WEEK ELEVEN Flashcards

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1
Q

another word for phlebotomy

A

venipuncture

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2
Q

collecting blood specimens is under

A

CLIA waived testing

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3
Q

venipuncture

A

used to collect large volumes of blood

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4
Q

evacuated tube/vacutainer

A

normal or large veins

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5
Q

Syringe and needle

A

collapsing veins

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6
Q

butterfly

A

small veins (25-26 Gauge)

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7
Q

who does test orders

A

providers only

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8
Q

fasting

A

nothing but water for 8-12 hours prior to testing

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9
Q

blood tests that are affected by foods and bevs

A

triglycerides(cholesterol)
glucose)

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10
Q

basal state

A

early morning specimen (after sleep), 12 hours after the last ingestion of food or liquids

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11
Q

postprandial

A

after a meal

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12
Q

appropriate supplies for venipuncture

A

gloves

tourniquet

alcohol wipes, swabs (70% alcohol) chlorhexidine is allergic

non-alcohol swabs (used for blood cultures

non-sterile gauze

cohesive wrap or paper tape

appropriate needle, syringe
blood collection tube

laboratory requisition

cold packs
CHECK FOR ALLERGIES

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13
Q

labeling tubes should be completed when

A

after the procedure

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14
Q

label tubes requires

A
  • patients first/last name
  • DOB
  • ID number
  • Date of collection
  • Time of collection
  • Initials of person collecting specimen
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15
Q

venipuncture for newborns to infants to 12 months

A

require only heel stick capillary specimens

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16
Q

venipuncture for 12 months to 2 years

A

require finger sticks, capillary specimens

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17
Q

venipuncture for 2 years and older

A

regular venipuncture

18
Q

restrictions

A

fistulas, ports, mastectomy

19
Q

median cubital

A

preferred

20
Q

cephalic

A

best choice in obese patients

21
Q

basilic

A

greatest risk of complications (nerve damage)

22
Q

other veins if antercubital area is inaccessible

A

hand (use butterfly)
feet veins (under supervision, due to deep vein thrombosis [DVT])

23
Q

tourniquet placement

A

place 3-4’ above the draw site (max 60 seconds)

24
Q

abnormally high concentration of blood

A

hemoconcentration

25
Q

vein puncture placement

A

anchor the vein 1-2’ below the draw site (don’t palpate the vein)

26
Q

insert needle angle

A

15 - 30

27
Q

disconnecting the last tube after removing the needle can lead to

A

hematoma

28
Q

for needlestick injury..

A

wash the area immediately

29
Q

for patients at risk for uncontrolled bleeding..

A

take blood thinning medication, hold site for at least 5 mins

30
Q

Yellow

A
  • 1st tube of draw
  • additive: SPS
  • prevents clotting and stablizes bacterial growth
  • used for cultures on blood or body fluid
31
Q

Light blue

A
  • 2nd tube
  • additive: sodium citrate
  • must be completely full
  • used for coagulation testing
32
Q

Red

A
  • 3rd tube
  • additive: none
  • used for whole blood collection that is allowed to clot; after blood is centrifuged, and serum poured
    plastic: silica
33
Q

Gold, Tiger top, Red-grey Marbled

A
  • also called serum separator, marble top and speckled top
  • additive: SST separates cells from serum
  • used for chemistry testing
33
Q

Green

A
  • 4th tube
  • additive: heparin
  • used for plasma samples
  • determines several chemical constituents or special hematology testing
34
Q

Lavender tube

A
  • 5th tube
  • additive: EDTA
  • used to determine blood cell components
  • required for a CBC
35
Q

Gray Tube

A
  • 6th tube
  • additive: sodium Fluoride and potassium oxalate
  • used for glucose and alcohol blood collections
36
Q

what determines how many times tubes are inverted

A

the letters of the color word

37
Q

Centrifuging process

A
  • blood tubes rotate at a high rate of speed causing heavy elements to be pulled to the bottom
  • allow specimen to clot first (30-45 min)
  • balance tubes from one another with the same volume
38
Q

Aliquoting specimen

A
  • divide one specimen into several
  • use single use pipette
  • wear face mask and eye protection
  • never pour specimens
  • label new tubes accordingly
39
Q

hemolyzed specimen

A

the breakdown or destruction of red blood cells; blood cells rupture

40
Q
A