PLT AND HEMOSTASIS Flashcards

1
Q

maintenance of blood flow within the vascular system

A

hemostasis

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2
Q

t or f. the phlebotomist should stay for 1 to 5 minutes after the venipuncture on patient who requested for a hemostasis test.

A

true

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3
Q

2 labile coagulation factors

A

factors V and VIII

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4
Q

3 things that may happen when a light blue top specimen is placed inside a refrigerator (1-6 C)

A
  • precipitation of von Willebrand factor
  • activation of factor VII
  • destruction of platelets
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5
Q

anticoagulant that increases the stability of factors V and VIII

A

3.2% buffered sodium citrate

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6
Q

light blue top no. of inversions

A

3 to 4 inversions

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7
Q

blood:light blue top anticoagulant ratio

A

9:1

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8
Q

transcribe CTAD anticoagulant

A

citrate, theophyline, adenosine, dipyridamole

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9
Q

CTAD is found in where

A

light blue top

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10
Q

CTAD is utilized for? (2)

A
  • platelet factor 4

- beta-thromboglobulin

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11
Q

factors that may affect coagulation test results:

shortened test results: (5)

A
  • hemolysis
  • excessive agitation
  • prolonged tourniquet app
  • excessive needle manipulation
  • platelet contamination
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12
Q

factors that may affect coagulation test results:

prolonged test results: (2)

A
  • presence of clots

- increased AC concentration

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13
Q

causes of increased AC concentration

A
  • short draw

- elevated hematocrit (>55%)

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14
Q

t or f. we dont adjust the AC volume even if the patient has high hematocrit.

A

false

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15
Q

formula for adjusting AC volume

A

C = (0.00185) (100-hct) V

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16
Q

needles for hemostasis specimens:

adult with good veins, specimen <25 mL

A

20 or 21 gauge

17
Q

needles for hemostasis specimens:

adult with good veins, specimen >25mL

A

19 gauge

18
Q

needles for hemostasis specimens:

Child or adult with small, friable, or hardened veins

A

23 gauge, winged needle set

19
Q

needles for hemostasis specimens:

transfer of blood form syringe to tube

A

19 gauge

20
Q

what happens in primary hemostasis?

A
  • constriction of damaged blood vessels

- formation of platelet plugs

21
Q

what happens in secondary hemostasis?

A
  • formation of fibrin meshwork through activated coagulation factors
  • inhibition of activated coagulation factors
22
Q

composition of a blood vessel wall:

it is lined with a simple squamous epithelium called endothelium (lines the inner tubular cavity)

A

tunica intima

23
Q

composition of a blood vessel wall:

thickest coat, composed of smooth muscle and elastic fibers

A

tunica media

24
Q

composition of a blood vessel wall:

composed of fibrous connective tissue that contains autonomic nerve endings and the vasa vasorum

A

tunica adventitia

25
Q

largest type of blood vessels

A

veins (5mm)