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A CPCT is drawing blood from a patient and observes red spots. what is the appropriate action for the CPCT to take?

User MetalLemon
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Final answer:

The red streaks observed by a CPCT during blood draw are known as petechiae, which could be due to bleeding under the skin. The CPCT should stop the draw, apply pressure, document, and report the issue. They could indicate a more serious underlying condition and require careful attention, especially in patients with hemolytic anemia.

Step-by-step explanation:

The term used to describe red streaks on a patient's skin during a blood draw could be petechiae, which are often a sign of bleeding under the skin. For a Certified Patient Care Technician (CPCT) observing this during a blood draw, the appropriate action would be to stop the blood draw and apply pressure to the site to stop any further bleeding. It is also important to document the occurrence and report to a supervisor or nurse, as these symptoms may be indicative of a more serious condition such as a clotting disorder or an adverse reaction to the blood draw. A potential cause of this condition could be physical trauma from the needle, an allergic reaction, or an underlying disease affecting clotting, such as thrombocytopenia or vascular disorders.

Considering the information provided regarding hemolytic anemia, if the blood sample is being drawn from a patient with this condition, and red spots or streaks are observed, the CPCT should be particularly cautious. Hemolytic anemia, where antibodies are attached to red blood cells, can be associated with increased bleeding and bruising, increasing the importance of close observation and care when drawing blood.

The critical thinking and analysis of different tests such as the use of anti-A and anti-B antibodies for blood typing, the use of EDTA tubes, and the preparation of Wright stained blood smears are vital components in the medical laboratory. The mention of a patient's blood visibly agglutinating with both anti-A and anti-B antibodies would indicate that the patient has an AB blood type, which is a normal response and not an error by the technician.

User Dbschwartz
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