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PMLS 2 > Phleb Equipment > Flashcards

Phleb Equipment Flashcards

1
Q

One of the oldest methods known that does
not destroy the integrity of the vein.

A

BLOOD COLLECTION EQUIPMENT:
SYRINGE AND NEEDLE METHOD

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2
Q

The one that we pull to extract the
blood

A

Plunger

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2
Q

The one that we pull to extract the
blood

A

Plunger

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3
Q

The one who will contain the blood
sample

A

Barrel

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4
Q

The adapter/ holder secures the
double- pointed needle

A

Needle adapter

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5
Q

Where the blood first enters
○ The sign of successful extraction

A

Needle hub

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6
Q

Slanted tip of the needle that enters
the patient’s vein.

A

Shaft of needle/Needle shaft

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7
Q

For the gauge, it ranges from 27 to 16

A

Bevel

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8
Q

Gauge is _____________ proportional to the
diameter of the bevel. (opposite)

A

inversely

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9
Q

Usually used for blood donation

A

Gauge 16

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10
Q

For venipuncture
■ Most common is 23 because its
not still constricted, and the
blood will flow properly without
the blood being hemolyzed.

A

Gauge 23-21

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11
Q

ANATOMY OF THE SYRINGE AND NEEDLE

A

PLUNGER, BARREL, NEEDLE ADAPTER, NEEDLE HUB, SHAFT OF NEEDLE/NEEDLE SHAFT, BEVEL, PROTECTIVE COVER

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12
Q

mostly used for subcutaneous
and intramuscular injections.

A

Smaller volume

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13
Q

The Larger the syringe size - the______________ the
pressure flow

A

lower

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14
Q

has the tendency to pull
too hard on the vein and collapse it

A

Too large of a vacuum

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15
Q

you need to be
considerate in their sensitive veins. You
need to make sure that you are using
the right gauge for them.

A

pediatric patients,

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16
Q

are used generally for the difficult to
draw patients who have fragile, thin, or “rolly”
veins that tend to collapse when using ETS

A

Syringes

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17
Q

The use of syringe larger than 10-15 mL is NOT
recommended because?

A

Too slow to fill

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18
Q

TYPES OF SYRINGE

A
  1. Permanently attached
  2. Luer Lock Tip:
  3. Luer slip tip
  4. Eccentric tip
  5. Catheter tip
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19
Q
  • Secure screw type connection
  • Most common
A

Luer lock Tip

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20
Q
  • Not common
  • Slip or Push-on connection
  • Need to push it para matanggal
A

Slip Tip

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21
Q
  • Off center tip used for surface veins or artery
    injections
  • Hindi sa center located
  • Sa side
A

Eccentric Tip

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22
Q
  • Longer and tapered slip-tip design used for
    irrigation or with tubing.
  • Not for extraction purposes
A

Catheter Tip

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23
Q

The larger the number, the smaller is the______ and
________

A

bore; length

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24
Q

RECOMMENDED LENGTH of needles

A

1-1.5 inch

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25
Q

Determined by the diameter of the lumen

A

NEEDLE GAUGE

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26
Q

NEEDLE GAUGE is selected according to:

A

○ Size and condition of the patient’s vein
○ Type of procedure
○ Equipment being used

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27
Q

the standard for most
routine adult antecubital venipuncture

A

21-gauge needle (or 23)

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28
Q

NEEDLE USE: PPD skin test (nurse)
What is the needle gauge?

A

27

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29
Q

NEEDLE USE: Intramuscular injection (nurse)
What is the needle gauge?

A

25

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30
Q

NEEDLE USE: Butterfly or Syringe Collection
What is the needle gauge?

A

23

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31
Q

NEEDLE USE: Syringe or Evacuated Tube Collection
What is the needle gauge?

A

20,21,22

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32
Q

NEEDLE USE: IVs or Blood Donation
What is the needle gauge?

A

16,18

33
Q

Incorporated in their syringe especially in
hypodermic needle

A

Syringe with BD SAFETYGLIDE

34
Q

Helps phlebotomist to become less exposed
of the needle

A

BD SAFETY-LOK syringe

35
Q

It is where the tube is placed inside
specifically the rubber part of the evacuated
tube

A

Greiner transfer device attached to a syringe

36
Q

Manufactured since 1940s

A

Vacutainer system

37
Q

It is a closed system in which the patient’s blood
flows through a needle inserted into a vein and
then directly into a collection tube without being
exposed to the air or outside contaminants

A

EVACUATED SYSTEM/Vacutainer system

38
Q

Vacutainer system consists of?

A

○ double pointed needle
○ plastic holder and
○ a series of vacuum tubes with rubber
stoppers

39
Q

3 basic components of Evacuated Tube System

A

● Multisample needle
● Tube holder
● Evacuated tube

40
Q

ETS consists of 2 needles:

A

One for the vein and the other for the test tube

41
Q

allows the blood to be transferred when a tube is pushed

A

Rubber sleeve:

42
Q

Traditional style needles:

A

yellow 20 gauge, green 21 gauge, and black 22
gauge

43
Q

BD Eclipse safety needles

A

black 22 gauge, green 21 gauge

44
Q

with
see-through hub attached to a safety tube holder

A

VACUETTE VISIO PLUS needle

45
Q

EVACUATED COLLECTION TUBES contain a vacuum with a ____________sealing the tube

A

rubber stopper

46
Q

Tube ranges in volume from ____________mL
(common is ___________mL)

A

2 to 15; 2-5 or 2-10

47
Q

Combines the benefits of the evacuated system
and syringe system

A

BUTTERFLY SYSTEM

48
Q

Butterfly system has a _________________guage needle with attached
plastic wings on one end

A

21- or 23-

49
Q

The butterfly system can be attached to either a _________ or an _________ system holder

A

syringe; evacuated

50
Q

Similar to an evacuated system needle
but in place of a needle is a part to
attach the butterfly

A

Luer adapter

51
Q

MICRO COLLECTION EQUIPMENT two parts

A

● Method of puncturing the finger or heel
● Method to collect the sample

52
Q

MICROCOLLECTION EQUIPMENTs:

A
  1. BD QuikHeel infant lancet, also available in a
    preemie version
  2. Tenderfoot toddler (pink), newborn
    (pink/blue), preemie (white), and
    micro-preemie (blue) heel incision devices
  3. Microcollection Tubes and Containers
  4. Microhematocrit
53
Q

The order of draw for collecting multiple
capillary specimens differs from______________.

A

venipuncture

54
Q

Specimens must be collected quickly to
minimize effects of_____________ and
microclot formation and to ensure that an
adequate amount of specimen is collected
before the site stops bleeding.

A

platelet clumping

55
Q

Hematology
specimens are collected ___ because they are
most affected by clotting.

A

first

56
Q

Serum specimens are
collected _________ since they are supposed to clot.

A

last

57
Q

The CLSI order of draw for capillary specimen is:

A

○ EDTA specimens
○ Other additive specimens
○ Serum separation

58
Q

○ Formation of blood clot when there is
injury
○ Natural response of the body is to
close-up the wound

A

Homeostasis

59
Q

Occurs when injury has been repaired

A

Occurs when injury has been repaired

60
Q

Injury to vessel lining triggers
the release of clotting factors

A

1st: Damage in the blood vessel

61
Q

Vasoconstriction limits blood
flow and platelets form a sticky
plug

A

2nd: Formation of platelet plug

62
Q

Fibrin strand will be formed,
blood clot is already present

A

3rd: Development of clot

63
Q

Primary Homeostasis:

A

Vasoconstriction
Platelet aggregation
Platelet adhesion

64
Q

○ Includes formation of fibrin clot and
involves a coagulation cascade
○ Common Pathway

A

Secondary Homestasis

65
Q

○ Breakdown fibrin to fragments (FDPs);
fibrin degradation products

A

Fibrinolysis

66
Q

COAGULATION CASCADE

3 PATHWAYS:

A
  1. Extrinsic Pathway
  2. Intrinsic Pathway
  3. Commmon Pathways
67
Q

CART AND TRAY
The phlebotomist tray should include at least the
following:

A

○ Alcohol swabs
○ Gauze squares or cotton balls
○ Evacuated tube holders
○ Assorted evacuated tubes
○ Syringes
○ Syringe transfer device
○ Evacuated tube needles
○ Butterfily collection sets
○ Microcollection equipments
○ Tourniquets
○ Disposable gloves
○ Sharps and waste container
○ Marking pen
○ Slides

68
Q

Use an adhesive bandage to cover the site once
bleeding has ________

A

ceased

69
Q

Do not use cotton. It tends to stick to the wound
site and _________ bleeding when removed
because they dislodge the platelet plug that seals
a puncture site

A

reinitiate

70
Q

Prevent or inhibit the growth
and development of
microorganisms but do not
necessarily kill them

A

ANTISEPTICS

71
Q

The venipuncture site must be
thoroughly ________ prior to
puncture

A

cleansed

72
Q

____________ alcohol (70%) is
commonly used.

A

Isopropyl

73
Q

The Occupational Safety and Health
Administration mandates that gloves MUST BE?

A

worn as protection whenever blood, body fluids, or
other possibly contaminated items are handled.

74
Q

should be worn for each patient.

A

FRESH GLOVES

75
Q

is commonly used because it’s stretchable,
doesn’t support bacterial growth, and can be
cleaned with disinfectant

A

Latex

76
Q

Constricts the flow of blood and makes the veins
more prominent

A

PURPOSE OF TOURNIQUET

77
Q

tourniquet is place _________________ in above the puncture site

A

2-3 inches

78
Q

With tourniquet applied, the arteries fill the veins
with blood, pooling the __________ in the veins

A

blood

79
Q

Must use same ____ all the time to palpate the
vein builds sensitivity in that finger

A

finger

80
Q

Reuse of tourniquet is not a safety issue for a
phlebotomist but is a contamination concern for
the _______ = no clear standards and directives
from OSHA have not addressed this concern

A

patient

81
Q

Tourniquets can be a:

A

● Rubber
● Nitrile
● Snap-on

PMLS 2 (15 decks)

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