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Lecture tests > Week 2 > Flashcards

Week 2 Flashcards

1
Q

If you raise the bed, drop the rails or make a change to the bed to protect your back how do you leave it?

A

The way you found it

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2
Q

Phlebotomy tray can be put down anywhere in the room

A

No, it cannot be put on any food or Pt surfaces

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3
Q

An outpatient drawing station should contain what

A

Clean private quiet environment

Supply table

Special phlebotomy chair

Had a table for heelsticks and other procedures

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4
Q

Can you draw from a chair without arms

A

No

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5
Q

Are most gloves sterile

A

No, and they do not need to be but they must be a good fit

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6
Q

Hand Sanitizers

A

CDC Guidelines recommend use of alcohol-based hand sanitizer routine decontamination of hands

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7
Q

What is a SEESIP

A

A needle or tube holder that has a safety device, it is an OSHA acronym for a sharps with engineered sharp injury protection

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8
Q

Light blue stopper

A

2 in draw order

The additive is sodium citrate

The department is coagulation

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9
Q

Red stopper glass tube

Sterile tube

A

3 in draw order

No additive

Department is chemistry, blood bank, immunology

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10
Q

Red stopper plastic tube

A

3 and draw order

Additive is clot activator

Department is chemistry

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11
Q

Red/light gray stopper

A

3

No additive

No department, discard tube only

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12
Q

Red/black or red/gray

And gold stoppers

A

4 and draw order

Additive is clot activator and gel separator. SST

Department is chemistry

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13
Q

light green stoppers

A

5 in draw order

Lithium heparin and gel separator are the additive

PST

Chemistry is the department

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14
Q

Dark green stopper

A

6 in draw order

Additive is lithium heparin or sodium heparin

Department is chemistry

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15
Q

Lavender stopper

A

7 in draw order

EDTA is the additive

Hematology is the department

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16
Q

Pink stopper

A

7 in draw order

EDTA is the additive

Blood bank is the department

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17
Q

Gray stopper

A

8 in draw order

The additives are potassium oxalate/sodium fluoride, EDTA/sodium fluoride, and sodium fluoride

Department is chemistry

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18
Q

Royal blue stopper

A

7 in draw order

Additives can be none, EDTA, sodium heparin

Department is chemistry

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19
Q

The order of the draw

Young lads really shouldn’t put gum in ladies garments

A
  1. blood culture tubes or vials (sterile yellow or blood culture bottles)
  2. coagulation tubes (light blue tops)
  3. Serum tube with or without clot activator or gel (Red, gold, or speckle topped tubes)
  4. Heparin tubes (light green and dark green tubes)
  5. EDTA tubes (lavender, tan, royal blue top tubes)
  6. Oxalate/fluoride tubes (Gray top tubes)
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20
Q

What must you always do before using a tube

A

Always check the expiration date, and never use a tube that has been expired or dropped

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21
Q

Which additive prevents glycolysis?

A

Sodium fluoride

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22
Q

Mixing an additive correctly involves turn in the wrist this many degrees back in again

A

90°

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23
Q

Antiseptics

A

Antiseptic’s are to be used prior to all skin punctures

  1. 70% isopropyl alcohol, usually individually wrapped

(Do not use if drawing and alcohol level)

  1. Povidone – iodine, can be a swab, bottle or ampule
24
Q

Disinfectants

A

Bactericidal, kill bacteria

Used on surfaces to kill bacteria, not safe for skin

A dilution of 1:10 of household bleach is used to kill viruses on surfaces and clean blood

25
Q

A Tuurniquetcan be what

A

A blood pressure cup pumped up to 40, or a normal tourniquet

26
Q

What happens if you leave a tourniquet on for more than a minute?

A

You have to take it off and wait two minutes before you can use that arm again. Or go to the other arm

27
Q

21 gauge needle is what color

A

Green, this is Laura’s favorite

28
Q

22 gauge needle is what color

A

Black

29
Q

Hemolysis

A

When blood cells rupture,

this is a problem because potassium is located inside RBC’s and when the blood cells rupture I can affect the potassium in the RBCs and give erroneous results

30
Q

Normal range of potassium

A

3.2–5.0 is the normal range of potassium

31
Q

What makes anything not sterile, needles, holders, tubes, hands, etc.

A

– If it gets wet

– If it falls below the waist

– If it touch a non-sterile object

– Droplet transmission occurs nearby (talking, laughing, coughing, sneezing, etc.)

32
Q

PPT

A

Partial thrombosis time

33
Q

EDTA

A

ETHYEN-DI-A-MINE-TET-RAA-CE-TIC

34
Q

EDTA is increasingly being used for blood tests why

A

It preserves cell morphology (cell structure)

35
Q

How does EDTA work as an anticoagulant

A

EDTA binds with Ca so the clotting cascade is interrupted

36
Q

SST

A

Serum separator tube

Red/gray tube and gold hold SST

37
Q

When does the peak level of cortisol occur

A

8 AM

38
Q

A thrombosed vein feels like what

A

They feel hard and cord like one palpitated

39
Q

Petechiae, tiny red spots that appear in a patient’s arm when the Turnock it is applied or signs that the site may?

A

Bleed excessively

40
Q

Iatrogenic anemia

A

Removing blood on a regular basis or in large quantities can lead to iatrogenic anemia in some patients especially infants

41
Q

Edema

A

When an appendage of the Pt is swollen with excessive fluid’s

42
Q

A patient has several short links of IV type to being protruding from his chest. This is most likely a

A

CVC,

Central venous catheter

43
Q

How long does it take for hemoconcentration to occur at the puncture site

A

Only one minute of the tourniquet being on.

44
Q

A bariatric phlebotomy chair is designed for individuals who are

A

Overweight

45
Q

And AV fistula is most commonly used for?

A

Dialysis access

46
Q

AV fistula

A

Permanent surgical fusion of an artery and vein that is typically created to provide access for dialysis

47
Q

Normal range percentages come from what

A

95% of adults in a healthy state create the normal range

48
Q

Circadian variations can cause fluctuations throughout the day and play a role in results.

A

Aldosterone, Bilirubin, cortisol, hemoglobin, insulin, iron, potassium, testosterone, and RBCs may all be elevated in the morning

Creatine, glucose, growth hormone, triglycerides, and phosphate, are normally lowest in the morning.

49
Q

A basal state is?

A

Resting metabolic state of the body

The best ideal time to draw blood

50
Q

Lipemic specimens appear

A

Lipemic means a high fat content in the blood which one put in the centrifuge will look white & milky or turbid (Brown and chunky)

51
Q

Hi altitude creates more RBC because

A

The oxygen level is lower and higher altitude so you need more RBC

52
Q

What happens to blood elements when you’re dehydrated

A

Blood is more concentrated there for the elements within the blood are concentrated and can cause erroneous results

Hemoconcentration

53
Q

Lymphedema

A

Swelling one lymph nodes are removed

54
Q

Hematoma

A

Blood filled bump

Like a blood blister or and goose egg on your head

55
Q

Mastectomy

A

You can never ever ever draw from an arm on the same side as the surgical removal of a brass unless done with the physicians permission.

This can cause lymphedema

There’s been a double Mesec to me you choose to draw from the arm with physicians approval where the mystic to me was done the longest time ago

56
Q

One drawing blood always ask

A

OK to use this arm?

57
Q

A – line

A

An arterial line also called and a- line

And arterial line as a catheter placement in an artery used to provide accurate and continuous measurement of the patient’s blood pressure also used to collect blood gases another blood specimens.

Do not perform a venipuncture on this arm or apply a tourniquet

Lecture tests (11 decks)

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