Chapter 44- Analysis of Blood Flashcards
What can cause hematocrit values?
Age, Gender, Collection Techniques, Pathologic Conditions
How are microhematocrit specimens processed?
Capillary blood is collected in two capillary tubes, centrifuged in a microhematocrit centrifuge, and read on a microhematocrit reader.
What factors can affect hematocrit?
Age and Gender, Collection Techniques, Geographic Location, Physiologic and Pathologic Factors
What can increase a RBC count?
Severe burns, Dehydration, Polycythemia Vera
What are the factors that can affect RBC count?
Gender, Illness or Disease, Geographic Location
What is the condition in which the RBC count is too low?
Anemia
What does the white blood cell count component of a CBC indicate?
Total number of leukocytes
Which is true about mean cell volume?
It helps classify types of anemia.
It determines the average size of RBC’s
The normal reference range is 82 to 108 femoliters (fL)
What will a decreased MCHC show in a stained blood smear?
Hypochromic RBC’s
Which index is calculated to give the average weight of hemoglobin in the RBC?
Mean Cell Hemoglobin (MCH)
What considerations must an MA take when processing a Sed rate?
Specimen tube must remain undisturbed for an hour.
Test must be performed within 62 hours of specimen collection
Specimen should be stored at room temperature if not tested immediately
In what time frame must a Sed Rate be tested on a blood sample?
Within 62 hours
Which Sed Rate is significant?
30 mm/hr in a female under age 50.
What can increase a white blood cell count?
Stress, Pneumonia, Appendicitis, Bacterial Infection
What is a decrease in white blood cell count called?
Leukopenia
Which Pathologic conditions can cause leukocytosis?
Leukemia, Pneumonia, Appendicitis
What are the PT and PTT tests used to screen?
Hemophilia, Hereditary Clotting Disorders, Results of Anticoagulant Treatment
What is the INR?
A conversion unit that takes into account the different sensitivities of reagents used for PT testing.
Which is a normal PT value?
INR of 1.4
Which type of blood could blood type B- receive?
O- and B-
What is the purpose of a type and cross match?
To determine the correct blood type to be used during a transfusion
What factor must an Rh negative mother consider if her infant is Rh positive?
In future pregnancies, the fetus can be at risk of hemolytic disease of the newborn.
What are the tests that are commonly done in physician offices for diabetes?
Hemoglobin A1c, Fasting Blood Glucose, Glucose Tolerance Test,
What chronic conditions are frequently tested for in physician offices?
Liver failure, Diabetes Mellitus, Endocrine Disorders, Cardiovascular Disease
How frequently should adults have cholesterol screening done?
Once every 5 years
Which term describes an abnormal decrease in the white blood cells in the body?
Leukopenia
Leukopenia
abnormal decrease in the number of white blood cells.
At which and should a MA position the spreader slide while preparing a blood smear?
30 degrees
Which section performs a test to count red blood cells, white blood cells, and platelets?
Immunohematology
Which should the MA do after a blood smear has been made for a differential cell count?
Allow the slide to air dry
A MA is determining the hemoglobin level of a 6 year old child . Which are the correct hemoglobin reference values for the child?
10 to 15 g/dL
A medical assistant is assessing the laboratory reposts of a patient who had a stroke and is taking warfarin ( Coumadin). The patient’s prothrombin time (PT)/ international normalized ratio (INR) result shows 3.6 clothing ability. Which instruction can the MA expect from the healthcare provider? .
Decrease the dose of Warfarin (Coumadin)
While reviewing the reposts of a female patient, the medical assistant finds the patient has a hematocrit of 52%. What does this reading intricate?
Polycythemia
When using manual methods, the mean corpuscular volume (MCV) is calculated by dividing the hematocrit by the red blood cell count and multiplying by __.
10
In the United States, blood type B+ is commonly seen among people of which ethnicity?
Asian
Which is the normal range of neutrophils?
38% to 80%
Neutrophil-
A type of white blood cell
* plays a major role in the immune system
Normal range of eosinophils ?
1% to 6%
The normal range of monocytes?
3% to 10%
Normal range of lymphocytes:
20% to 40%
Which sample is used for performing a hematocrit test?
EDTA treated blood
Citrates plasma
Used for Prothrombin time
PT:
(Prothrombin time)
test that measures the time it takes blood to form a fibrin clot.
Which measurement helps in diagnosing the type and cause of anemia?
Red blood cell indices
Differential cell count:
helps identify and count the five types of white blood cells.
Which finding could enable a MA to conclude that a pt has polycythemia ?
Increased red cell count