Order Of Draw Flashcards

1
Q

Breaking down of RBC’s membrane releasing free hemoglobin into the circulating blood is known as what?

A

Hemolysis

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2
Q

Before someone donates whole blood, what test is done?

A

Hematocrit

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3
Q

What is hemoglobin?

A

Oxygen carrying protein of the RBC’s

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4
Q

Blood composes how much of the person’s body weight?

A

7-9%

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5
Q

What is the name of the anticoagulant that acts to inhibit a number of coagulation factors (especially thromin & fibrin)?

A

Heparin

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6
Q

What is the antiglycolytic agent in a gray stopper blood collection tube?

A

Sodium fluoride

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7
Q

What is the needle gauge referred as?

A

Bore size

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8
Q

What is the anticoagulant additive in a lavender stopper blood collection tube?

A

EDTA

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9
Q

What evacuated blood collection tube would you use for a platelet function test?

A

Sodium citrate

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10
Q

What is the anticoagulant in the gray stopper blood collection tube?

A

Potassium oxalate

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11
Q

Which tubes are specifically designed to be free from lead?

A

Tan/Royal blue

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12
Q

Which tube is specifically designed to be free from all trace elements?

A

Royal blue

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13
Q

What additives does a light green stopper collection tube contain?

A

Sodium, lithium, or ammonium heparin

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14
Q

Which color tube is a plasma separator tube (PST)?

A

Light green

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15
Q

Which color tube would be used to perform a STAT prothrombin time test?

A

Light blue

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16
Q

Which evacuation tube would be used to monitor a patient’s glucose levels?

A

Gray

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17
Q

Which evacuated blood collection tube would be used to test for blood lead levels?

A

Tan

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18
Q

What additive does the tan stopper collection tube contain?

A

EDTA

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19
Q

How high above the evacuation site do you apply the tourniquet?

A

3-4 inches

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20
Q

Which blood collection tube would be used to collect a CMP?

A

Tiger (gold/black)

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21
Q

Which blood collection tube would be used to collect a CBC?

A

Lavender

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22
Q

Which blood collection tube would be used to for a lipid panel?

A

Red

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23
Q

What does facultative mean?

A

Grows with or without oxygen

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24
Q

What does obligate mean?

A

Only survives in the one environment

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25
Q

Does serum have coagulation factors?

A

No

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26
Q

Does plasma have coagulation factors?

A

Yes

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27
Q

What color blood collection tube is used for blood banks?

A

Pink

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28
Q

What additive does the pink blood collection tube contain?

A

EDTA

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29
Q

What are the 5 WBC types?

A

Neutrophils, Lymphocytes, Monocytes, Eosinophils, & Basophils

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30
Q

Which WBCs are granulocytes?

A

All that end in -phil

Neutrophils, eosinophils, & basophils

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31
Q

What does polycythemia mean?

A

Too much hemoglobin

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32
Q

What is used to clean when collecting blood cultures (yellow tube)?

A

Iodine

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33
Q

Blood tests for Lavender stopper blood collection tube?

A

CBC, ESR, Hct & Hgb, Differential, Retic count

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34
Q

Blood tests for Light Blue stopper blood collection tube?

A

PTT, PT, Fibrogen

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35
Q

Blood tests for SST/PST?

A

CMP, Cholesterol, Electrolytes, Lipase, PSA, Troponin, Renal Function, Hepatic Function Test, Thyroid

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36
Q

Blood tests for Gray/Red stopper blood collection tube?

A

Glucose

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37
Q

Blood tests for SST/Red stopper blood collection tube?

A

EBV, CRP, HIV, Hep B Surface AB

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38
Q

Blood tests for Pink, Purple, Red, Yellow stopper blood collection tube?

A

Antibody screen, Blood type & Rh, Type & crossmatch

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39
Q

Blood tests for Red stopper blood collection tube?

A

Drug test, Digoxin, Theophylline

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40
Q

Blood test for Navy (Royal Blue) stopper blood collection tube?

A

Trace Elements

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41
Q

At department is the Lavender stopper blood collection tube?

A

Hematology

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42
Q

What department is the Light Blue stopper blood collection tube?

A

Coagulation

43
Q

What department is the SST/PST blood collection tube?

A

Chemistry

44
Q

What department is the Gray/Red stopper blood collection tube?

A

Chemistry

45
Q

What department is the SST/Red stopper blood collection tube?

A

Serology/Immunology

46
Q

What department is the Pink, Purple, Red, Yellow stopper blood collection tube?

A

Blood Bank

47
Q

What department is the Red stopper blood collection tube?

A

Chemistry

48
Q

What department is the Navy (Royal Blue) stopper blood collection tube?

A

Toxicology

49
Q

Who usually draws ABGs?

A

Doctor, nurse, respiratory therapist

50
Q

In which tube are lead levels drawn in?

A

Royal Blue

51
Q

In which tube would you draw APTT in?

A

Light blue

52
Q

What does not necessarily need to be on a laboratory requisition?

A

Laboratory accession number

53
Q

What piece of information found on a specimen label is not optional?

A

Time the specimen was collected

54
Q

What’s another name for a winged infusion set?

A

Butterfly

55
Q

What’s a capillary defined as?

A

A microscopic blood vessel

56
Q

What’s a vacutainer system?

A

Combination of Vacutainer holder, needle, & sample tubes which allow for a more automated method of drawing blood

57
Q

What is a tourniquet?

A

A constructive band used for venipuncture, blood aspiration, and intravenous injections

58
Q

What is thixotropic gel?

A

A barrier between the serum and the cells

59
Q

Which is the first toe?

A

The big toe

60
Q

What tests are done using the light blue stopper blood collection tube?

A

PTT & PT

61
Q

What are the additives in the mint green stopper blood collection tube?

A

Sodium heparin, Ammonium (SST)

62
Q

What is the Good Samaritan law?

A

Health care professionals may render first aid (within the scope of training) at the scene of an accident or sudden injury without fear of being sued for negligence.

63
Q

Hematocrit measures what within whole blood?

A

The percentage of RBCs to whole blood

64
Q

What is a hematoma?

A

A localized collection of blood within the tissue due to leakage from the wall of the blood vessel producing a blackish/bluish discoloration

65
Q

What is hematuria?

A

Blood in the urine

66
Q

What is the depth for a capillary puncture on an infant?

A

2 mm

67
Q

What is the definition of lipemic?

A

Excess fat in the blood

68
Q

What does PTT stand for?

A

Partial Thromboplastine Time

69
Q

What is cyanosis?

A

Bluish skin color due to lack of oxygen

70
Q

What color stopper blood collection tube would be used for heavy metal testing?

A

Dark blue top (Royal Blue)

71
Q

What should be remembered when doing a capillary puncture?

A

Excessive milking of the finger can result in hemolysis and contamination of the specimen with tissue fluids

72
Q

For how long should a patient who has fainted during a phlebotomy procedure not be allowed to drive?

A

30 minutes after recovery

73
Q

How is the tube for cold agglutinins transported?

A

At body temperature (98.6 degrees Fahrenheit)

74
Q

How is the tube for ABG’s transported?

A

Chilled

75
Q

How is the tube for Bilirubin or Vitamin B12 transported?

A

In aluminum foil because they are light sensitive

76
Q

What does a requisition form have?

A

Patient name & DOB, Insurance info, Doctor’s name (demographics - Address, Phone #, Fax #), diagnosis, procedures, & Signature

77
Q

What are the 3 steps in hemostasis?

A
  1. Blood vessel spasm (vasoconstriction)
  2. Platelet plug formation
  3. Blood coagulation
78
Q

What is a thrombus?

A

A blood clot formed on the side of a blood vessel

79
Q

What is an embolus?

A

The moving part of a thrombus;

a wandering clot

80
Q

What are the four types of infections?

A
  1. Endogenous (inside)
  2. Exogenous (outside)
  3. Nosocomial (hospital)
  4. Congenital (birth)
81
Q

What are the 3 need to know bloodborne pathogens?

A

Hepatitis B, Hepatitis C, & HIV

82
Q

What are the 5 elements of the Cycle of Infection?

A
  1. Reservoir host
  2. Means of exit
  3. Means of transmission
  4. Means of entrance
  5. Susceptible host
83
Q

What is phlebotomy?

A

The insertion of a needle or cannula (small tube) into a vein for the purpose of withdrawing blood

84
Q

What is phlebitis?

A

Inflammation of a vein; can be caused by too many punctures

85
Q

What is thrombophlebitis?

A

One or more blood clots in a vein that cause inflammation

86
Q

What are tortuous veins?

A

Varicose veins; twisted, dilated veins that are usually seen in the legs

87
Q

What are sclerosed veins?

A

Hard/stiff veins where the tissue that surrounds the vein is getting less plastic/elastic

88
Q

What is the chain of custody?

A

A procedure to ensure that a specimen is obtained from the patient and is correctly identified, that the specimen is under the uninterrupted control of authorized personnel, & that the specimen has not been altered/replaced

89
Q

What is a lumen?

A

A canal within the shaft of a needle

90
Q

What is quality control?

A

To ensure accuracy in test results through careful monitoring of test procedures

91
Q

What does MRSA stand for?

A

Methicillin Resistant Staphylococcus Aureus

92
Q

What is informed consent?

A

Giving the patient adequate information concerning the method, risk, & consequences to a specific procedure, expected outcome & alternatives

93
Q

What is implied consent?

A

Form of consent for treatment that is inferred by signs, inaction, or silence of the patient

94
Q

What is a consent form?

A

A form signed by the patient prior to a medical procedure to confirm that they agree to said procedure

95
Q

What is indirect infection?

A

Infection transmitted through body fluids

96
Q

What is malpractice?

A

Professional misconduct/demonstration of an unreasonable lack of skills with the results of injury, loss, or damage

97
Q

What is medical asepsis?

A

Destruction of pathogenic microorganisms after they leave the body

98
Q

What is empathy?

A

Sometimes referred to as emotional knowing. An objective awareness of and insight into the thoughts, feelings, and behavior of another

99
Q

What action should a technician take after performing a venipuncture on a patient who has a wound infected with MRSA & has been placed in isolation?

A

Dispose of gown before leaving the room

100
Q

Droplet precautions are designed to do what?

A

Reduce the risk of droplet transmission of infection agents

101
Q

How should lactic acid samples be transported?

A

Chilled

102
Q

Where should a phlebotomy technician perform a dermal puncture for an adult patient?

A

The side of central of the ring finger

103
Q

If a patient is on an aspirin regimen, what would be most affected?

A

Prolonged clotting time

104
Q

What is a multisample adapter?

A

A device used with a butterfly and/or vacutainer holder to allow the withdrawal of multiple tubes of blood during a venipuncture