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CPT > Blue Packet > Flashcards

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
Q

cryoglobulins come in how many types

A

3 main types

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26
Q

what is the cause of 90% of cases of cryoglobulins

A

hepatitis C

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27
Q

what should be done in cases of difficult draws or when PTT/other coagulation tests are ordered

A

use syringe draw transferred into a light blue vacutainer

28
Q

what is used to clean the urinary meatus

A

benzalkonium chloride

29
Q

define AUTOLOGOUS DONATION

A

donor pre-deposits own blood for own use later

30
Q

why is the order of draw for capillary collection different then venipuncture

A

increased rate of coagulation

31
Q

t/f: order of draw for capillary collection is different than venipuncture

A

true

32
Q

what should be done to collect a blood specimen from an older adult pt w/fragile, easy to collapse veins

A

syringe & butterfly assemble and transfer to ETS tube

33
Q

the needle should be inserted until when

A

change in resistance felt

34
Q

what happens to mislabeled specimens

A

rejected by lab

35
Q

when doing skin puncture to test WBC, RBC, glucose, and electrolytes, what tubes should be used

A

lavender and red

36
Q

during inpatient care, when should you draw

A

after nurse attached wristband to pt

37
Q

define ACTIVE CONSENT

A

parent gives permission for kid to get treatment

38
Q

if a pt is unconscious in the ED, what kind of consent is it

A

implied

39
Q

what is a complication from incorrect needle gauge

A

grossly hemolyzed specimen

40
Q

iatrogenic anemia mostly affects who

A

hospitalized pts, very young, or critically ill

41
Q

define IATROGENIC ANEMIA

A

anemia from repeated blood collection

42
Q

too much blood draw puts the pt at risk for what

A

iatrogenic anemia

43
Q

what temp should semen samples be stored and transported

A

37 degrees C/98.6 degrees F

44
Q

when preparing a peripheral blood smear, how much blood and where should be put on slide

A

1 mm drop of blood half inch from edge of slide

45
Q

purpose of blood smear

A

give information about number and shape of blood cells

46
Q

what veins should be used for older adult or obese pts w/no accessible antecubital veins

A

dorsal veins

47
Q

which blood results have priority

A

presurgical

48
Q

what is a routine pt blood test

A

basal metabolic panal

49
Q

what are first aid “to dos” for shock

A
  • maintain open airway
  • control bleeding
  • keep victim warm until help arrives
50
Q

who can discuss results of bloodwork w/pt

A

ordering physician

51
Q

define ACCESSION NUMBER

A

number identifying specimen as long as it is in lab

52
Q

what should be used to clean a puncture site

A

povidone iodine

53
Q

what things fall under chain of custody

A
  • drug screens
  • forensic studies
  • blood alcohol & paternity testing
54
Q

what does it mean if a pt reports a sharp pain radiating down arm during venipuncture

A

nerve most likely hit

55
Q

what should be done if you accidentally hit a nerve while doing a venipuncture

A

stop

56
Q

why must the site for blood culture draws be disinfected thoroughly

A

prevent microbial contamination

57
Q

why must alcohol must be allowed time to air dry

A

needs time for antiseptic action

58
Q

what is the first step in first aid to control a hemorrhage

A

apply pressure

59
Q

how long must a pt fast for before getting a metabolic panel done

A

at least 8 hours

60
Q

what is the first step in blood collection

A

requisition (physician order)

61
Q

collecting multiple specimens on a preemie causes what

A

iatrogenic anemia

62
Q

cause: aplastic anemia

A

bone marrow abnormalities

63
Q

if shipping specimens in hot whether, what should accompany the specimen

A

cold packs and biohazard label

64
Q

how should lab results be sent to physician

A

in a marked envelope

65
Q

when doing dermal samples, lavender top tubes do what

A

minimize platelet clumping and microclot formation

CPT (8 decks)

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