Ateneo de Zamboanga University

COLLEGE OF NURSING NURSING SKILLS OUTPUT (NSO)

Antistreptolysin O Titer
Name: Benjo M. Dela Cruz Date: February 2, 2012 Year & Section: BSN III- A REPORT NO. _

Description: The ASO test is primarily ordered by itself or along with an anti-DNase B to help determine whether a person has had a recent streptococcal infection. In most cases, strep infections are identified and treated with antibiotics and the infections resolve. In cases where they do not cause identifiable symptoms and/or go untreated, however, post-streptococcal complications (sequelae), namely rheumatic fever and glomerulonephritis, can develop in some patients, especially young children. Purpose: The test is ordered to measure antibodies present against Streptococcal infections. Equipments / Materials needed:

Antiseptic solution Airtight container with needle Elastic band Bandage

Procedure: 1. The site is chosen usually inside the elbow or the back of the hand. 2. The site is cleaned with germ-killing medicine (antiseptic). 3. An elastic bandage is wrapped around the upper arm to apply pressure to the area making the vein swell with blood. 4. A needle is gently inserted into the vein. 5. The blood collected into an airtight vial or tube attached to the needle. 6. The elastic band is removed from the arm.

7. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding. 8. The blood is then sent to the laboratory for analysis. Diagram/ Illustration:

Nursing Responsibilities: Before the test: Tell the client to have nothing by mouth 6 hours before the test. Perform handwashing procedure. Explain the procedure to the client.

Durign the test: Ensure client safety and comfort.

After the test: Apply bandage to the site if needed. Label the container properly and send the sample for analysis.

References:
http://www.nlm.nih.gov/medlineplus/ency/article/003522.htm