Phlebotomy and Venupuncture

Question 1

Subcutaneous Injections should be at what angle? Examples?

Answer 1

45 degree (unless obese then 90 degrees). Ex: Insulin

Question 2

Insulin injections for obese patients should be done at what angle?

Answer 2

90 degrees.

Question 3

Intradermal injections are what angle?

Answer 3

15 degree

Question 4

IV injections are at what angle?

Answer 4

25 degree

Question 5

Subcutainious Injections are at what angle?

Answer 5

45 degree

Question 6

Intra muscular injections are at what angle?

Answer 6

90 degree

Question 7

What are 3 pre-analytical factors before a blood collection?

Answer 7

Basal state, fasting status and condition of the venipuncture site.

Question 8

Hemoconcentration is :

Answer 8

If tourniquet is left on over 1 min. Increase in red blood cell concentration in bloodstream.

Question 9

Vasovagal Response is:

Answer 9

Fainting in response to blood or blood draw or emotions.

Question 10

Order of Draw in colors only: ( 7)

Answer 10

1. Yellow, 2. Light Blue, 3. Red, 4.Gold or Tiger, 5.Green, 6. Lavender, 7. Grey

Question 11

Additive for Yellow tube/Use for draw:

Answer 11

Sodium Polyanethol Sulfonate (SPS) / Blood Culture to Microbiology

Question 12

Additive for Light Blue Tube/ Use for Draw:

Answer 12

Sodium Citrate (anticoagulant)/ Coagulation studies

Question 13

Additive for Red Tube/ Use for Draw:

Answer 13

Plastic: Clot activator/ Glass: None/Chemistry - serum for infectious disease - blood donor screen.

Question 14

Additive for Gold/Tiger Tube/ Use for Draw:

Answer 14

SST, Clot activator, Tixotropic Gel (barrier), / Chemistry- Serum determinations ( infectious disease- blood donor)

Question 15

Additive for Green Tube / Use for Draw:

Answer 15

Sodium or Lithium Heparin/Chemistry - plasma Determinations

Question 16

Additive for lavender Tube / Use for Draw:

Answer 16

EDTA (anticoagulant)/ Whole Blood Hematology RBC, WBC, immune, blood donor

Question 17

Additive for Gray Tube / Use for Draw:

Answer 17

Potassium Oxalate and Sodium Fluoride / Glucose Testing, ETOH

Question 18

Allergy Testing uses _____type of injection:

Answer 18

Intra-dermal (15 degree)

Question 19

Where would you give a 5-year-old MMR Injection?

Answer 19

Vastus lateralas (thigh) @ 90 degrees (intra muscular)

Question 20

CAPILLARY Order of Draw:

Answer 20

1. Blood Gasses, 2. EDTA (Lavender), 3. Other additives ( skip blue), 4. Serum Tubes (Red)

Question 21

Inversions for Tubes:

Answer 21

Yellow (Cultures) 8-10, Lt. Blue 3-4, Gold/Tiger 5-6

Question 22

Aliquot blood samples are :

Answer 22

Dividing sample into multiple tubes. Use single use pipette. Do not pour.

Question 23

Serum blood specimens have to ___________ before going into the centrifuge.

Answer 23

Clot - wait 30 minutes.

Question 24

Butterfly needle is how many lumen?

Answer 24

25 - 26 gage

Question 25

The Veins in Antecubital Space are (3)

Answer 25

Median- Cubital, Cephalic, Basilic