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Objectives 1. Define the key terms and abbreviations listed at the beginning of this chapter. Chapter 14: Arterial Puncture Procedures2. State the primary reason for performing arterial punctures

How to fill out arterial puncture phlebotomy

How to fill out arterial puncture phlebotomy:

1. Gather the necessary supplies such as sterile gloves, antiseptic solution, arterial blood collection kit, and appropriate tubes for testing.
2. Identify the patient and explain the procedure to them, ensuring their consent.
3. Wash your hands thoroughly and put on sterile gloves.
4. Choose the puncture site, usually the radial artery in the wrist, and clean the area with antiseptic solution, allowing it to dry.
5. Position the patient's hand with the palm facing upwards and support their arm to prevent movement.
6. Palpate the artery to locate its pulse and mark the spot for puncture.
7. Use a sterile arterial puncture needle to perform the puncture. Once the needle enters the artery, you will see blood flow back into the attached syringe.
8. Collect the desired amount of arterial blood into the appropriate tubes, ensuring proper labeling.
9. Apply gentle pressure to the puncture site with sterile gauze to assist in hemostasis and prevent bleeding.
10. Dispose of needles and other sharps in appropriate sharps containers.
11. Remove gloves and wash your hands again.
12. Document the procedure in the patient's medical record, including the date, time, site, and any complications or notes.

Who needs arterial puncture phlebotomy:

1. Patients with certain medical conditions may require arterial puncture phlebotomy. This may include individuals with respiratory diseases, such as chronic obstructive pulmonary disease (COPD), where arterial blood gas analysis is necessary for assessing oxygen and carbon dioxide levels.
2. Surgery patients may also undergo arterial puncture phlebotomy to monitor blood gases during and after the procedure.
3. Individuals with cardiovascular diseases, such as congestive heart failure or coronary artery disease, may require arterial blood gas testing to assess their blood oxygenation and acid-base balance.
4. Arterial puncture phlebotomy may also be performed in critical care settings to monitor critically ill patients, especially those on mechanical ventilation.
5. Additionally, patients undergoing certain diagnostic procedures or receiving specific treatments, such as extracorporeal membrane oxygenation (ECMO) or hemodialysis, may undergo arterial puncture phlebotomy.

Remember, arterial puncture phlebotomy should only be performed by trained healthcare professionals following proper protocols and guidelines to ensure patient safety and accurate results.

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