Blood Collection Bookbased Flashcards

(55 cards)

1
Q

Active ingredient in both antiseptics and disinfectant

A chemical thst kills or inhibits growth of living microorganisms

A

Biocide

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2
Q

Why dont u recommmend cotton balls

A

Cotton fibers might stick to the site and upon removal, bleeding may reinitiate

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3
Q

Common multisample needle lenth

A

1 or 1.5. Inches

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4
Q

Common butterfly needle length

A

0.5-0.75

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5
Q

Length selection depends on

A

User preference and deoth of the vein

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6
Q

A large needle may cause___ and a small needle may cause

A

Damage to vessels;hemolyzation

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7
Q

Needle safety devices must:
A. allow the phlebotomist to safely activate it with both hands.
one nand
B. create a barrier between a user’s hand and the needle after use. permovert
C. provide temporary containment of the used venipuncture needle.
D. All of the choices are correct.

A

B.

A needle safety device must be activated using one hand, not two. It must provide permanent-not temporary-containment of the used needle. However, the device must create a barrier between the user’s hand and the needle after use, which is the correct answer.

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8
Q

To satisfy OSHA regulations, if a needle. does not have a safety feature, the equipment with which it is used (such as a tube holder or syringe) must have a safety feature to minimize the chance of an

A

accidental needlestick.°

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9
Q

ETS needles without safety features must be used with

A

tube holders that have safety features.

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10
Q

S If the tube holder does not have a safety feature, you must use a

A

needle with it that has a safety feature.

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11
Q

Loss of vacuum is because of

A

Improper storage, opening of the tibe, dropping the tube

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12
Q

If the additive prevents clotting, the result is a

A

Whole blood specimen

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13
Q

If the additive is a clot activator, the blood will clot and

A

The specimen must be centrifuged to obtain the fluid portion

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14
Q

Plastic red tops used to collect blood specimens usually contain:
A. anticoagulants.
B.clot activators.
C. no additives.
D. preservatives.

Why?

A

B.

contain clot activators (the correct answer) because plastic tubes are so smooth inside that platelet aggregation and adhesion are inhibited,

Kapag glass it has a rougher surface no need for clot activators

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15
Q

What gauge increase the chances for hemolysis

A

Gauge 25

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16
Q

The first tube collected with a blood collection set will underfill because _____. If the tube contains an additive, the blood-to-additive ratio will be affected. To remove the air from the tubing before collecting an additive tube, ____
This tube is discarded, and collecting it is referred to as collecting a clear or discard tube. Collecting a discard tube is essential whenever a coagulation specimen is collected using a blood collection set.

A

of air in the tubing; a few milliliters of blood must be collected in a nonad-ditive tube or another additive tube of the same type.

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17
Q

What will you do if u observed a microclot

A

Discard and recollect blood specimen

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18
Q

Excess EDTA, which results when tubes are underfilled, _____

A

can cause RBCs to
shrink and negatively affect CBC results.

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19
Q

____ is also the additive in special erythrocyte sedimentation rate
(ESR) tubes with ___ stoppers.

A

Sodium citrate; black

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20
Q

What will happen if u underfulled a citrate tube

A

Prolonged clotting time

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21
Q

In potassium tets, what is preffered heparinized pr serum, why?

A

Hepranized becuase when serum is used it may cause elevated potassium levels and affect the results

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22
Q

What are the three heparin frormulation

A

Lithium, sodium, and ammonium

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23
Q

are used for lithium levels and some immunology tests.

A

Sodium heparain

24
Q

s primarily used in microcapillary tubes for HCT determinations.

A

Ammonium heparin

25
causes the least interference in chemistry testing and is the most widely used anticoagulant for both plasma and whole-blood chemistry tests.
Lithium heparin
26
Excess oxalate in tubes may cause what
Hemolysis
27
What causes least interference in the order of draw
Heparin
28
CLSI
Clinical and Laboratory standards institute
29
Contamination of blood culture bottles can cause
False positive results and delayed care for the patient
30
A trace element free tube stopper is
Royal blue
31
Silicon coating reduce what
It reduces red cell adherence to tube walls
32
What are the clot activators in a serum separator gels and red tops
Silica
33
PPTs meaning
Plasma preparation tubes
34
PSTs
Plasma separator tubes
35
SSTs
Serum separator tubes
36
PPTs contain
EDTA and thixotropic gel (plasma preparation tubes)
37
PSTs contain
Lithium heparin and thixotropic gel
38
SSTs contin
clot activator and thixotropic gel, used for serum not plasma
39
an inert (nonreacting) synthetic substance initially contained in or near the bottom of certain blood collection tubes.
Thixotropic gel
40
Rationale for collection order of SPS
Minimizes chance of microbial contamination
41
Rationale for collection order of coagulation tubes sodium citrate
Because all other additive tubes affect coagulation tests
42
Rationale for collection order of glass non additive tubes red
Prevents contamination by additives
43
Rationale for collection order of plastic clot activator tubes red
Because silica particles activate clotting and affect coagulation test
44
Rationale for collection order of plastic clot activator tubes red
Because silica particles activate clotting and affect coagulation test
45
Rationale for collection order of heparin tubes w gel/ PSTs
Heparin affects coagulation tests; it causes least interference in tests
46
Rationale for collection order of EDTA tubes PPTs
Responsible forr more carryover problems than any other additive; elevates Na and K levels, chelates and decreases calcium levels
47
Rationale for collection order of oxalate or fluoride tubes
Filled after hematology tubes because oxalate damage cell membranes and causes abnormal RBC morphology. It interferes in enzyme reactions
48
SESIP meaning
Sharps with engineered sharps injury protection
49
What antiseptic is used in blood donation
Povidone-iodine
50
Citrate – prevents Phosphate – Dextrose –
Citrate – prevents clotting by chelating calcium Phosphate – stabilizes pH Dextrose – provides cell energy
51
Citrate ratio
9 blood:1 coagulant
52
When antiglycolytic agent is not used in determining glucose levels,
it has a decreased level of 10 mg/dL per hour
53
Inversions of antiglycolyric agent
5-10
54
How many inversions are there in tubes with silica or clot activators
5-10
55
How many inversions are there in tubes with silica or clot activators
5-10