clinical chemistry Flashcards

1
Q

STAT

A

immediate, urgent requests, emergency usally less than 1 hour TAT

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2
Q

PRIORITY

A

important for clinical decisions, usually less than 2 hours TAT

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3
Q

ROUTINE

A

non-urgent, standard or special tests, generally 4-6 hours

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4
Q

FLUIDS USED ON CC TEST

A

blood, urine, csf, amniotic fluid, saliva, synovial fluid, pleural fluid, pericardial fluid, and peritoneal fluid.

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5
Q

fluid found in joint cavities

A

synovial fluid

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6
Q

fluid from the sac surrounding the lungs

A

pleural fluid

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7
Q

fluid from the sac surrounding the heart

A

pericardial fluid

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8
Q

ascitic fluid from the abdomen

A

peritoneal fluid

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9
Q

fluid portion of the blood when centrifuged

A

serum

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10
Q

serum is 95% composed of what?

A

water

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11
Q

the 55% that composes blood volume

A

serum

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12
Q

serum contains the ff.

A

protein, sugars, vitamins, minerals, lipids, lipoproteins.

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13
Q

the clotting factors of blood clot?

A

fibrin, platelets

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14
Q

the source of blood analysis

A

veins, arteries, skin puncture capillary blood

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15
Q

collection method for blood analysis

A

syringe, evacuated tube, intravenous lines

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16
Q

factors affecting choice of blood source and collection method

A

analyte under investigation and patient.

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17
Q

substances normally present with a function in the circulation

A

glucose, TP, albumin, individual proteins, electrolytes, TAG, cholesterol, hormones, vitamins

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18
Q

metabolites-nonfunctioning waste products in the process of being cleared

A

urea, creatinine, uric acid, ammonia, bilirubin

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19
Q

substances from cells as a result of cell damage

A

enzymes: LD, ALT, AST, CK, AMS, CGT, ALP & ACP

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20
Q

drugs & toxic substances

A

antibodies, substances of abuse, therapeutic drugs, poisons

21
Q

source for blood analysis

A

veins, arteries, capillary blood (skin puncture)

22
Q

collection method for blood analysis

A

syringe, evacuated tube, intravenous lines

23
Q

factors affecting choice of blood source/collection method

A

analyte under investigation, patient (vascular status, ease of collection)

24
Q

first order of draw

A

blood culture or tube

25
the color of the first order of draw
yellow or yellow-black top
26
second order of draw
coagulation tube
27
the color of 2nd order/coagulation tube
light blue top
28
third order of draw
non-additive tube
29
color of 3rd order or non-additive tube
red top
30
last draw
additive tube
31
first order of additive tube
sst: red-gray or gold top
32
what additive tube contains a separator and clot activator?
SST w/c red-gray or gold top
33
2nd order of additive tube?
sodium heparin: dark green top
34
3rd order of additive tube?
PST: light green top
35
what additive tube contains lithium heparin anticoagulant and clot activator?
PST - light green top
36
4th order of additive tube?
EDTA - lavender top
37
last order of additive tube?
Oxalate or Flouride w/c is a Light Gray Top
38
when labeling specimen, it should contain?
2 unique identifiers (name and either birthdate or unique requisition identifier/label)
39
this area should be avoided as it is difficult to puncture the scar tissue and obtain a specimen?
extensive scars from burns and surgery
40
this area should be avoided as test results may be affected because of lymphedema.
the upper extremity on the side of a previous mastectomy
41
this area should be avoided as this would cause erroneous test results.
hematoma
42
this area should be avoided where the fluid may dilute specimen
iv therapy / blood transfusion
43
blood should not be drawn from an arm with ____
fistula or cannula
44
area should be avoided as tissue fluid accumulation alters test result
edematous extremeties
45
occurs in individual that have been exposed to foreign immunoglobins
Human Anti Animal Antibodies
46
mouse antibodies
Human Anti Mouse Antibodies
47
how many minutes is the recommended spin for horizontal, swing-bucket centrifuge?
10 mins
48
how many minutes is the recommended spin for fixed-angle centrifuge?
15 mins
49
maximum time limit from the time of collection the physically separation of serum from cell
2 hours