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19 Cards in this Set

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1) List the three methods by which phlebotomy is performed.
1) List the three methods by which phlebotomy is performed.
a) Arterial puncture
b) Capillary puncture
c) Venipuncture
2) Define “antiseptic.”
2) Define “antiseptic.”
a) Substances used to prevent sepsis, which is the presence of microorganisms or their toxic products within the bloodstream.
disinfectant
a) Chemical substances or solutions regulated by the Environmental Protection Agency (EPA) that are used to remove or kill microorganisms on surfaces and instruments.
4) Identify the antiseptic used most often in venipuncture.
4) Identify the antiseptic used most often in venipuncture.
a) 70% isopropyl alcohol (isopropanol)
5) Identify two situations in which providone-iodine or chlorhexidine would be used instead of 70% alcohol for a venipuncture site preparation.
5) Identify two situations in which providone-iodine or chlorhexidine would be used instead of 70% alcohol for a venipuncture site preparation.
a) Swab sticks or sponge-pads for blood culture collection
b) Prep pads for blood gas collection
6) State two situations in which venipuncture site bandages should not be used?
6) State two situations in which venipuncture site bandages should not be used?
a) On babies younger than 2 years of age because of the danger of aspiration and suffocation
b) If they are latex and the patient is allergic to latex or adhesive
7) State why the tourniquet must not be left on the arm longer than 1 minute.
7) State why the tourniquet must not be left on the arm longer than 1 minute.
a) Restrictions of blood flow can change blood components if the tourniquet is left in place for more than 1 minute.
8) List the three types of needles used for phlebotomy.
8) List the three types of needles used for phlebotomy.
a) Multisample needles
b) Hypodermic needles
c) Winged infusion (butterfly) needles
10) List three things you, as the phlebotomist, must consider when choosing the correct gauge needle for a venipuncture on a patient.
10) List three things you, as the phlebotomist, must consider when choosing the correct gauge needle for a venipuncture on a patient.
a) Size and condition of the patient’s vein
b) Type of procedure
c) Equipment being used
11) Identify four factors you must consider before deciding which size evacuated tube to use for a draw?
11) Identify four factors you must consider before deciding which size evacuated tube to use for a draw?
a) Age of the patient
b) Amount of blood needed for the test
c) Size of the patient’s vein
d) Condition of the patient’s vein
13) When are winged infusion sets (butterfly) used?
13) When are winged infusion sets (butterfly) used?
a) Used for collecting blood from small or difficult veins such as hand veins and veins of elderly and pediatric patients as it allows much more flexibility and precision than a needle and syringe.
15) If blood is collected in a non-additive tube how long will it take for clotting to be complete?
15) If blood is collected in a non-additive tube how long will it take for clotting to be complete?
a) 45 – 60 minutes
16) What is an “anticoagulant?”
16) What is an “anticoagulant?”
a) A substance that prevents blood from clotting (coagulating) by either of two methods: by chelating (binding) or precipitating calcium so it is unavailable to the coagulation process or by inhibiting the formation of thrombin needed to convert fibrinogen to fibrin in the coagulation process.
17) Name four of the most common anticoagulants.
17) Name four of the most common anticoagulants.
a) Ethylenediaminetetraacetic acid (EDTA)
b) Citrates
c) Heparin
d) Oxalates
18) What does an antiglycolytic agent do?
18) What does an antiglycolytic agent do?
a) Prevents glycolysis which is the breakdown or metabolism of glucose (blood sugar) by blood cells.
List the 13 items of equipment needed for blood collection.
1. Chairs
2. Gloves
3. Antiseptics
4. Disinfectants
5. Gauze Pads/bandages
6. Sharps disposal containers
7. Tourniquets
8. Needles
9. Tube Holders
10. Syringe Collection
11. Winged Infusion Collection (butterfly)
12. Skin Puncture Collection
13. Evacuated Tubes
Name 5 kinds of anticoagulants
1. Citrates
2. EDTA
3. Heparin
4. Oxalates
5. Sodium Polyanethol Sulfate (SPS), used in blood cultures
Name an antiglycolytic agent
sodium fluroide
Name 4 types of additives that can be added to tubes.
1. Anticoagulants
2. Antiglycolytic agent
3. Clot Activator
4. Serum Separator