Phlebotomy & Laboratory Flashcards
would be ordered if a woman was having menopausal symptoms such as night sweats and hot flashes
Follicle Stimulating Hormone (FSH)
measures the oxygen and carbon dioxide in the blood from an artery (cannot be performed by a CCMA)
Arterial Blood Gas (ABG)
must place the requisition in the outside pocket of the transport bag when transporting laboratory specimens to an outside laboratory
Blood Specimen
absence of oxygen and do not expose to oxygen
Anaerobic Collection
- test of the urine used to detect and manage a wide range of disorders such as urinary tract infections, kidney disease and diabetes
- must always check reagent solution expiration date
- sample must be in a sterile container or specimen will be rejected
- components of test:
- physical: visual assessment of color/turbidity of urine sample
- chemical: use of reagent strip to assess the specific gravity, pH and presence/quantity of protein, glucose, ketones, hemoglobin, myoglobin, leukocyte esterase, bilirubin and urobilirubin
Urinalysis
deals with microorganisms and their effects on other living organisms
Microbiology
to help diagnose the cause of unexplained bleeding or inappropriate blood clots
Prothrombin Time/International Normalized Ratio (PT/INR)
tests for poisons, pharmaceutical and recreational drugs
Toxicology
the study of blood and blood cell counts
Hematology Panel
checks for inflammation and the distance the erythrocytes have settled over time
Erythrocyte Sedimentation Rate (ESR)
the largest department in the core laboratory; analysis of bodily fluids for diagnostic and therapeutic purposes
Chemistry/Metabolic Testing
presence of oxygen
Aerobic Collection
the study of the body’s ability to form clots and dissolve them
Coagulation
test to screen for hidden blood in the stool -blood cannot be seen with the naked eye -screening for diverticulitis, colon cancer, etc.
Fecal Occult
- Yellow Top (microbiology) 2. Light Blue Top (coagulation) 3. Red Top (chemistry) 4. Gold (Tiger Top) (chemistry) 5. Light Green Top (chemistry) 6. Dark Green Top (chemistry) 7. Lavender (Purple) Top (hematology) 8. Gray Top (chemistry)
Order of Draw
used to diagnose diabetes and starts when the patient finishes drinking the glucose solution
Glucose Tolerance Test (GTT)
-always wipe off the first drop of blood -apply direct pressure on the puncture site when performing a finger stick
Capillary Collection
- Mononucleosis Test
- Rapid Streptococcus A Test
- C-Reactive Protein (CRP)
- HCG Pregnancy Test
- H. Pylori
- Influenza
Immunology
determines the average blood sugar concentrations for the preceding two to three months to check for diabetes
A1C (Hemoglobin A1C)
-invert for proper mixture of additive and blood -fill lavender first when performing capillary collection
Laboratory Tubes
-have patient make a fist but do not pump the fist -tie tourniquet 3-4 inches from venipuncture site -clean skin in a circular motion from inside to outside -always wear gloves and NEVER pop fingertip off glove to feel for the vein -insert needle at a 30 degree angle or less when using a multi-sample needle -insert needle at a 15-20 degree angle when using a winged fusion set (butterfly- used for small veins/hand) -use 70% isopropyl alcohol to clean venipuncture site -apply safety device immediately after withdrawing from patient
Phlebotomy Technique
used to detect the presence of bacteria or fungi in the blood (minimum of 8-10 mLs of blood per bottle should be collected)
Blood Cultures
urine pregnancy test
Human Chorionic Gonadotropin (HCG)
