Drawing Blood from a C-VAD
assessment
C-VAD site
Important C-VAD blood draw notes
- flush 5 mLs beforehand with a 10 mL syringe
- first draw is 5 mLs (to be wasted)
- scrub the hub between each vial change
Hemoglobin level
12-17
Hematocrit level
male: 42-52
female: 35-47
Platelet levels
150-400 (thousand)
platelet levels
prolonged bleeding
less than 50
platelet levels
uncontrolled bleeding
less than 20
Neutrophils
62
Lymphs
28
Bands
5
Monos
3
Eosinophils
1.5
Basophils
0.5
Neutropenia (ANC)
below 500
Red top
chemistries
immunology and serology
crossmatch
Gold Top
chemistries
immunology and serology
Light Green Top
chemistries
Purple Top
CBC
crossmatch
*full draw = inverted 8 times
Light Blue Top
coagulation
Green Top
lithium = sodium heparin
ammonia = sodium or lithium heparin
Dark Blue Top
trace element testing
toxicology
Light Gray Top
glucose
*Full draw
Yellow Top
HLA tissue typing
paternity testing
DNA studies
Yellow-Black Top
microbiology
Black Top
Westergren Sedimentation Rate
*Full draw
Orange Top
STAT serum chemistries
Light Brown Top
Serum lead determination
Pink Top
immunohematology
White Top
molecular/PCR and bDNA testing
Order of Draw
1. tubes or bottles for blood cultures
2. Light-Blue Top
3. Serum Tubes
4. Green Top Tubes
5. Lavender and Pink Tubes
6. Gray Tubes
Insulin Administration
...
normal fasting blood glucose
70-110 mg/dL
signs of hyperglycemia
excessive thirst (polyphagia)
excessive hunger (Polydypsia)
excessive urination (polyuria)
fruity breath
signs of hypoglycemia
sweating
trembling
tachycardia
(cool and clammy you get candy)