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Clinical Lab Science Lecture > Phlebotomy Book- Chapter 8 > Flashcards

Phlebotomy Book- Chapter 8 Flashcards

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1
Q

2 procedures for blood collection-

A

-Venipuncture
-capillary (dermal) puncture

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2
Q

Venipuncture equipment- (6)

A

-Evacuated tube holder or syringe
-Evacuated tubes
-Tourniquet
-Needles
-Winged infusion set
-Syringe

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3
Q

Capillary (dermal) puncture equipment- (3)

A

-Lancets
-Capillary tubes and sealant
-Microcollection tubes

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4
Q

Extra collection equipment used for Venipuncture & capillary (dermal) puncture- (10)

A

-Tray or cart.
-Gloves.
-Hand sanitizer.
-Alcohol prep pads.
-Gauze pads.
-Adhesive bandage/tape.
-Sharps container.
-Marking pen.
-Preprinted labels.
-Specimen transport bags.

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5
Q

Common equipment for phlebotomy tray- (4)

A

-Store equipment needed for most procedures.
-Keep well-stocked.
-Some include.
-Computer

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6
Q

Types of gloves- (2)

A

-sterile & nonsterile
-powder free

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7
Q

Glove liners are used for-

A

Long-term use of gloves

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8
Q

Hand sanitizer used when-

A

No visible contaminant is present

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9
Q

Alcohol prep pads used for-

A

Clean the site

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10
Q

Gauze pads- (2)

A

-Loosely woven fabric.
-Applied after procedure is complete.

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11
Q

Adhesive bandages- (2)

A

-Placed over puncture site.
-Not used on children under 2 years.

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12
Q

Sharps container-

A

For needles & other sharps

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13
Q

Tissue warmer- (2)

A

-heel warmer
-warm towel or cloth

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14
Q

Labeling the specimen- (4)

A

-After drawing blood.
-Before leaving patient.
-Use permanent marking pen.
-Specimen transport bags

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15
Q

Tourniquet-

A

Temporarily stops blood flow

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16
Q

Tourniquet is applied _________ above puncture site-

A

3 - 4 inches

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17
Q

Tourniquet is used to-

A

Locate veins more easily

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18
Q

2 types of tourniquets-

A

-tubing-type
-flat latex free band type

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19
Q

Parts of the needle- (4)

A

-Hub.
-Shaft.
-Bevel.
-Needlestick prevention device.

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20
Q

3 types of needles used in phlebotomy-

A

-multiple sample needle
-hypodermic needle
-winged infusion set (butterfly needle

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21
Q

Multiple sample needle- (2)

A

-double pointed
-part of evacuated collection system

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22
Q

Hypodermic needles are used with-

A

A syringe

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23
Q

Winged infusion set (butterfly needle) used with- (2)

A

-syringe
-evacuated tube system

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24
Q

Needle gauge-

A

Is the bore size or lumen of the needle

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25
Q

Winged infusion sets are used on patients with-

A

Small/fragile veins

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26
Q

Wings on a winged infusion set provide-

A

Stability

27
Q

Syringe consists of-

A

barrel & plunger

28
Q

2 types of syringes-

A

-slip tip
-lure lock

29
Q

Syringes are used with- (2)

A

-Hypodermic needles
-butterfly needles

30
Q

Transfer adapters Transfer blood from syringe to-

A

Evacuated tube

31
Q

Process of using transfer adapters- (3)

A

-Hypodermic needle is removed.
-Syringe is attached to transfer device.
-Evacuated tubes are inserted in order of draw.

32
Q

Evacuated tubes- (3)

A

-Premeasured vacuum.
-Some contain additives.
-Some have splashguards.

33
Q

Serum forms when-

A

Blood is collected in a tube with no anticoagulant

34
Q

Clot activators are added in-

A

Plastic tubes

35
Q

Plasma results when-

A

blood is collected in a tube with anticoagulant added

36
Q

Thixotropic separator gel separates-

A

cells from serum or plasma

37
Q

Most lancets have-

A

Retractable blade

38
Q

Lancet various depths- (3)

A

-1.5mm
-1.8mm
-2.0mm

39
Q

Capillary tubes & sealants used when-

A

only a small amount of blood is required

40
Q

Pull blood into capillary tubes using-

A

Capillary action

41
Q

3 types of capillary tubes & sealants-

A

-Red-tipped
-Blue-tipped
-Black-tipped

42
Q

Microcollection tubes have a larger volume than-

A

Capillary tubes

43
Q

Microcollection tubes are available with-

A

Various additives (color coded)

44
Q

Microcollection amber tubes help-

A

Protect specimens from light

45
Q

Identify additives in tubes by-

A

Cap colors

46
Q

Solid cap characteristics- (2)

A

-regular vacuum
-sufficient to fill the tube

47
Q

Translucent cap tube-

A

reduced vacuum

48
Q

Translucent cap tubes used to-

A

collect blood from children or adults with fragile veins

49
Q

Routinely used tubes- (9)

A

-discard tube
-light blue
-red
-serum separator (yellow/tiger topped)
-green
-plasma separator (light green/green speckled)
-lavender
-pink
-gray

50
Q

Specialty tubes- (5)

A

-yellow
-royal blue
-tan
-white
-orange

51
Q

Miscellaneous tubes designed for specific test kits- (2)

A

-Fibrin degradation products (FDP), aka fibrin split products (FSP)
-Erythrocyte sedimentation rate kits

52
Q

Colors & additives in Microcollection Tubes are generally the same as those for-

A

Evacuated tubes

53
Q

Exceptions for Microcollection Tubes- (2)

A

-No citrated (light-blue) microcollection containers
-Amber color available for gold serum separator and light-green plasma separator containers

54
Q

Routine order of draw- (8)

A

-Nonadditive (red or clear).
-Citrate (light blue).
-Serum tube (clot activator tube: red, royal blue, or orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, royal blue, tan, or white).
-Sodium fluoride (gray)

55
Q

Sterile order of draw- (8)

A

-Sterile tubes (SPS yellow or blood culture bottles).
-Citrate (light blue).
-Serum/clot activator tube (red, royal blue, or orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, royal blue, tan, or white).
-Sodium fluoride (gray)

56
Q

Butterfly order of draw- (10)

A

-Discard tube
-Sterile tubes (S P S yellow).
-Nonadditive (red or clear).
-Citrate (light blue).
-Serum tube (red, royal, orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, white).
-Sodium fluoride (gray)

57
Q

Dermal (capillary) puncture order of draw- (5)

A

-First drop of blood is not collected
-EDTA (lavender, pink).
-Heparin (green, mint).
-Sodium fluoride (gray).
-Nonadditive (red) or serum separator (gold)

58
Q

Interfering substances can be introduced by- (2)

A

-Improper patient preparation
-Incorrect draw order

59
Q

Becton Dickinson uses ____ & ____ systems-

A

Vacutainer & microtainer

60
Q

Becton Dickinson uses color coded tops for- (2)

A

-adult & pediatric (solid v. translucent)
-separator gel

61
Q

Greiner Bio-One uses ____ & _____ tubes-

A

Vacuette & MiniCollector

62
Q

Greiner Bio-One tube tops are solid regardless of-

A

Vacuum amount

63
Q

Sarstedt tubes- (3)

A

-S-Monovette®
-Microvette®
-Multivette®

Clinical Lab Science Lecture (10 decks)

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