midterm study Flashcards
what tubes would you draw if you had a CBC, PT/INR, Chemistry panel ordered? what is the order of draw?
Light blue - PT/INR, SST- chemistry panel, Lavender - CBC
what is a reference lab?
runs tests that can’t be done at the lab or locally
What is a GTT ? (typing)
Where the patient arrives fasting, draw blood, drink glucola, patient can’t leave, test time is around 1 hr - 5 hr
what is a 2hrPP
Arrive fasting, eat measured meal plan, then come after 2 hrs, then get blood drawn
baseline conditions of the patient prior to any treatment or medication
basel state
when using a micro-collection tube for a dermal stick, the tube that goes first is the _____ tube
lavender
this can be transmitted via blood and body fluids and can lead to serious and potentially fatal conditions
blood borne pathogen
STAT blood text are often performed on plasma rather than serum because
they don’t need to clot
in chain of infection cycle, an ex of portal of exit is
coughing, sneezing ,talking
Lactic acid, ammonia, and homocysteine labs must be __- after the draw to avoid incorrect results
placed on ice
Some tests that must be protected from light
folic acid, caroten, vitamin A B1 E
if a iv is running the iv should be stopped from ______ prior to being used
5 - 10 mins
what aides in the coagulation process by forming a plug to stop blood flow
platelet
what are the five things that must be on your labelled tubes
patients last, first name - dob- military time- initials- date
what is the definition of blood borne pathogens
a type of bacteria spread through blood and body fluid
The main reason specimen are rejected at the lab is
bc of hemolosis
what are the three vein names in the antecubital fossa
median, cephaili, basilis
what special precautions should you take when collecting a blood culture
clean the site with chlorhexidine gluconate prep, wipe top of the bottle with achahol, then label the site of the draw on the tube label, and use the correct transfer method for the method of draw
the liquid portion of anti coagulated whole blood is called
plasma
which tube must be completely full to the line always
light blue
the least expensive and most readily available disinfectant for surfaces, ex countertops, household bleach. what is the correct ration of the solution?
1/10
Phlebotomy is a necessary aid in the
diagnosis and treatment of disease
what is a pre-analytical error
not asking if fasting
transmissions and precautions are convened into 3 categories which are
droplet, contact, airborne
what is the minimum length of the time for an SST to clot prior to centrifugation
3 days
light blue tubes are primary used for what test
PT/INR
the liquid portion of the blood from a red tube after centrifugation is
serum
_________ is the practice of treating ______ if they are known to be infectious
standard precautions, all bodily fluid
when a patient refuses to have their blood drawn what should you do
in hospital - try to convince them if not then tell nurse to convince, in outpatient - try to convene if not let then let them leave and call doc
which of the following diseases requires the use of airborne precautions
tuberculosis, influenzia, and covid
these blood vessels carry blood that is high in oxygen
artierials
venipuncture should be avoided in the arm on the same side on which a mastectomy was performed because
they can’t fight the infection
when should you wash your hands
between patients and after holding bodily fluids
what are examples of technical errors, causing a short draw
needle doesn’t have a hole, tube has no vacume or cracked
a common site for arterial punctures is
radial
what is the special preparation for cold agglutinin
to keep draw before and after at body temp = 98.7 F or 37 C
the most effective preventative measure to eliminate the transmission of diseases in healthcare institution is
hand washing
in the hospital you must verify the patient by
the. bracelet
the tricuspid and bicuspid valves are associated with the
heart
releasing the tourniquets and the tube _____ removing the ____ from the arm
before , needle
when performing venipuncture from a patient with an IV, you must
go on the other arm/ go below the IV/ or tell the nurse to take it off
cardi
heart
phleb/veni
vein
ren
kidney
hepat
liver
hyper
over
hypo
under
dys
painful/ abnormal
tomy
to cut into
stomy
opening
itis
inflammation
what tube is needed for a peripheral blood smear
lavender
blood culture
SPS
light blue
sodium citrate
red
none
SST
clot activator
light green
lithium heparin
dark green
sodium heparin
lavender
edta
gray
sodium fluoride
royal blue
edta
tests on light blue
pt/inr
tests on sst
cmp, lipid, renal, hiv ( anything with the organs)
tests on lavender
cbc
tests on gray
lactic acid, glucose
tests on red
drug/ medicine tests
ppe for airborne
n-95, gown, and goggles
ppe for droplet
face mask, goggles, or face shield
ppe for contact
gown and gloves
what are the standard precautions
hand washing, gloves, goggles, mask mask, and gown
what is airborne
spread of transmittioms through the air
what is droplet
spread through liquid out of the mouth
what is contact
spread through direct or indirect contact
what is a CBC, tube, department, storage
it measures the number and types of cell in the blood, tube is lavender, department, hematology (blood - hemat) stored in room temp or fridge
what is a Prothrombin time (PT/INR), tube, department, storage
it is used to see how long the blood takes to clot, tube light blue, coagulation, stored room temp or frozen
what is comprehensive metabolic panel (CMP), tube, department, storage
checks how well the. liver and kidney functions, tube SST, chemistry, fridge or frozen
the chain of infections follows this orders
Infectious Agent, Reservoir, Portal of Exit, etc
osha stands for
Occupational Safety and Health Administrative Law
lab tests resulted at the site of the patient
point of care testing
successfully passing an exam that indicates minimum knowledge
certification
why are standard precautions important
they prevent a infection agent to anyone
why is hand washing important
reduced the chance of spreading transmissions of infectious agents
what is added between some suffixes and root wording making it easier to pronounce
combining vowel
what is added before a word root defining the word or giving it context
prefix
what is added at the end of the word
suffix
qns
quantity not sufficient
PP
postprandial or after meal
FBS
fasting blood sugar
FUO
fever of unknown Origen
21 - gauge
green
22- gauge
black
23 - gauge
blue
why are cell serums separated bc of ____ in tubes with gel separators
density
what is the first vein of choice
median
what needle is used on elderly and youth patients
butterfly
the most important aspect of health care and phlebotomy is proper ___ ___
patient identification
when using a butterfly in the hand why would you use a syringe rather then a needle hander
bc the vacuum in the tube is to strong for the butterfly so it will close vein
where should you go when drawing on a IV
under the IV
arterial puncture is the method of choice for a _____ _____collection
blood gas
the volume of blood collected during donation
450 mL
what does does a blood gas determine
how well the lungs are working
what is bacteria in the blood
septicemia
what is a PICC line
its put into large veins of the antecubitsl fossa and threaded into the tip of the right atrium
what aids in the coagulation process by forming a plug to stop blood flow
platelets
name where the 3 main veins are
basilic near breast, middle median cubital vein, outside cephalic
what is the purpose of a tourniquet
to find the veins easier and to decrease the blood flow
why do you need put the blood straight into the tube after it is drawn on a syringe
bc the blood with start to clot
what temp should cold agglutinin
37 C / 98.7 F
what does aerobic mean
with oxygen
what does anaerobic mean
without oxygen
what is It called when the patient hasn’t eaten
basal state
what is used to clean blood culture
chlorhexidine gluconate
what is is used to collect blood from veins that may collapses
syringe with a 23 gauge butterfly
why would you need to put blood into tube after drawn in syringe
bc it will start to clot/coagulate
what do aeterial punctures do
test O2,CO2, how well lungs work
when using a butterfly for blood culture which one goes first
Aerobic
when using a syringe for blood culture which one goes first
Anaerobic
