BLOOD COLLECTION 2 Flashcards

1
Q

Order of proper draw

A

Blue,red,gold,green,lavender, gray

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2
Q

Blue…..additive or anticoagulant?

A

Anticoagulant

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3
Q

Specific name in blue top tube

A

Citrate

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4
Q

Common lab tests with blue top tubes….

A
  • coagulation testing

- prothrombin time

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5
Q

Red…additive or anticoagulant?

A

Additive

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6
Q

What is specifically in the red top tube?

A

Clot activator

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7
Q

Common lab tests for red top tubes….

A

Chemistry/serology tests

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8
Q

Gold top tubes…additive or anticoagulant??

A

Additives

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9
Q

What is specifically in

A

Clot activator

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10
Q

Common lab tests for gold top tubes

A

Chemistry/serology tests

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11
Q

Green tube….anticoagulant or additive??

A

Anticoagulant

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12
Q

What is specifically in green top tubes??

A

Heparin

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13
Q

Common lab tests for green top tubes…

A
  • stat chemistry tests

- electrolyte tests

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14
Q

Lavender…additive or anticoagulant??

A

Anticoagulant

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15
Q

What is specifically in lavender top tubes?

A

EDTA

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16
Q

Common lab tests for lavender top tubes?

A
  • hematology tests

- CBC (complete blood count )

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17
Q

Gray top tubes…anticoagulant or additives?

A

Anticoagulant

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18
Q

What is specifically in gray top tubes?

A

Oxalates

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19
Q

What tests are done for gray top tubes?

A
  • glucose

- drug testing

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20
Q

Syncope

A

Fainting

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21
Q

How many times should a phlebotomist stick the same patient?

A

Not more than twice

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22
Q

Fasting

A

Not eating /drinking for a certain amount of time prior to procedure or blood draw

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23
Q

How long is fasting usually?

A

12-14 hours

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24
Q

What arm shouldn’t you perform a vein puncture on with a mastectomy?

A

Arm adjacent to a mastectomy site

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25
What may a patient w a mastectomy have none of?
No lymph flow
26
How does tourniquet relate to patient with a mastectomy?
The tourniquet May injure the patients arm
27
Hemolysis
Breaking up of red blood cells resulting in the release of hemoglobin
28
What color does hemoglobin cause the serum/plasma to be?
Pink/red
29
What can cause hemolysis?
- too small of a needle - collapsing vein by putting too much pressure on it - vigorously shaking the blood tube
30
Whole blood centrifuged?
No it isn’t
31
Whole blood def....
All elements of blood are kept together and not separated
32
What is done to the whole blood?
It is inverted
33
What tube is whole blood commonly found?
Lavender top
34
What is serum?
The liquid part obtained when blood is clotted
35
Does serum contain clotting factors??
No
36
What tubes is serum in?
Red or gold tops
37
What is there none of in red or gold topped tubes?
Anticoagulant
38
What has to happen before centrifuging of serum?
Has to form a clot
39
Why does serum need to be centrifuged?
To yield serum
40
What color is serum?
Straw colored
41
Anticoagulants have what function?
Prevent clotting
42
Hemoconcentration...
Blood concentration of large molecules such as proteins, cells, and coagulation factor increases
43
Recommended clotting time for serum....
30-45 minutes NO longer than an hour
44
How long is serum centrifuged?
15-20 minutes
45
Does serum end up on bottom or top of tube after centrifuging?
TOP
46
What color tubes does plasma come from?
Blue, lavender, green and gray
47
Where are the clotting factors in plasma?
In the plasma
48
Where are the clotting factors in serum?
In the fibrin clot
49
What is not centrifuged??
Whole blood
50
SST
Serum separator tube
51
PST
Plasma separator tube
52
Most common method for collecting venipuncture blood??? I
Vacutainer
53
Bevel should always be which direction?
UP
54
Vacutainer needle length...
1-1.5 inches
55
Most common vacutainer gauges...
20-22
56
What could happen with higher needle gauge for vacutainer?
Could cause hemolysis of the cells because the lumen is too small
57
Where should tourniquet be placed?
3-4 inches above venipuncture site
58
Recommended time to leave on tourniquet....
1 minute
59
Why is syringe method used?
Fragile veins
60
Syringe barrel is what sizes??
2-20 mL
61
What is a syringe needle also called?
Hypodermic needle
62
Most common syringe needle gauge...
20-22
63
Common syringe method needle length
1-1.5 inches
64
Why is butterfly method used?
Very small veins
65
How long within collection should you centrifuge?
Within 2 hours
66
How long should gold, red , and tiger topped tubes be left to clot?
30 minutes