Experts| Latest Update
what is most common lancet used? retractable with 1.5-2.5 blade
never use a lancet with 2.0 depth or greater in infants and use lancet at 90 degree angle to
length of baby foot infants care with cap puncture
infant lancet depth 1.0 mm
premature infant lancet depth .85 mm
order of draw for cap puncture Blood gas
EDTA
other Additives
Serum
when cap puncture with babies use PPE why? to protect baby from any germs the Pet might
have
why should you not draw blood from sites that are swollen or edematous? blood will be
diluted with tissue and fluid and cause inaccurate results
these tests require adjustments to a routine cap puncture? cap blood gas
newborn metabolic screening
prep for peripheral blood smear
adjustments for blood gas test with cap puncture? 1- take blood for this test first
2- collected in heparinized cap tube
, 3- be careful not to create air bubbles
4- minis contact with blood and air
5- might need to use a flea to mix blood
6- deliver testing right away
flea small piece of metal inside cap tube used with a magnet to mix specimen
Newborn Metabolic Screening these tests relate to conditions relating to body's ability to
process hormones and enzymes
PKU is part of this testing
PKU (phenylketonuria) a condition that makes it impossible for babies to metabolize certain
proteins
PKU testing 1- blood is dripped onto specialized filter paper marked with circles
2- circle should be fully covered and soaked thru with blood visible on front and back
3- do not touch paper to foot
blood smear or peripheral blood smear testing done to look at blood cells count and reveals
possible problems
what tests can be use point of care tests 1- pt/INR
2- glucose
3- HbA1c or hemoglobin A1c
4- hemoglobin
5- hemacrit
PT/INR prothrombin time/international normalized ratio