Phlebotomy 7 Flashcards
substances used to prevent sepsis (presence of microorganisms and their toxic products in the blood stream); ie. 70% isopropyl alcohol (isopropanol), povidone-iodine, benzalkonium chloride, hydrogen peroxide, chlorhexidine gluconate
antiseptics
chemical substances or solutions regulated by the EPA that are used to remove or kill microorganisms on surfaces/instruments; ie. 5.25% sodium hypochlorite (bleach) with 1:100 dilution on nonporous surface or 1:10 dilution on large spills
disinfectants
chemical that kills and inhibits the growth of living organisms
biocide
disposal containers for needles, lancets, and other sharps; contains biohaz symbol, rigidity, puncture resistance, leakproof, and locks
sharps containers
the end of a needle that punctures the skin
bevel
internal space of the needle
lumen
number related to the diameter of the lumen (inverse relationship)
gauge
closed system where blood flows through the needle inserted in a vein and directly into the tube without exposure to air or outside contaminants
evacuated tube system (ETS)
ETS needles that allow multiple tubes of blood to be collected during a single collection
multisample needles
sharp with engineered sharps injury protection
SESIP
obtains the blood specimen
evacuated tube
substance placed in the tube for preservation
additive
sterile syringe needle used in an ETS system
hypodermic needle
light blue top
sodium citrate
red top
clot activator
red/light grey top
none (discard)
red/black (tiger) or gold top
clot activator and gel separator
green/grey or light green top
lithium heparin and gel separator
green top
lithium heparin or sodium heparin
lavender top
EDTA
grey top
sodium fluoride/potassium oxalate or sodium fluoride/EDTA or sodium fluoride
orange top
thrombin
grey/yellow top
thrombin
royal blue top
none or EDTA or sodium heparin
tan top
EDTA
yellow top
sodium polyanethol sulfonate or acid citrate dextrose
allows safe transfer of blood into tubes without using the syringe needle or removing the stopper
syringe transfer device
indispensable tools for collecting blood from small or difficult veins
blood collection sets (infusion sets)
butterfly set
winged infusion set
substances that prevent blood from clotting by either binding (chelating) or precipitating calcium, or inhibiting the formation of thrombin
anticoagulants
removes calcium from the blood by binding it to form an insoluble salt which then becomes unavailable for coagulation
ethylenediaminetetraacetic acid (EDTA)
prevents coagulation by binding calcium; used for coagulation tests by preserving coagulation factors; 9:1 ratio
sodium citrate
prevents clotting by inhibiting thrombin and factor X
heparin
removes calcium and prevents clotting by precipitating calcium in the form of an insoluble salt; usually paired with antiglycolytic agents
potassium oxalate
prevents coagulation by binding calcium with little effect on cells and platelets; also acts as RBC nutrient preservative by maintaining RBC viability
acid citrate dextrose (ACD)
prevents clotting by binding calcium; stabilizes pH and provides cells with energy
citrate phosphate dextrose (CPD)
prevents coagulation by binding calcium; reduces complement by slowing phagocytosis and reducing antibiotic action
sodium polyanethol sulfonate (SPS)
prevents glycolysis (breakdown and metabolism of glucose by blood cells)
antiglycolytic agent
preserves glucose and inhibits growth of bacteria
sodium fluoride
enhances coagulation by silica particles and thrombin
clot activator
red top; 15-30 min clot
serum-separator tubes (SSTs)
orange thrombin tube; clots in 5 min
rapid serum tube (RST)
inert synthetic substance that moves to position in between cells and serum/plasma to form physical barrier
thixotropic gel
light green top tubes
plasma separator tubes (PSTs)
white/pearl top tubes
plasma-prep tubes (PPTs)
royal blue stopper free of trace elements
trace-element tubes
order in which tubes are drawn in a multi-tube draw; prevents carryover
order of draw
order of draw
blood culture (SPS), light blue, SST, red, green, PST, lavender, grey
transfer of additive from one tube to the next
carryover/cross-contamination
used to remove tissue fluid from the needle; thrown away; always drawn before coagulation (light blue top) tube
clear/discard tube