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Clinical Chemistry > Midterm: Patient Preparation > Flashcards

Midterm: Patient Preparation Flashcards

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0
Q

8- 16 hours of fasting for

A

Glucose, lipid, lipopolysaccharide

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1
Q

Increase lactate, fatty acid, ammonia, ALT, AST, CDK, LD

Increase in growth hormone, prolactin, testosterone and leutenizing hormone

A

Exercise

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2
Q

48 hours fasting for

A

Increase in serum bilirubin

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3
Q

72 hours for

A

Plasma triglyceride

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4
Q

Metabolic products or food can increase high CHON and increase Urea

A

Diet

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5
Q

Will increase urinary excretion of 5 hydroxy indole acetic acid

A

Serotonin

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6
Q

Increase concentration of glucose

A

Caffeine

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7
Q

Release catecholamine from medulla and brain tissue

A

Caffeine

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8
Q

Diet increase turbidity or lactescence

A

Triglyceride > 400mg/dl

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9
Q

Diet contribute to the degree of Icteric (bilirubin)

A

25.2 mg/L

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10
Q

Causes shifting of water and electrolytes into tissue causing hemoconcentration

A

Sitting to supine

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11
Q

Constriction of blood vessels and reduction of plasma volume

A

Supine to siting

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12
Q

Extra vascular water transfer to vascular system and dilutes nondiffusable plasma

A

Standing to supine

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13
Q

Prolonged tourniquet application can lead to?

A

Hemp concentration and anaerobic sis

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14
Q

Increase in NEFA ( nonesterified fatty acid)

A

Nicotine tobacco

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15
Q

Increase in gamma glutamyl transpeptidase

A

Alcohol

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16
Q

Hypoglycemia

A

Alcohol

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17
Q

Affects adrenal hormone.

WBC is affected

A

Stress

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18
Q

TDM SHOULD be scheduled from the last time of the last dose.

A

Drug

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19
Q

BUN

A

Blood urea nitrogen

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20
Q

Can elevate liver function enzyme

A

Hepatotoxic drug

21
Q

Decrease in plasma Na and K levels

A

Diuretics

22
Q

Factors affecting blood collection

A

1) exercise
2) fasting
3) diet
4) posture
5) tourniquet
6) tobacco
7) alcohol
8) stress
9) drugs

23
Q

Arteries and veins layers of tissue

A

1) tunica intima- inner layer
2) tunica media - middle layer
3) tunica adventitia - outer layer

24
Q

First step in collection and the most crucial part

A

Patient identification

25
Q

ID bracelet includes

A

1) First and last name
2) hospital number
3) room no.
4) bed no.
5) physicians name

26
Q

Identified by nurse or relative. Or ID BRACELET

A

1) unconscious or mentally incompetent

2) infant or children

27
Q

Verbally ask their full name, bday, address, I’d bracelet, drivers license with photo

A

Ambulatory or outpatient

28
Q

Approximate volume of whole blood of human

A

5 quarts or 4.73 L

29
Q

Volume of blood for female and male

A

Female - 4-5L

Male - 5-6 L

30
Q

Estrogen suppresses this hormone causing RBC to lower

A

Erythropoietin

31
Q

Tests for arterial puncture

A

Blood gas and ph measurement

32
Q

Sites of arterial puncture

A

1) radial 2) brachial 3) scalp 4) femoral 5) umbilical

33
Q

Liquid portion of unclothed or anticoagulated blood with fibrinogen

A

Plasma

34
Q

Liquid portion of clotted blood

A

Serum

35
Q

Gel used in SST

A

Phixotrophic gel

36
Q

3 basic method of blood collection

A

1) evacuated tube system
2) needle and syringe
3) winged infusion set ( butterfly)

37
Q

Order of draw

Reduce the risk of specimen contamination

A

1) blood culture - yellow
2) citrate - light blue
3) non additive - red / gold
4) heparin - green
5) EDTA - lavender
6) sodium fluoride - gray

38
Q

Yellow top additive and dept

A

Additive : sodium polyanethole sulfonate

Dept: microbiology

39
Q

Light blue additive and dept

A

Sodium citrate

Hematology ( coagulation, PT, PTT, APTT)

40
Q

Red top glass

A

Additive: No additive
Dept: serology, blood bank, chemistry

41
Q

Red top plastic and gray rubber

A

Additive: SST
Dept: chemistry

42
Q

Gold top

A

Additive: SST
Dept: chemistry

43
Q

Green top

A

Additive: lithium heparin and sodium heparin

Dept: chemistry

44
Q

Light green top plasma barrier tubes

A

Additive: lithium heparin and sodium heparin with gel separator
Dept: chemistry

45
Q

Prothrombin to thrombin prevention. No coagulation

A

Heparin

46
Q

Removal of calcium

A

EDTA

47
Q

Lavender top

A

Additive: EDTA
Dept: CBC hematology

48
Q

Gray top

A

Additive: sodium fluoride and K oxolate
Dept: chemistry blood glucose and alcohol

49
Q

Gray top antiglycolitic tube

A

NaF - lithium iodoacetate

50
Q

Gray top anticoagulant

A

K oxolate - k2 EDTA

Clinical Chemistry (2 decks)

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