Final FITB Flashcards
Which tube must be full to be accepted?
Light blue
At what angle should the needle enter the vein?
15-30 degrees
The needle should enter the vein _____ up?
Bevel
How do you mix the tubes and how many times?
Gentle inversion, 8-10 times
What test is the gray top typically used for?
Glucose
When there is an IV where do you draw?
Distal to the IV
What department should all cultures go to?
Microbiology
Venipuncture site should be cleaned in ___ ___?
Concentric circles
When performing infant heel stick don’t go deeper than?
2 mm
Name 3 types of tests that can’t be done on a skin puncture specimen
Coagulation, ESR, Tests requiring large volumes
Serum/Plasma of lipemic specimens appear?
Milky or cloudy
What can happen if a vein is not securely anchored?
Roll
What is the largest and busiest area of clinical lab?
Chemistry
Blood obtained from dermal puncture is a mix of what?
Arterial, venous, and capillary blood, Interstitial fluid, Intracellular fluid
How can you tell an artery from a vein?
Pulse
If you must collect from an arm with a hematoma where should you draw?
Distal
What does a good vein have?
Bounce or Resilience
What is the most frequent type of specimen used in the Immunology/Serology department?
Serum
What should you never do when drawing a dorsal hand vein on an infant?
Apply a tourniquet
How long is considered fasting?
8-12 hours
Name 2 types of collection devices for dermal puncture.
Microcollection container & Microhematocrit tube
The smaller the number the ______ the gauge of the needle.
Larger
What test is the amber-colored tube used for?
Bilirubin
What is the most common method of blood collection on a child under 2?
Dermal puncture
Name 3 types of point-of-care testing.
Glucose, Lipids, Prothrombin time (PT)
What does a barcode represent?
ID number, Lab test, Patient’s name
Which test is used to diagnose carbohydrate metabolism disorder?
Glucose tolerance test
Define osteomyelitis.
Bone inflammation
Which tube has K2 EDTA & silicon gel separator?
PPT
Urine is preferred over blood for which test?
Drug screen
What is a condition with increased RBCs & decreased plasma in the blood vessel?
Hemoconcentration
Which tube has sodium and lithium heparin?
Green
Name 2 specimens that need to be kept at 37 degrees celcius.
Cryofibinogen & Cryoglobulins
Which stopper is used for coagulation test?
Light blue
What level is monitored to insure drug levels stay in theraputic range?
Trough
What can a breath specimen detect?
H.Pylori
Define analytes.
Substance undergoing analyses
Alcohol testing is collected in which tube?
Gray
Name 3 specimens that must be protected by light.
Bilirubin, B vitamins, Vitamin C
Name 3 specimens that must be chilled in a crushed ice slurry.
Ammonia, Renin, Angiotensin-Converting enzyme
What is required to test differential?
Blood smear slide
Which type of specimen is used to aid in the diagnosis of cystic fibrosis?
Sweat
What is theraputic phlebotomy?
Withdraw large volumes of blood as treatment for certain medical conditions
Name 4 reasons a specimen might be rejected.
Hemolysis, Outdated tube, Exposure to light, Delay in testing
Name 3 methods of urine collection.
Clean & catch, Catheter, Suprapubic
What is needed for a rapid step test?
Throat swab
Define QNS.
Quantity not sufficient
How does heparin prevent clotting?
Inhibits thrombin
What is the preferred method of collection for PKU?
Dermal puncture
Where is point-of-care not typically used?
Clinical lab
What are lipids in the blood?
Fat
What can be used to detect chronic drug abuse?
Hair
Name 3 common types of requisitions.
Manual, Bar code, Computer
Which 2 tubes are most commonly used for serum specimens?
SST & Red
Which test are included in a hepatic function panel?
AST, ALT, Alkaline phosphate, Total protein, Albumin, Total bilirubin, Direct bilirubin
Name 4 challenges of geriatric venipuncture.
Skin changes, Hearing impairment, Visual impairment, Mental impairment
What does a warm compress do?
Makes the vein easier to palpate
What is the smallest diameter needle?
23 gauge
_______ is required for perfoming venipuncture using the syringe method.
Tourniquet
Which piece of equipment in not used for the syringe method?
Hub
What 2 parts of the body are ideal for dermal puncture?
Heel & Finger
Transfusion can be fatal because of _____ & _____ of RBCs.
Agglutination, Lysis
What are the symptoms of anemia?
Fatigue, Headache, Pale skin
Who should you never draw on?
Sleeping patient
Within what time frame should blood collected in a purple stopper be prepared?
1 hour
What is the process by which paper work and specimen are unmistakenly linked?
Accession of sample
Which physiological effects can change basal state?
Age, Diet, Altitude, Exercise, Dehydration
Where should the tourniquet be placed when drawing a hand vein?
Above the wrist
What is care for terminall ill patients?
Hospice
Which value would be increased when blood is drawn from a crying child?
WBCs
Which value is most effected by altitude?
RBCs
What test would a doctor order to diagnose septicemia?
Blood culture
Where is bone marrow aprirated from?
Iliac crest
What type of specimen is used for biopsy?
Tissue
What do peak levels of TDM screen for?
Drug toxicity
Which tests are performed in microbiology?
Culture & sensitivity, Acid-fast bacilli (AFB), Blood culture, Ova & parasite, Gonorrhea (GC)
Which factors would cause a longer clot time?
Chilled specimen, Patient taking heparin, High WBC count
Which tests will be decreased with anemia?
RBCs, Hct/HgB
What is the order of draw?
Blood cultures, Light blue, Red, SST, PST, Green, Purple, Pink, PPT, Gray, Navy blue, Yellow
