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Phlebotomy > General Phlebotomy > Flashcards

General Phlebotomy Flashcards

1
Q

Depth of a heel stick should not exceed

A

2.0mm

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2
Q

Additive of red/gray, red/black, SST is

A

Thixotropic Gel (For Serum Separation)

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3
Q

This can happen is tourniquet is left on too long

A

Hemoconcentration

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4
Q

You collect a STAT Electrolytes in a

A

Green Tube

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5
Q

Test where blood & urine are collected over specific intervals

A

GTT (Glucose Tolerance Testing)

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6
Q

A Hematoma can be prevented by

A

Applying pressure to the site

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7
Q

Most frequently occurring lab nosocomial infection

A

HBV

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8
Q

Selerotic Veins

A

Are Hard & Cord-like

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9
Q

A Fomite is

A

Inanimate things that cause disease

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10
Q

Tubes containing Anti-Coagulants are inverted how many times

A

8

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11
Q

Function of Thrombocytes is

A

Clotting or repairing blood vessels

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12
Q

Warming the site prior to dermal puncture

A

Increases blood flow to the site

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13
Q

Most common cause of Blood Culture contamination is

A

improper skin preparation

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14
Q

Blood in urine is called

A

Hematuria

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15
Q

“Butterfly” is also known as

A

WIS (Winged Infustion Set)

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16
Q

Additive for Green tube

A

Li / Na Heparin (Lithium Heparin / Sodium Heparin)

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17
Q

Excessive water between tissue

A

Edema

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18
Q

Red Blood Cells are

A

Erythrocytes

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19
Q

If blood is drawn from wrong patient you should

A

Immediately redraw specimems

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20
Q

Antiglycolytic agent the preserves glucose stability for (3) days

A

Na Fl (Sodium Flouride)

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21
Q

Hypoglycemia is

A

Low Blood Sugar

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22
Q

Your pt’s blood has been collected 3 times and every time the specimen hemolyzed. Possible Cause?

A

A 25G needle has been being used

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23
Q

21G, 23G, 18G, 16G - which is the smallest needle

A

23G

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24
Q

If pt has IV in an arm; where should you draw from?

A

the opposite arm or above the IV

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25
Q

Adequate rest & no food for 12 hours; this is considered to be in a

A

Basal State

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26
Q

Proper way to dispose of a needle

A

Put in sharps container without recapping, immediately after withdrawal from pt

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27
Q

Correct ending for venipuncture

A

Remove tourniquet, remove tube, remove needle, apply pressure

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28
Q

Most commonly used vein for venipuncture

A

Medial Cubital

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29
Q

Most common complication from phlebotomy

A

Hematoma

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30
Q

ERS collection tube is

A

Lavender

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31
Q

Additive for Light Blue

A

Na Citrate (Sodium Citrate)

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32
Q

Destruction of Red Blood Cells

A

Hemolysis

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33
Q

OSHA require health care workers to be vaccinated against

A

Hepatitis B Virus

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34
Q

PT/PTT, CBC, Ammonia Level, Cardiac Enzymes. Put in proper Order of Draw

A

Light Blue + Red + Green + Lavender

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35
Q

Additive for Gray Tube

A

(K) Oxalate (Potassium Oxalate)

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36
Q

Medial line extending from great toe & lateral line extending from the fourth & fifth toe

A

Boundaries for Heel Stick

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37
Q

Patient admitted to ER is unconscious & unidentifiable. What system is used to ensure pt identification?

A

3 part ID system that uses a temp armband & labels for specimens & blood transfusions

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38
Q

The purpose of a tourniquet

A

To enlarge vein so they are easier to locate

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39
Q

Collection device used for skin puncture

A

Capillary Tubes

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40
Q

If a tourniquet is tied too tight, the capillaries rupture causing

A

Petechiae

41
Q

An obese pt needs a CBC drawn; which vein is most likely to be used?

A

Cephalic Vein

42
Q

You are drawing an in-patient for a CO-AG (coagulation) study. What color tube would you use and how far would you fill it?

A

light blue, filled completely

43
Q

Means of IDing a pt in a clinical lab (out-patient)

A

Asking his/her name

44
Q

Excessive squeezing of a finger in a capillary pucture can be

A

Contaiminated with tissue Fluid

45
Q

Giving pt adequate info concerning the method, risk & consequences prior to a procedure is called:

A

Informed Consent

46
Q

Your pt jerks during a draw and you get stuck with the needle. You should

A

Wash wound with soapy water as soon as possible and report incident to your supervisor

47
Q

CDC is

A

Center for Disease Control and Prevention

48
Q

Innermost layer of a blood vessel is

A

Endothelial

49
Q

Tube used for Gluclose Testing

A

Gray

50
Q

Microorganisms that cause disease are

A

Pathogenic

51
Q

A pt is taking asprin for arthritis. You should be concerned with

A

Bleeding Time

52
Q

Pt suffering from seasonal allergies. What would be the picture of her WBC differential count?

A

Increased Eosinphils

53
Q

What barrier protection is required when performing a venipuncture

A

Gloves

54
Q

The Patient Bill of Rights gives the patient the right to

A

Refuse Treatment

55
Q

You are on night shift and receive orders for all of the following tests within minutes of one another. Which has the greatest collection priority?

A

STAT Electrolytes in the ER

56
Q

You are asked to collect a pt in the Oncology Dept. The pt is most likely being treated for:

A

Cancer

57
Q

A PKU is being drawn. This speciemen is

A

Blood collected from the newborn’s heel

58
Q

Called to ER to draw a CBC & Forensic Alcohol from a pt involved in an auto accident. Pt asks what blood tests the MD ordered. You should

A

You are not allowed to reveal that information

59
Q

Infections contracted in a health care setting

A

Nosocomial Infection

60
Q

Which tube will give you a serum specimen

A

Red/Gray Top (SST)

61
Q

12-year-old female had a pregnancy test drawn. She returned to lab w/o her parents. You overheard the results were positive and she wants to know the results. You should

A

Tell her she needs to contact her physician to obtain results

62
Q

Additive for Pink Tube

A

EDTA

63
Q

What information IS NOT placed on a specimen

A

Diagnosis

64
Q

Blood in an average adult body

A

5.0 L

65
Q

How far above the collection site is the tourniquet placed

A

4” to 6”

66
Q

Best sample for determinations of blood pH and blood gases?

A

Aterial Blood

67
Q

Appropriate tube to draw blood for a Lead Level

A

EDTA or Heparin

68
Q

Failure to give pt appropriate care is called

A

Negligence

69
Q

Clean Catch midstream unrine sample is used for

A

Microbiological urine testing

70
Q

A capillary is defined as

A

Microscopic vessel

71
Q

The purpose or the accession number

A

Provides unique tracking number for the specimen with its test order

72
Q

The BBP OSHA regulations require this to prevent needle stick injuries

A

Use of approved needle safety devices manufactured to cover the exposed needle immediately after procedure

73
Q

A pt you were going to draw in the trauma room dies. A family member asks how their loved one is doing. You should

A

Tell them the physician will be with them momentarily

74
Q

Function of Neutroophils

A

Phagocytes (engulf bacteria)

75
Q

Group of tests requested as one unit is called

A

Profile

76
Q

Excessively milking finger during skin puncture can result in

A

Hemolysis & contamination with tissue fluids

77
Q

When inserting a needle the bevel should be facing

A

Upwards

78
Q

If a pt has a syncopal episode during a blood draw, you should

A

Remove needle then remove tourniquet

79
Q

This governs the size / guage needle you use

A

Size & Condition of the vein

80
Q

The fluid portion of unclotted blood

A

Plasma

81
Q

Tube for PT & PTT

A

Light Blue

82
Q

Vascular phase of hemostasis is characterized by

A

Blood vessels constrict in response to injury

83
Q

Lipemic blood is described as

A

Serum with milky appearance

84
Q

Complication results from repeated draws from the same vein

A

Phlebitis

85
Q

Referred as a Serum Separator (SST)

A

Red/Gray Tube

86
Q

Post-prandal means

A

After a meal

87
Q

Proper technique in obtaining capillary blood

A

Wipe off the first drop of blood

88
Q

A tourniquet can stay in place no longer than

A

one minute

89
Q

Most critical mistake a Phleotomist can make

A

Failing to properly identify patient

90
Q

These have valves

A

Veins

91
Q

A multi-sample needle is used

A

When more than one tubeis being collected

92
Q

Cyanotic is

A

Bluish color due to the lack of O2 in blood

93
Q

Life span of an Erythrocyte

A

120 days

94
Q

Point of care testing

A

Typically performed at patient’s bedside

95
Q

Dept in lab that would analyze CBC & ESR

A

Hematology

96
Q

Department of Lab that wouod analyze a blood pregnancy test

A

Chemistry

97
Q

Formed cellular Elements of blood consititute

A

45% of blood

98
Q

The most important means of stopping the spread of infection is

A

Washing your hands

Phlebotomy (6 decks)

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