Chapter 9

Question 1

Hemolyed

Answer 1

The condition of serum or plasma that contains hemoglobin from broken RBCs

Question 2

Hemolysis

Answer 2

Damage or destruction of RBCs and release of hemoglobin into the fluid portion of a specimen.
- Causes the serum color to range from pink (slight hemolysis) to red (gross hemolysis)Nam

Question 3

Basal State

Answer 3

Resting state of body early in the morning after fasting 12 hours

Question 4

List problems sites for blood draws?

Answer 4

• Burns
• Scars
• Tattoos (more susceptible to infection)
• Damaged veins
  sclerosed and thrombosed
• Edema
• Hematoma
• Mastectomy (cannot draw blood from arm on the same side P had mastectomy on)
• Obesity

Question 5

Sclerosed (vein)

Answer 5

Hardened

Question 6

Thrombosed (vein)

Answer 6

Clotted

Question 7

Edema

Answer 7

Swelling caused by abnormal accumulation of fluid tissues

Question 8

Hematoma

Answer 8

A swelling or mass of blood

Question 9

Arterial Line

Answer 9

A catheter placed in an artery (usually radial).

It provides accurate and continuous measurement of blood pressure

Question 10

Arteriovenous shunt or fistula

Answer 10

The permanent, surgical fusion of an artery and a vein. It’s created to provide access for dialysis

Question 11

Where should you draw if a P has a Arteriovenous shunt or fistula?

Answer 11

Draw on the opposite arm that doesn’t have either.

Question 12

What is one of the most important steps when drawing off a vasular device (IV line)?

Answer 12

Use a discard tube (red top) for the 1st tube whenever drawing off a vasular line

Question 13

How long should you wait to draw from an arm that previously had a IV line?

Answer 13

24-48 hours

Question 14

Central Vasular Access Devices (CVADs)

Answer 14

“Central Line” Tubing inserted into a main vein or artery

Question 15

Name the 3 types of CVADs

Answer 15

• Central venous catheter or line
• Implanted port
• Peripherally Inserted central catheter

Question 16

Name 3 allergies to equipment and supplies

Answer 16

Adhesive allergy
Antiseptic allergy
Latex allergy

Question 17

Name 6 patient complications/conditions

Answer 17

Excessive bleeding
Fainting
Nausea and vomiting
Pain
Petechiae - tiny non-raised red spots
Seizures/convulsion

Question 18

Whats are 5 signs that someone is passing out?

Answer 18

• P saying they are tired
• pallor (paleness)
• perspiration
• hyperventilation
• vertigo
• dizziness
• light-headedness
• nausea
• tunnel vision
• sound fading into background

Question 19

What should you do if a P develops a hematoma?

Answer 19

Discontinue the draw immediately and hold pressure over site for two minutes. If it is large and swollen offer a ice pack for the area.

Question 20

How do you know if you hit a nerve?

Answer 20

P may say they feel tingling or burning sensation down their arm

Question 21

Hemoconcentration

Answer 21

A decrease in fluid content of blood and an increase in non-filterable large molecules
- Caused by stagnation of venous flow d/t tourniquet

Question 22

Name 5 quality control concerns

Answer 22

• hemoconcentration
• hemolysis
• partially filled tubes
• specimen contamination
• wrong or expired tubes

Question 23

Medical term for fainting

Answer 23

Syncope (sin ‘ko pea)