PRE-ANALYTICAL CONSIDERATIONS IN PHLEBOTOMY Flashcards

1
Q

events or actions that take place before laboratory
testing

A

Pre-Analyitcal Testing Phase

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2
Q

identify factors that affect the process and address them as
needed

A

Phlebotomist’s role

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3
Q

Red Blood Cells (RBC), White Blood Cells (WBC), Creatinine Clearance

A

Age

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4
Q

Red Blood Cells

A

Altitude

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5
Q

Hemoconcentration, RBC, Enzymes, Iron (Fe), Calcium (Ca), Sodium (Na)

A

Dehydration

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6
Q

Glucose, Lipids, Electrolytes

A

Diet

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7
Q

Thyroid Stimulating Hormone (TSH), Cortisol, Iron (Fe)

A

Diurnal Variation

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8
Q

Enzymes, Hormones

A

Drug Therapy

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9
Q

pH, PCO2, Creatine Kinase (CK), Lactic Acid Dehydrogenase (LDH), and Glucose

A

Exercise, IM Injection

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10
Q

Hormones, Cortisol

A

Fever

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11
Q

RBC, Hemoglobin, Hematocrit

A

Gender

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12
Q

Yellow color interfaces due to increased bilirubin

A

Jaundice

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13
Q

Creatine Kinase (CK), Skeletal Muscle Fraction of LDH

A

Intramuscular Injection

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14
Q

Protein, Potassium (K)

A

Position

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15
Q

RBC

A

Pregnancy

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16
Q

Cholesterol, Cortisol, Glucose, Growth Hormone (GH), Triglyceride, WBC

A

Smoking

17
Q

WBC, Iron (Fe), Adrenocorticotropic Hormone, Catecholamine, Cortisol

A

Stress

18
Q

Hemoconcentration

A

Temperature and Humidity

19
Q

too painful; circulation is impaired, areas with tattoos prone to infection and colorimetric analysis due to dyes

A

Burns, Scars, and Tattoos

20
Q

sclerosed, hardened, or clotted

A

Damaged Vein

21
Q

Abnormal swelling due to accumulated interstitial fluid. Locating veins becomes harder.

A

Edema

22
Q

removal of the breast during surgery. May cause swelling and
infection due to obstruction of lymph nodes.

A

Mastectomy

23
Q

veins become deep and difficult to palpate

A

Obesity

24
Q

Swelling or mass of blood in tissues due to leakage. Caused by
venipuncture. Painful for patient if selected as a site.

A

Hematoma

25
Q

= Gauze pad should be applied over site; removed at 15 mins
= Apply pressure for 5 mins

A

Adhesive Allergy

26
Q

Use different antiseptic

A

Antiseptic Allergy

27
Q

Use non-latex alternative to gloves, tourniquet and bandage

A

Latex Allergy

28
Q

Due to medications (Aspirin / Anticoagulants) = excessive bleeding

A

Excessive Bleeding

29
Q

Patient’s prone to fainting must be asked to lie down prior to procedure

A

Fainting

30
Q
  • Discontinue the procedure until patient feels better
  • Emesis bowl must be prepared in case
A

Nausea and Vomiting

31
Q

When patient complains of extreme pain / numbness = stop procedure

A

Pain

32
Q

Small red/purple spots appearing as rashes; appears upon tourniquet application

A

Petechiae

33
Q

Discontinue the blood draw immediately

A

Discontinue the blood draw immediately