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Les prélèvements_de_sang

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Les prélèvements de sang...

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Les prélèvements_de_sang

  1. 1. Par : S / Abdessemed
  2. 2.  Cette méthode de prélèvement est facile et rapide et fournit du sang en quantité suffisante pour permettre de répéter un test en cas d’erreur ou de résultats douteux, cependant, elle doit être effectuée avec beaucoup de soins.
  3. 3.  Alcool isopropylique à 70%  Coton hydrophile ou compresses de gaze  Garrot  Tubes appropriés aux tests à effectuer  Aiguilles  Sparadrap
  4. 4.  Vérifier l’identité du malade et identifier les tubes  Le patient doit être installé confortablement, le bras appuyé sur une surface plane  Il doit fermer la main pour faire gonfler les veines, qui seront ainsi plus facilement palpable
  5. 5.  Choisir le point de ponction, généralement sont les veines superficielles du pli du coude et de l’avant bras (veines céphalique, médiane céphalique et médiane basilique) Ce sont de grosses veines superficielles qui ne glissent pas et ne roulent pas
  6. 6. 1=veine radiale superficielle 2=veine médiane 3=veine ulnaire superficielle 4=veine médiane céphalique 5=veine médiane basilique 6=veine céphalique 7=veine basilique
  7. 7.  on n’utilise les veines de la main qu’en cas d’échecs répètes de ponctions dans des régions plus hautes, car ces veines ont tendance à rouler, d’autres part, l’innervation assez riche de la face dorsale de la main rend la ponction très douloureuse.
  8. 8. 1=veine ulnaire superficielle 2=veine ulnaire accessoire 3=veine radiale superficielle 4=arcade palmaire
  9. 9.  Palper le trajet de la veine avec l’index, nettoyer la région avec l’alcool, essuyer ensuite pour prévenir l’hémolyse du spécimen et éviter une sensation de brûlure au moment de la ponction
  10. 10.  Saisir le bras du patient au niveau du coude et tendre légèrement la peau sur la veine.  Traverser la peau dans le sens de la circulation veineuse en dirigeant la pointe de l’aiguille au centre de la veine.
  11. 11.  Relâcher le garrot des l’apparition du sang dans le tube et demander au malade d’ouvrir la main, un certain degré d’hémoconcentration se produit après une minute de stase
  12. 12.  Remplir les tubes jusqu'à ce que la proportion anticoagulant / sang est adéquate.  Mélanger immédiatement chaque tube contenant un anticoagulant en renversant complètement les tubes 5à6 fois .  Ne pas agiter trop fortement pour éviter l’hémolyse.
  13. 13.  Comprimer fermement la veine ponctionnée avec une gaze stérile et essuyer avec une gaze sèche, placer un sparadrap.  Vérifier de nouveau l’identification des tubes,  Si le malade souffre d’hépatite, l’inscrire sur chaque tube et placer les échantillons dans un sac en plastique
  14. 14. abdsalah05@gmail,com

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