
Definition
|
|
Term
| Needles used for arterial puncture are typically larger than 22 gauge |
|
Definition
|
|
Term
| Always use the tumb to palpate for a location for and arterial puncture |
|
Definition
|
|
Term
| After arterial puncture instruct patient to hold firm pressure over site |
|
Definition
|
|
Term
| Prior to arterial puncture ensure patient does not have an allergy to lidocaine or it's derivatives |
|
Definition
|
|
Term
| Probing for a vessel can cause hematomas and thromus formations |
|
Definition
|
|
Term
| Heparin is not an acceptable anticoagulant for BG specimens |
|
Definition
|
|
Term
| WBC and platelets in a blood specimen continue to consume O2 |
|
Definition
|
|
Term
| Needle size plays a role in hematoma formation |
|
Definition
|
|
Term
| Secure attachment of the needle to the syringe can help minimize chance of air bubbles |
|
Definition
|
|
Term
| Normal arterial blood is darker bluish-red color |
|
Definition
|
|
Term
| Numbness of the hand or wrist is not an indication of impaired circulation or nerve damage |
|
Definition
|
|
Term
| Injury to the intima or inner wall of the artery can lead to thrombus or clot formation |
|
Definition
|
|
Term
| Arteriospasm is an involuntary contraction of the artery muscle |
|
Definition
|
|
Term
| Localized infection can not occur from improper site preparation |
|
Definition
|
|
Term
| In rare cases repeated puncture of an artery can lead to an aneurysm of the artery |
|
Definition
|
|
Term
| Patient should be in steady state for 20-30 minutes prior to puncture |
|
Definition
|
|
Term
| Once an arterial puncture is completed apply pressure for only 1-2 minutes |
|
Definition
|
|
Term
| Radial artery is largest artery used for arterial puncture |
|
Definition
|
|
Term
| Local anesthesia may prevent vasoconstriction when performing arterial puncture |
|
Definition
|
|
Term
| Radial artery is ideal location for an arterial puncture for hypovolemic patients |
|
Definition
|
|
Term
| Brachial artery lies deeper than the radial artery |
|
Definition
|
|
Term
| Arterial puncture is technically difficult and potentially more painfuland hazardous than venipuncture |
|
Definition
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