blood tubes Flashcards

1
Q

what is the reason a patient would have a coagulation study test run

A

patient already had a clot and is now on medication to prevent more from happening

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2
Q

what is the purpose for coagulation studies

A

to see how well a patients blood clots

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3
Q

what 2 medications might a patient be taking to prevent blood clots

A
  • warfarin

- coumadin

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4
Q

why can you NOT use the gold/SST tube for toxicology department

A

thixotropic gel will absorb medication/drugs

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5
Q

what color tube would you use if you were looking for heart attack or organ failure

A

green

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6
Q

what action are you looking for in a red top tube

A

clump RBC’s together so remainder (serum) can be analyzed

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7
Q

why do you put a green tube on ice ASAP after blood draw

A

to stop any metabolic changes from occuring

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8
Q

what does the additive thixotropic gel do

A

help separate layers of density after centrifuging

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9
Q

blood culture comes as a set called

A

aerobic and anaerobic

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10
Q

what does the additive broth media culture in a blood culture tube do

A

feeds and sustains bacterial growth

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11
Q

green tube testing for

A
  • blood gasses
  • ammonia
  • catacholamines
  • lactic acid
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12
Q

what is the cleaning process for blood culture lubes and patient

A
  1. clean tube/patient with separate 70% isopropyl alcohol swabs
  2. air dry
  3. clean tube/patient with tincture of iodine
  4. air dry
  5. clean tubes/patient again with 70% isopropyl alcohol to remove iodine (leave swab on tube cap of last to be used tube
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13
Q

bright yellow tube additives

A
  • charcoal
  • broth culture medium
  • sodium Polyanethol sulfonate
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14
Q

additive in plasma separator tube(PST) (light green)

A

thixotropic gel

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15
Q

butterfly needle - use with what tubes

A

blood cultures

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16
Q

butterfly needle used on who

A

children and elderly

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17
Q

butterfly needle used why

A
  • dehydrated patient

- collapsed vein

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18
Q

what is procedure when 1st draw tube is ration tube using butterfly needle

A

use discard tube to bleed air out of line

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19
Q

green tube # of inversions

A

8

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20
Q

green tube department

A

STAT chemistry

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21
Q

what color tubes CANNOT replace Royal Blue and why

A

lavender and pink

possible metal in cap

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22
Q

how many times do you invert royal blue tubes

A

8

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23
Q

how many times do you invert green tubes

A

8

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24
Q

what color tube do you use when looking for heavy metal poisoning

A

royal blue

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25
how many times do you invert lavender tubes
8
26
what additives are found in a gold/SST tube
- prothrombin activator | - thixotropic gel
27
red tube tests for what
prescription and illicit drugs
28
Canada blood services keep blood for
42 days
29
where is tourniquet applied? | where do tails face
- 2-4 inches above antecubital fossa | - tail facing up
30
if patient is dehydrated or collapsed vein what needle do you use
butterfly needle
31
blood culture tubes use what needle
butterfly needle
32
when is butterfly needle not best choice
when drawing multiple tubes
33
how many mL does SST tube hold
8-10 mL
34
how many times do you invert a red plastic tube
5
35
how many times do you invert a bright yellow tube
8
36
vein that runs along lateral side of arm
cephalic
37
blood culture tubes called
aerobic and anerobic
38
when an anticoagulant tube is centrifuged what are the layers
55% plasma buffy coat 45% formed elements
39
anticoagulated tube produces
plasma
40
what tube contains a buffy layer after centrifuge
anticoagulant tube
41
lavender/pink tube additives
EDTA
42
black tube additives
buffered sodium citrate
43
light blue tube # of inversions
3-4
44
light blue tube department
coagulation studies
45
bright yellow tube # of inverstions
8
46
bright yellow tube department
microbiology
47
butterfly needle what gauge
25 gauge
48
green tube additive
heparin
49
additive in green tue
heparin
50
gold/SST tube # of inversions
5-6
51
gold/SST tube department
- chemistry - immunology - transfusion services
52
STAT test are kept how
on ice
53
gold/SST tube additives
- prothrombin activator | - thixotropic gel
54
additive heparin is in what color tube
green
55
most important of blood culture tubes
aerobic
56
what additive is found in lavender/pink tubes
EDTA (ethylenediaminetetraacetic acid)
57
what color tube can replace lavender and pink tubes
royal blue
58
how many times do you invert pink tubes
8
59
what are you testing for with a green top tube
- ammonia - blood gases - lactic acid - catecholamines
60
what color tube is used for STAT tests done in hospital
green
61
how many times do you invert grey tubes
8
62
what color top does blood culture tube have
bright yellow
63
how many times do you invert a gold/SST tube
5-6
64
what additive is found in a green tube
heparin
65
what color is a plasma separator tube (PST)
light green
66
what additive is found in red plastic tube
prothrombin activator
67
what 4 tests are performed pertaining to coagulation studies
INR - international normalized ratio PT - prothrombin time aPtt - partial prothromblastin time FDP - fibrinogen degradation product
68
what does INR stand for
international normalized ratio
69
what does PT stand for
prothrombin time
70
what does aPtt stand for
partial prothromblastin time
71
what does FDP stand for
fibrinogen degradation product
72
what additive is found in a a light blue tube
buffered sodium citrate
73
how many times do you invert a light blue tube
3-4
74
what is the ratio required for light blue tube
1:9
75
what color top is used for coagulation studies
light blue
76
what color tubes are used to perform glucose tolerance tests (GTT)
grey
77
what is buffy coat comprised of
WBC and platelets
78
what tubes contain heparin
green and light green
79
anticoagulated tube contains what
- plasma - buffy coat - formed elements
80
tube containing anticoagulant that prevents clotting using heparin
green
81
pale yellow tube # of inversions
8
82
pale yellow tube department
cytogenetics | transfusion services
83
what color is discard tube
red
84
bilirubin protected from
light
85
what color tube is used for toxicology department
red
86
what color tubes have serum
gold/SST and red
87
what does the additive prothrombin activator do
enhance clotting
88
what needle is 25 gauge
butterfly needle
89
light blue tube additives
buffered sodium citrate
90
grey tube # of inversions
8
91
grey tube department
chemistry
92
what 3 departments use a gold/SST tube
routine chemistries immunology transfusion servies
93
what color tube do you use for hematology
lavender/pink/royal blue
94
what does the additive charcoal in a blood culture tube do
absorbs toxins
95
what does the additive sodium Polyanethol sulfate (SOS) in a blood culture tube do
stop blood from clotting