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Blue Packet Flashcards

1
Q

what should a phlebotomist do when a new lot number or kit is opened

A

perform external liquid controls for quality control on CLIA waived point of care test

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2
Q

what is the total blood volume of a 3.3 kg infant

A

240-330 mL

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3
Q

when veins are inaccessible due to IV, scarring, or burns, what should be collected

A

capillary specimen

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4
Q

what could happen if mislabeling of a blood bank specimen is undetected

A

fatal transfusion reaction

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5
Q

what are the basic steps for venipuncture

A

assess site, cleanse, insert

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6
Q
A
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7
Q

what temperature should a CBC be stored

A

2-10 degrees C/35-50 degrees F

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8
Q

how long can a CBC be stored if it is refrigerated

A

12 hours

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9
Q

what happens to the cells in blood cells if it is not centrifuges

A

cells metabolize into serum

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10
Q

what should be marked on the blood tube in front of the pt

A

initial and date/time mark

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11
Q

what is the preferred vein when getting a routine blood sample

A

median cubital

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12
Q

what bottles should be brought if a nurse asks for supplies for blood cultures

A

aerobic and anaerobic

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13
Q

a pt must give what if they are donating blood

A

give complete medical history

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14
Q

define FERRITIN

A

protein that binds to uron

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15
Q

purpose of Ferritin blood test

A
  • find cause of anemia
  • see if inflammation is present
  • see if too much iron present
  • check to see if iron treatment working
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16
Q

what is the first thing phlebotomist should do if a pt becomes unresponsive

A

check for breathing

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17
Q

when doing an evacuted tube system (ETS) venipuncture, how should the needle be positioned

A

needle in same direction as vein at 30 degree angle w/bevel up

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18
Q

what are areas a phlebotmost should avoid drawing from on a diabetic pt

A

leg or foot

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19
Q

why should a phlebotomist avoid drawing from leg/foot of diabetic pt

A

more susceptible for infection

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20
Q

arterial blood gasses must be place in an ice bath within ___ min after collection

A

30

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21
Q

what does arterial blood gas (ABG) test measure

A

acidity, oxygen, and CO2 in blood

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22
Q

purpose of ABG test

A

check how well lungs move oxygen and CO2

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23
Q

cryoglobulins test specimens should be kept at or close to what temperature

A

37 degrees C/98.6 degrees F

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24
Q

define cryoglobulins

A

abnormal proteins

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25
cryoglobulins come in how many types
3 main types
26
what is the cause of 90% of cases of cryoglobulins
hepatitis C
27
what should be done in cases of difficult draws or when PTT/other coagulation tests are ordered
use syringe draw transferred into a light blue vacutainer
28
what is used to clean the urinary meatus
benzalkonium chloride
29
define AUTOLOGOUS DONATION
donor pre-deposits own blood for own use later
30
why is the order of draw for capillary collection different then venipuncture
increased rate of coagulation
31
t/f: order of draw for capillary collection is different than venipuncture
true
32
what should be done to collect a blood specimen from an older adult pt w/fragile, easy to collapse veins
syringe & butterfly assemble and transfer to ETS tube
33
the needle should be inserted until when
change in resistance felt
34
what happens to mislabeled specimens
rejected by lab
35
when doing skin puncture to test WBC, RBC, glucose, and electrolytes, what tubes should be used
lavender and red
36
during inpatient care, when should you draw
after nurse attached wristband to pt
37
define ACTIVE CONSENT
parent gives permission for kid to get treatment
38
if a pt is unconscious in the ED, what kind of consent is it
implied
39
what is a complication from incorrect needle gauge
grossly hemolyzed specimen
40
iatrogenic anemia mostly affects who
hospitalized pts, very young, or critically ill
41
define IATROGENIC ANEMIA
anemia from repeated blood collection
42
too much blood draw puts the pt at risk for what
iatrogenic anemia
43
what temp should semen samples be stored and transported
37 degrees C/98.6 degrees F
44
when preparing a peripheral blood smear, how much blood and where should be put on slide
1 mm drop of blood half inch from edge of slide
45
purpose of blood smear
give information about number and shape of blood cells
46
what veins should be used for older adult or obese pts w/no accessible antecubital veins
dorsal veins
47
which blood results have priority
presurgical
48
what is a routine pt blood test
basal metabolic panal
49
what are first aid "to dos" for shock
- maintain open airway - control bleeding - keep victim warm until help arrives
50
who can discuss results of bloodwork w/pt
ordering physician
51
define ACCESSION NUMBER
number identifying specimen as long as it is in lab
52
what should be used to clean a puncture site
povidone iodine
53
what things fall under chain of custody
- drug screens - forensic studies - blood alcohol & paternity testing
54
what does it mean if a pt reports a sharp pain radiating down arm during venipuncture
nerve most likely hit
55
what should be done if you accidentally hit a nerve while doing a venipuncture
stop
56
why must the site for blood culture draws be disinfected thoroughly
prevent microbial contamination
57
why must alcohol must be allowed time to air dry
needs time for antiseptic action
58
what is the first step in first aid to control a hemorrhage
apply pressure
59
how long must a pt fast for before getting a metabolic panel done
at least 8 hours
60
what is the first step in blood collection
requisition (physician order)
61
collecting multiple specimens on a preemie causes what
iatrogenic anemia
62
cause: aplastic anemia
bone marrow abnormalities
63
if shipping specimens in hot whether, what should accompany the specimen
cold packs and biohazard label
64
how should lab results be sent to physician
in a marked envelope
65
when doing dermal samples, lavender top tubes do what
minimize platelet clumping and microclot formation

CPT (8 decks)

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