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what is the difference between venous blood collection and capillary blood collection

by Lacy Koch Published 2 years ago Updated 2 years ago
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The differences between capillary and venous blood in most cases are minimal. However, there are some discrepancies in hemoglobin and hematocrit values and in platelet counts. It is well known that capillary blood has higher hemoglobin and hematocrit values than venous blood.

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.
May 17, 2017

Full Answer

What is capillary and venous blood?

Capillary blood is a combination of arterial and venous blood. From the right side of the heart through the lungs, oxygenated arterial blood flows into the capillaries. There, oxygen and nutrients are distributed and exchanged for carbon dioxide.

What are the differences observed in capillary blood and venous blood in terms of hemoglobin?

It is well known that capillary blood has higher hemoglobin and hematocrit values than venous blood. Water is leaving the capillaries during the passage through the capillary and gets absorbed afterwards in the venules again.

What is the venous blood collection?

Venous blood is the specimen of choice for most routine laboratory tests. The blood is obtained by direct puncture to a vein, most often located in the antecubital area of the arm or the back (top) of the hand.

What is capillary blood collection?

Capillary blood sampling, which refers to sampling blood from a puncture on the finger, heel or an earlobe, is increasingly common in medicine. It enjoys several advantages over venous blood sampling: it is less invasive, it requires smaller amounts of blood volume and it can be performed quickly and easily.

What is the difference between veins and capillaries?

Both veins and capillaries can sometimes be visible through your skin, but veins are larger and thicker than capillaries. While most veins only carry deoxygenated blood, capillaries can transport both oxygenated and deoxygenated blood.

What are the advantages of venous blood collection?

Veins are favored over arteries because they have thinner walls, and thus they are easier to pierce. There is also lower blood pressure in veins so that bleeding can be stopped more quickly and easily than with arterial puncture.

How do you collect capillary blood samples?

Hold the finger in an upward position and lance the palm-side surface of the finger with proper-size lancet (adult/child). Press firmly on the finger when making the puncture. Doing so will help you to obtain the amount of blood you need. Cap the Microtainer® and gently invert it 10 times to prevent clots from forming.

Why is venous blood used in most Test?

Venous blood gives a clear example of all the cells, biomarkers and proteins circulating in your blood, making it the gold standard for most routine laboratory testing[1] as well as for diagnosing diabetes and many other health conditions.

What is the meaning of venous blood?

Venous blood is deoxygenated blood which travels from the peripheral blood vessels, through the venous system into the right atrium of the heart.

What is the difference between capillary and venous blood glucose?

The level of capillary blood glucose is comparable to arterial blood glucose level while venous plasma glucose level is the estimate glucose after utilization of glucose by tissues.

What are the types of blood collection?

Blood collection methods include (1) venipuncture (penetrating a vein with a needle) with an evacuated tube system, syringe method, or butterfly infusion set; and (2) capillary blood system whereby the skin puncture is done with the use of a lancet.

What is the difference between a capillary tube and micro collection tube?

Microcollection tube: [aka bullets], small tube used to collect dermal puncture samples. Capillary tube: [aka microhematocrit tube], small plastic tubes used primailry for hematocrit tests.

Is hemoglobin higher in capillary or venous blood?

It is well known that capillary blood has higher hemoglobin (Hb) and hematocrit (Hct) values than venous blood.

Is there a difference between arterial and venous hemoglobin?

Notwithstanding of the differences that have been seen in how the ABG analyzer and venous sample machine work, our study showed that there is no significant differences in the analysis of ABG and venous hemoglobin levels.

What is the difference between capillary and venous blood glucose?

The level of capillary blood glucose is comparable to arterial blood glucose level while venous plasma glucose level is the estimate glucose after utilization of glucose by tissues.

Why is hematocrit higher in venous blood?

The most plausible explanation of the larger Hb concentration of the venous blood from the outer cortex seems to be the occurrence of a separation of red cells and plasma in the interlobular arteries. Factors causing the Ayerence in hematocrit between arterial blood and blood from the outer cortex.

What is the role of capillaries in the body?

Anyway these "capillary beds" invest every tissue in the body. All the cells in your body need oxygen and nutrients , and capillaries are so pervasive that every cell is reasonably close to some capillary. Water-soluble molecules (such as oxygen) diffuse from the blood through the capillary walls and into the tissue fluid and from there to the cells.

What is the blood vessel that gets pumped out of the heart?

Blood gets pumped out of the heart in basically this one giant artery, the aorta. The aorta branches off and splits into smaller arteries, which keep branching into smaller and smaller arteries and eventually arterioles which then lead to capillaries, which are basically not much wider than a red blood cell. The downstream ends of capillaries join back up to form venules, and then small veins and then bigger veins, just like how trickles of water flow into streams that then flow into rivers... it's the same kind of branching thing as with the arte

What is the transition point between oxygenated and deoxygenated blood?

Capillaries are the transition points for oxygenated and deoxygenated blood. In the lungs blood starts in one end of the capillaries as deoxygenated and becomes oxygenated. In the rest of the body it starts oxygenated and becomes deoxygenated.

What is the name of the smallest blood vessel?

Capillaries are a class of blood vessels (the smallest ones). Blood vessels are classified, for the most part, as arteries, capillaries , and veins, in that order according to the direction of blood flow. Capillaries are the microscopic blood vessels that connect the smallest arteries to the smallest veins. Capillaries are the site of most exchanges of material between the blood and surrounding tissues.

What is the oxygenated blood carrying system?

The oxygenated blood carrying system (arterial system) is a high pressure system consisting of aorta →arteries→arterioles→capillaries (the pressure dropping across the course from aorta to capillaries)

Where does deoxygenated blood go in the body?

The tissues then uses the oxygen from blood and the deoxygenated blood from tissue is carried back to heart to be pumped into lungs for oxygenation.

Which vessel has the highest blood velocity?

But the velocity is inversely proportional to the cross sectional area of the vessels (This is in order to maintain the flow rate). The capillaries have the largest cross sectional area and have the slowest blood velocity. The arteries have the smallest cross sectional area and therefore have the highest blood velocity.

Can milking your fingers cause haemolysis?

It is well known that milking the puncture site and then vigorously mixing the sample after collection can cause haemolysis, in addition to sample dilution with extracellular fluid which can further alter results and cause false-high positives 1,4 . Some Testosterone assays are prone to interference from certain blood components (binding proteins and heterophile antibodies) 3 . Lyse the blood sample and you’re more likely to have interference and cause false-high results.

Can capillary blood work with small volumes of blood?

Generally, they state that capillary tests should only really be used with small volumes of blood, and are best suited for paediatric patients (for obvious reasons – kids and needles for blood samples aren’t always an easy combo) 1 .

Can you milk your fingers before a capillary blood test?

Essentially, if you’re well versed with taking capillary blood tests, trained to do so, don’t clot easily, don’t need to milk your fingers (do plenty of gentle exercise before the procedure and warm your hands up), and know how to mix a sample without compromising it, then you should be okay with a capillary blood test.

Is capillary blood test cheaper?

Capillary tests are cheaper and more convenient if you don’t end up looking and feeling like Dracula’s victim, like I usually do. But to the untrained, and those who’s blood tends to clot quickly or not bleed well (thus needing to ‘milk’ their fingers), you’re best off avoiding it. In clinic, we’ve identified many erroneous high false-positive results from capillary testing. A venous sample will always provide a clearer picture, as it mitigates many of the issues associated with capillary testing, leading to far more confidence in the results. It does cost more, but for good reason. You should never attempt to take your own blood sample from a vein as the risk of seriously adverse outcomes is extremely high, you must always arrange for a qualified professional to do it for you.

When was the capillary blood vs plasma debate published?

Originally published May 17, 2017 7:26:00 AM, updated on July 15, 2020.

Is plasma derived from blood a TDM?

Even though there are specific situations in which plasma derived from venous blood is not the best option for diagnosis, treatment, or therapeutic drug monitoring (TDM) - some tests, such as blood gas analysis, are better performed on arterial or capillary blood specimen - venous plasma remains the "gold standard" for clinical applications.

Can venipuncture be replaced?

But it's no longer the only technique you need to know about. With the numerous advantages of blood microsampling (many of them significantly benefiting the patient), venipuncture can and should be replaced in some situations.

Is capillary blood a plasma?

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.

How to collect capillary blood?

Capillary blood was collected in Eppendorf tubes (Microvette® CB 300 K2E, Sarstedt) with spray-coated K2EDTA as anticoagulant and a small hole in its lower end such that the blood penetrates the tube through capillary action. Care was taken to avoid any pressure on the finger, which can result in haemodilution due to the inclusion of interstitial and intracellular fluids. We attempted to collect an approximate volume of 50 to 60 μL.

What is capillary blood?

Capillary blood sampling, which refers to sampling blood from a puncture on the finger, heel or an earlobe, is increasingly common in medicine. This approach has several advantages over venous blood sampling: it is less invasive, it requires smaller amounts of blood and it can be performed quickly and easily. Capillary blood is often collected from newborns, young children, diabetic patients, elderly patients with fragile veins, and severely burned patients[14].

How to get venous blood sample?

A venous blood sample was obtained by puncturing the middle vein of the antecubital region after the area was disinfected . Blood is collected in vacutainer tubes (BD-Vacutainer model K2E, Fisher Scientific) with spray-coated K2EDTA as anticoagulant and with a capacity of 5 mL. The vacutainer tube was inverted to ensure adequate mixture with the anticoagulant.

Where is capillary blood obtained?

Capillary blood is obtained from capillary beds that include the smallest veins (venules) and arteries (arterioles) of the circulatory system. The venules and arterioles join in capillary beds to form a mixture of venous and arterial blood along with interstitial and intracelular fluids.

Is plasma capillary LPL higher than plasma venous LPL?

Conclusion: Plasma capillary LPL activity is higher than plasma venous LPL activity, is easily obtainable and is highly sensitive to patho- and physiological changes. Evaluation of the LPL from capillary enables researchers to assess LPL, even under circumstances in which it is not detected in veins.

Is capillary blood the same as venous blood?

The composition of venous and capillary blood is not the same[9]. There are differences between capillary and venous blood in such parameters as the haematocrit[10], in the content of haemoglobin[11], and in glucose[12]. Venous blood is obtained through direct puncture of a vein, which is most often performed in the antecubital area of the arm or the back (top) of the hand and is the specimen of choice for most routine laboratory tests. Capillary blood is obtained from capillary beds that include the smallest veins (venules) and arteries (arterioles) of the circulatory system. The venules and arterioles join in capillary beds to form a mixture of venous and arterial blood along with interstitial and intracelular fluids. Other researchers believe that depending on certain parameters, and despite differences, the samples could be interchangeable, as with CD4 cell counting[13].

Is there a correlation between capillary and vein activity?

We have not observed significant differences between capillary and vein activity in women or men, but neither was observed between the two sexes. We have observed that there is a correlation between the two types of blood in women (rho = 720, p = 0.001) but not in men. With regard to the time of year in which the extraction was made, the differences among the students observed in summer and autumn did not appear in the obese individuals.

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