It’s Not Just About the Blood Collection Technique Regarding pH and gasses, capillary blood is actually closer to arterial than venous blood. Compared to a venous plasma, capillary plasma contains higher concentrations of proteins, calcium and chloride, and lower levels of potassium, sodium, and urea nitrogen.

What is higher in capillary blood than venous blood?

It is well known that capillary blood has higher hemoglobin (Hb) and hematocrit (Hct) values than venous blood. In a recent study, we reported differences between capillary and venous complete blood counts (CBC) in healthy term neonates on day 1 of life.

Why is venous blood most preferred for testing?

Venous blood is a good indicator of the physiological conditions throughout the body. It is also relatively easy to obtain. Therefore, venous blood is used most frequently for testing.

What is venous or capillary?

One of the minute vessels that convey blood from a capillary network into the small veins (venules). See also: capillary.

Why might a capillary puncture be needed instead of venipuncture?

Capillary blood sampling is becoming a common way to minimize the amount of blood drawn from a patient. The 10 or 20 microliters can be used to look for anemia, check blood sugar or even to evaluate thyroid function. The procedure is easier and less painful than traditional venipuncture which draws blood from a vein.

Why does capillary blood resemble arterial blood?

It is a mixture of venous, arterial, and capillary blood as well as interstitial and cellular fluids. Because of this mixture, capillary blood more closely resembles arterial rather than venous blood and the reference values will differ.

What are the advantages and disadvantages of capillary puncture?

Skin Puncture or Venipuncture? Pros & Cons, Part 2

Pros Cons
faster than obtaining capillary blood increased potential for hematoma formation
less likely to be contaminated by tissue fluid requires greater patient stability
less likely to be hemolyzed multiple venipunctures precipitate iatrogenic anemia

Are capillary blood tests accurate?

Capillary blood is not identical to venous blood or arterial blood. However, in many applications, these types of blood samples yield quality results for researchers and physicians alike.

Why is squeezing of the finger should be avoided?

Avoid squeezing the finger or heel too tightly because this dilutes the specimen with tissue fluid (plasma) and increases the probability of haemolysis (60). When the blood collection procedure is complete, apply firm pressure to the site to stop the bleeding.

When is capillary blood appropriate?

Capillary blood collection and testing is preferable on neonates, infants and young children due to lack of appropriate veins and a reduced blood volume of the patient.

Why is capillary glucose higher than venous?

Accordingly, the level of arterial blood glucose or postprandial capillary blood glucose is higher than that of postprandial venous blood glucose due to capillaries close to an artery (Figure 1).

What vein is not used to collect a venous blood?

The median cubital and cephalic veins are preferred for blood sampling, but other arm and hand veins may be used.

What is blood capillaries?

Capillaries are small, thin blood vessels that connect the arteries and the veins. Their thin walls allow oxygen, nutrients, carbon dioxide and waste products to pass to and from the tissue cells.

What do you mean by capillaries?

Capillaries are very tiny blood vessels — so small that a single red blood cell can barely fit through them. They help to connect your arteries and veins in addition to facilitating the exchange of certain elements between your blood and tissues.

What is the function of a capillary?

Capillaries: These tiny blood vessels have thin walls. Oxygen and nutrients from the blood can move through the walls and get into organs and tissues. The capillaries also take waste products away from your tissues. Capillaries are where oxygen and nutrients are exchanged for carbon dioxide and waste.

How do you collect blood from a capillary tube?

What tests Cannot be performed on capillary blood?

Certain tests cannot be performed on capillary blood due to the large volume they require or the possibility of contamination. These include the following: Westergren erythrocyte sedimentation rate (ESR) test, due to large blood volume required.

What are the advantages of collecting capillary blood specimen?

Capillary blood sampling has several advantages over drawing blood from a vein:

Is total protein higher in capillary or venous blood?

Total protein, bilirubin, calcium, sodium and chloride concentrations were significantly lower (less than or equal to 5%) in capillary than in venous serum.

What is the capillary blood made up of?

Capillaries are very thin, approximately 5 micrometers in diameter, and are composed of only two layers of cells—an inner layer of endothelial cells and an outer layer of epithelial cells. They are so small that red blood cells need to flow through them single file.

Is capillary blood bright red?

Despite this, venous injuries can still result in rapid blood loss. Since venous blood doesn’t have as much oxygen, it has a dark red appearance. Capillary bleeding occurs in all wounds. It is the least serious of the 3 types of bleeding, since it is the easiest to control and results in the least blood loss.

Why is it not desirable to use capillary blood for a platelet count?

Disadvantages of Capillary Blood Collection Capillary blood collection can sometimes rupture the blood cells, producing results that are inaccurate. Problems with bleeding and infection can occur with any/either method of collection.

Does capillary blood contain interstitial fluid?

Collection and Handling of Blood Blood from a skin puncture is a mixture of blood from arterioles, veins and capillaries and it contains some interstitial and intracellular fluid.

What type of blood is collected during a skin puncture?

PRINCIPLE. The skin puncture method for blood collection is used when it is impossible or impractical to obtain a venous blood sample. The following disadvantages of this technique should be considered whenever selecting this method as an option. Only small volumes of sample can be obtained.

What does a capillary bleed look like?

Capillary bleeding distinctions are: The blood tends to ooze or bubble up on the surface of the wound. The pressure is very low and will usually clot on its own or with minimal direct pressure. The blood is mixed with serous fluid.

What tests can be done with capillary blood?

Below is a list of common tests performed on capillary blood specimens some of which are point-of-care tests or home self-testing:

What is the Colour of blood in capillaries?

In capillaries, the colour of the blood changes due to the presence of both oxygenated and deoxygenated blood. It is somewhere between dark red and bright red.

Why do we wipe away the first drop of blood?

The first drop of blood from a lancing site contains a greater volume of platelets, which could make the lancing site seal up before enough blood was obtained for the test, and the dual wipe ensured a longer, larger flow of blood.

Why is it important to wipe away the first drop of blood?

Discarding the first drop of blood and refraining from squeezing the finger makes measurements more complex and necessitates deeper and more painful punctures.

Which finger is best for blood sample?

Choose your middle (3rd) or ring (4th) finger. Do not use your pinky or thumb, because you can hit bone on your pinky, and your thumb can bleed profusely. That sounds scary, but don’t worry, your middle and ring finger are safe. It is also recommended to choose your least used finger, so use your best judgment.