University:
University of Nottingham
Course:
B723 | Midwifery
Academic year:

2024
Views:

159

Pages:

5
Author:

Christy C.

HEMOGLOBIN EXAMINATIONWITH EXPERT METHOD A. Hemoglobin examination 1. Understanding Measuring hemoglobin levels based on the color that occurs due to the change in Hb into hematin acid in the presence of 0.1 N HCL 2. Goals Hemoglobin examination is carried out to detect anemia and kidney disease. Elevated hemoglobin can indicate dehydration, chronic obstructive pulmonary disease, congestive heart failure, etc. 3. Preparation of Tools and Materials a. Measuring tube b. 2 standard color tubes c. Hb pipette with rubber pipe d. HCl Pipette e. Stirring rod f. Bottle containing HCl and distilled water g. Cleaning brush h. Small rugs and mats i. 70% alcohol cotton swab j. Needle/Lancet k. Sterile handscoon l. Dry cotton m. Crooked Work procedures a. Insert the 0.1N HCl solution with an HCl pipette into the dilution tube until it reaches number 2 b. Inform the patient and explain the purpose and steps of the examination procedure c. Bring equipment near the patient d. Washing hands e. Place mats and mats under the hands of the patient whose blood will be taken f. Prepare bent g. Use sterile handscoon h. Prepare the client's fingers and collect blood into the fingers by massaging i. Wipe the fingertips from which blood will be taken with alcohol j. Insert the needle into the tip of the finger next to the edge until blood comes out k. Wipe the first blood that comes out with dry cotton l. With an Hb pipette, suck blood up to 20 cm, don't let any air bubbles get sucked in. m. Remove blood attached to the pipette tip using dry cotton n. Pour the blood into a diluent tube containing 0.1 N HCl in an upright position and avoid the blood touching the walls of the tube. o. Any remaining blood that may still be stuck in the lumen of the Hb pipette is rinsed by blowing and sucking it. p. Wait up to 1 minute q. Add distilled water little by little, each time the color of the hematin acid solution increases, compare it with the color of the standard solution. r. When the color is the same, the addition of distilled water is stopped and the Hb level is read on the scale in gr% reading units. s. Take out the mats and mats, tidy up the tools t. Releasing handscoon u. Washing hands HB LEVEL EXAMINATION STEPS / ACTIVITIES MARK 1 1 Explain to the mother the purpose of the Hb examination 2 Wash both hands before taking action. 3 Preparing tools for Hb examination 4 Tell the mother that blood will be taken from her fingertip 5 Fill the sahli tube with 0.1 N HCl solution up to number 2 6 Clean and apply antiseptic to the capillary area of the mother's finger using 70% alcohol cotton. 7 Insert a blood lancet into the tip of the mother's finger. 8 Suction the capillary blood that comes out using a sahli pipette up to number 20. 9 Put the blood into a sahli tube, then stir with a glass stirrer. (wait for 4 minutes) 10 Dilute with distilled water drop by drop until the solution is the same as the standard color on the hemometer. 11 read the miniscus scale shown on the sahli tube scale and expressed in grams % 2 3 4 12 Cleaning equipment and tidying up patients 13 Wash both hands after carrying out the action 14 Document the results of the Hb examination of pregnant women