Pediatric Information and Courses from MediaLab, Inc.
These are the MediaLab courses that cover Pediatric and links to relevant pages within the course.
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| Test for Reducing Substances Other than Glucose Urine specimens from certain pediatric patients should be tested for other reducing substances, such as galactose, when the results for glucose are negative using the routine dipstick method. The laboratory's procedure should define when additional testing is needed. | View Page |
| A copper reduction method (e.g. Clinitest® or Benedict's) is performed on pediatric specimens in order to check for the presence of: | View Page |
| Testing for Reducing Substances Other Than Glucose Testing pediatric urine specimens for reducing substances other than glucose is a policy that should be implemented in the urinalysis laboratory. The maximum age for this testing is defined by each laboratory and is usually based on consultation with the pediatric clinical staff. The policy that is implemented in most laboratories is to test urine specimens for other reducing substances if the glucose test on the reagent strip is negative and the urine specimen is from a child below the age of one. Verify the policy for your own laboratory because the cutoff age for testing may be different. | View Page |
| Case Marcie Moore was a phlebotomist at a community hospital in Atlanta. It was her week to collect the pediatric unit and she was on her way to the room of a newborn for which she had just received orders to draw a STAT BMP (chem-7) and bilirubin. After informing the mother of the baby about the test she needed to perform, Marcie set up to perform a heel stick on the baby. Marcie chose a site on the outer edge of the heel on the bottom of the baby’s foot ( the correct area for a heel stick) and made a small incision with a Tenderfoot lancet after cleaning the site well with alcohol.She immediately began collecting the blood in the correct tube for the BMP and bilirubin. Blood flow was not strong so Marcie squeezed the baby’s foot a little to help the blood come out faster – the newborn was screaming and Marcie could tell it was making the mother uncomfortable. She wanted to hurry and get done so the mother could hold the baby.After the chemistry tech ran the blood tests on the tube, she informed Marcie that the newborn had a panic potassium level which did not coincide with the previous blood work on the newborn. Also the chemistry instrument could not perform the bilirubin due to hemolysis. Marcie was asked to recollect the specimen. | View Page |
| Blood collection tubes: sizes Adult tubes generally hold from 3 to 10 ml of blood.
Pediatric tubes usually hold from 2 to 4 ml.Tubes for fingersticks or heelsticks generally hold one half ml or less.
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| Blood culture bottles Are used to collect sterile blood samples from patients who may be septic (have bacteria or other organisms growing in their bloodstream).
Different blood culture bottles are used for aerobic, anaerobic, and pediatric collections. | View Page |
| Butterfly needles Butterfly needles, also known as a winged infusion set, are often used for difficult venipunctures including pediatric venipunctures.
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| Lancets Lancets are used for difficult venipunctures, including pediatric draws.
They are used for finger sticks with microcapillary collections.
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| Heelstick - Pediatric collection procedures: Introduction Veins of small children and infants are too small for venipuncture;Safety Lancets are used to puncture the skin and collect capillary blood.Butterfly needles may be used to collect venous blood in older children.
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