|
Steps
|
Action |
|
1 |
- Donor
Blood Specimens:
- Mix
blood well.
- Specimen
is to be taken from each unit as soon as it arrives.
- Collect
0.3ml into a blood gas syringe and record haemoglobin and K+.
- Blood
should not be used if potassium result is:
>15mmol/L
in well babies
>10mmol/L
in small sick babies
|
|
2 |
- Pre-Exchange
Patient Specimens:
- Collect
0.3ml for arterial blood gas, Na, K, Ca and glucose levels.
- Collect
0.3ml and send for FBC and differential.
- Collect
0.7ml and send for urea, creatinine, bilirubin (total and direct).
- Before
second and repeat exchanges or where there are clotting
abnormalities, collect 0.8ml into buffered citrate micro-container
(obtained from lab), send for coagulation screen.
|
| 3 |
- During
Exchange Specimen:
- Blood
gas, electrolytes and glucose are tested as ordered.
|
| 4 |
- Post-Exchange
Patient Specimens:
(take from the last few ml of the exchange out volume)
- Collect
0.3ml in blood gas syringe, test for gas, Na, K, Ca, Glucose.
- Collect
0.3ml and send for FBC and differentials
- Collect
0.7ml and send for urea, bilirubin (total and direct).
- Coagulation
screen should be performed if more than one exchange.
|
| 5 |
- All
patient specimens are taken via the 3 way tap closest to the arterial
line out catheter.
|
