Blood Collection Bookbased Flashcards

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
Q

causes the least interference in chemistry testing and is the most widely used anticoagulant for both plasma and whole-blood chemistry tests.

A

Lithium heparin

26
Q

Excess oxalate in tubes may cause what

A

Hemolysis

27
Q

What causes least interference in the order of draw

A

Heparin

28
Q

CLSI

A

Clinical and Laboratory standards institute

29
Q

Contamination of blood culture bottles can cause

A

False positive results and delayed care for the patient

30
Q

A trace element free tube stopper is

A

Royal blue

31
Q

Silicon coating reduce what

A

It reduces red cell adherence to tube walls

32
Q

What are the clot activators in a serum separator gels and red tops

A

Silica

33
Q

PPTs meaning

A

Plasma preparation tubes

34
Q

PSTs

A

Plasma separator tubes

35
Q

SSTs

A

Serum separator tubes

36
Q

PPTs contain

A

EDTA and thixotropic gel (plasma preparation tubes)

37
Q

PSTs contain

A

Lithium heparin and thixotropic gel

38
Q

SSTs contin

A

clot activator and thixotropic gel, used for serum not plasma

39
Q

an inert (nonreacting) synthetic substance initially contained in or near the bottom of certain blood collection tubes.

A

Thixotropic gel

40
Q

Rationale for collection order of SPS

A

Minimizes chance of microbial contamination

41
Q

Rationale for collection order of coagulation tubes sodium citrate

A

Because all other additive tubes affect coagulation tests

42
Q

Rationale for collection order of glass non additive tubes red

A

Prevents contamination by additives

43
Q

Rationale for collection order of plastic clot activator tubes red

A

Because silica particles activate clotting and affect coagulation test

44
Q

Rationale for collection order of plastic clot activator tubes red

A

Because silica particles activate clotting and affect coagulation test

45
Q

Rationale for collection order of heparin tubes w gel/ PSTs

A

Heparin affects coagulation tests; it causes least interference in tests

46
Q

Rationale for collection order of EDTA tubes PPTs

A

Responsible forr more carryover problems than any other additive; elevates Na and K levels, chelates and decreases calcium levels

47
Q

Rationale for collection order of oxalate or fluoride tubes

A

Filled after hematology tubes because oxalate damage cell membranes and causes abnormal RBC morphology. It interferes in enzyme reactions

48
Q

SESIP meaning

A

Sharps with engineered sharps injury protection

49
Q

What antiseptic is used in blood donation

A

Povidone-iodine

50
Q

Citrate – prevents
Phosphate –
Dextrose –

A

Citrate – prevents clotting by chelating calcium
Phosphate – stabilizes pH Dextrose – provides cell energy

51
Q

Citrate ratio

A

9 blood:1 coagulant

52
Q

When antiglycolytic agent is not used in determining glucose levels,

A

it has a decreased level of 10 mg/dL per hour

53
Q

Inversions of antiglycolyric agent

A

5-10

54
Q

How many inversions are there in tubes with silica or clot activators

A

5-10

55
Q

How many inversions are there in tubes with silica or clot activators

A

5-10