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56 Cards in this Set

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  • Back

Laboratory reports are filed on top of or attached to what form?

SF-545 (Laboratory Report Display)

What are the two pricipal methods of obtaining blood specimens?

The Capillary Method/The Venipunture Method

Capillary blood collection is performed when?

A small quantity of blood is needed for testing as in the case of some pediatric blood draws.



*Middle or Ring Finger*NO greater than 2mm*

Do not leave a tourniquet on for more than______?

1 minute

The microscope's framework consist of how many parts? What are they?

1- Arm


2- Stage


3- Mechanical Stage


4- Base

Objective Lens? How many?

Resposible for the magnification and resolution of detail in a speciman



10X=LOW-POWER


40X=HIGH-POWER


100X=OIL IMMERSION


What needs to be done when the oil-immersion lens is not being used?

Remove the oil with lens tissue.



*Never use alcohol or similar solvents to clean lenses since alcohol will damage the lens assembly*

A red cell count that drops below normal values may indicate WHAT?

Anemia

Hemoglobin

Its primary function is delivery and release of oxygento the tissues and facilitation of carbon dioxide excretion.

The Normal Values for Hemoglobin determinations are?

Woman................. 12-16


Men ...................... 14-18

Hematocrit?

Packed RBC volume.


*The reatio of the volume of RBCs to the volume of whole blood.*

The Normal Values for Hematocrit determinations are?

Woman................. 37-47%


Men...................... 42-52%

Leukocyte

White Blood Cell

Normal WBC values in Adults

4,800-10,800 cells per cubic millimeter

What is the method used for manually counting WBCs?

Unopette Method

When the WBC rises above normal values, the condition is referred to as_____________.

Leukocytosis

Luekocytosis frequently occurs when?

When systemic or local infections are present.


*In severe medical conditions, white cell counts will exceed 50,000/mm3

Conditions that my cause Leukocytosis

Shortly agter abirth


Pregnancy


Appendicitis


Ulcers


Emotional stress


Anxiety


Strenuous Exercise

An abnormally low white cell count is known as?

Leukopenia

Leukopenia can be caused by _____________

-Severe or advanced bacterial infections such as typhoid, paratyphoid, tularemia



-Infectious viruses and rickettsiae, such as mmr, smallpox, hep, psittacosis, dengue fever,influenza



-Anaphylactic Shock


-Radiation

How many types of white cells are normally found in the circulation blood? What are they?

5


-Neutrophils


-Eosinophils


-Basophils


-Lymphocytes


-Monocytes

Neutrophil(S) ?

Account for the largest percentage of leukocytes found in a normal blood sample, and function by ingesting invading bacteria



*Oval, Horseshoe or "S"-shaped*

Neutrophilic Band ?

Is an Older or Intermediate Neutrophil



*C or U-shaped*



*Sometimes Called a "STAB" cell*

Eosinophil?

The function is to destroy parasites and respond in immediate allergic reactions.



*The cytoplasm contains larg reddish-orange granules*

Basophil?

Arise in basophils is associated with inflammatory disorders and certain leukemial.



*Bluish-Purple granules that are darker than the nucleus*

Lymphocyte?

The function is associated with immune response and the body's defense against viral infection.



*Clear, Sky Blue, scanty, HALO

Monocyte?

The Largest of the normal white blood cells.


-Controls microbial and fungal infections


-Removes damged cells from the body



*An abundant pale Bluish-Gray cytoplasm*

How Many Bacteria Classifications are there? What are they?

(5)


-Disease-producing Ability


-Growth Requirements


-Morphologic Characteristics


-Toxins Reproduced


-Gram's stain Reaction


Pathogenic/Nonpathogenic

Disease Producing ability of Bacteria

Growth Requirements

Temperature


Oxygen


Nutrition


Moisture

Temp Requirements for Bacteria

-Psychrophilic


-Mesophilic


-Thermophilic

Psychrophilic

"cold loving" bacteria that reproduce best at low temperatures (4C)

Mesophilic

Bacteriathat reproduce best at body temperature (35C) and are the primary pathogens in man

Thermophilic

bacteria that reproduce best at higher temperatures


(42C)

Morphologic Characteristics

-Coccus


-Bacillus


-Spirochetes

Coccus (pl. cocci)

Spherical, appears singly, in pairs, chains, clusters, or packets

Bacillus (pl. bacilli)

Rod-shaped, appears singly, in chains, or in different organizations

Spirochetes- (pl. spirilla)

Helical, spiral, corkscrew-shaped, appearing singly only

Toxins Produced By Bacteria

Endotoxin- comprises part of the cell wall and is released as the bacterial cell is destroyed.



Exotoxin- are less potent than Endotoxins, but may affect the patient during the course of antibiotic therapy.

Gram positive

Cells retain the Primary Crystal Violet stain during decolorizations and retain the violet stain.

Gram negative

DO NOT retain the Violet stain



They Are Counterstained Pink

Cocci, Positive

Streptococcus pneumoniae


Streptococcus pyogenes


Staphylococcus aureus



*hint* All Start with (S)

Cocci, Negative

Neisseria gonorrhoeae


Neisseria meningitis



*hint* Both Start With (N)

Bacilli, Positive

Corynebacterium diphtheriae


Clostridium perfringens


tetani


botulinum



*hint* Both Start with (C)

Bacilli, Negative

Yersinia pestis


Brucella abortus


Bordetella pertussis

The normal daily urine volume for adults ranges from ____ to ____, averaging about _____ml.

600-2,000ml


averaging 1,500ml

Preservation of urin specimens

-Refrigeration


-Hydrochloric acid



*should be atlest 12ml in volume*


*kids between 10-15ml*

Urine color

Colorless


Light straw


Straw


Darker straw


Light amber


Amber


Red, abnormal

Red or Red Brown Urine

Caused by the presence of blood

Yellow or Brown (turning greenish with yellow goam when shaken)

caused by the presence of Bile


Olive green to brown-black

caused by phenols (an extremely poisonous compound, used as an antimicrobial agent)

Dark orange-

caused by Pyridium (a topical analgesic se in the treatment of urinary tract infections)

Microscopic examination of urine sediment at ____ is usually performed in addition to routine chemical procedures.

40X

Casts?

Urinary sediments formed by coagulation of albuminous amterial in the kidney tubules.



*Indicates some form of kidney disorder*


Critical Results for labs

WBC count >50,000 indicates acute infection


Hgb <7 indicates severe anemia


GLU/Keystones both (+) may indicate diabetes


Walking Blood Bank

A minimum file of ten percent of certain ship's company is required to be enrolled in the walking blood bank.