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51 Cards in this Set
- Front
- Back
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5 Steps hand washing contaminated with blood |
1) wash w/ antimicrobial soap 2) rinse well w/ running water 3) apply solution of 50% isopropyl alcohol 4) leave on skin for 1 min, then rinse 5) rewash, repeat |
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Glucose is a measure of what in your blood |
Sugar levels |
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Iron is necessary for the formation of |
Hemoglobin |
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What is the single most ordered blood test |
CBC |
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Low density lipoprotein (LDL) and high density lipoprotein (HDL) are blood components that carry what throughout the body |
Cholesterol |
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MCV stands for what and indicates the cell what |
Mean cell volume, size |
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List two characteristics of capillaries |
1) exchange vessels 2) microscopic vessels |
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The major veins for venipuncture located in the what |
Antecubital fossa |
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Name the 3 main veins in the antecubital fossa and give their locations |
1) Median cubital: inner elbow 2) cephalic: lateral (thumb side) 3) basilic: medial (pinky side) |
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Leg, ankle, and foot veins should be used for venipuncture when no other sites are available and with what |
The permission of the patient's physician |
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The most common antiseptic used for routine blood collection |
70% isopropy alcohol |
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A tourniquet is applied to the patient's arm to act as what against blood flow |
Barrier |
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The [blank] the number of needle gauge, the [blank] the diameter |
Larger; smaller |
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[Blank] gauge is the needle gauge of choice and the most common gauge for a venipuncture |
21 |
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Evacuated tubes fill automatically because of the [blank] in the tube |
Vacuum |
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Palpating will help you determine the [blank], [blank], and [blank] of the vein. An artery will have a [blank] |
Size, direction, depth. Pulse |
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Never leave the tourniquet on for more than [blank] |
1 to 2 minutes |
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Inverting each tube with an additive will help prevent [blank] of the cells |
Clumping/ clotting/ coagulatuon |
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Always remove the [blank] before removing the needle from the patient's arm |
Tourniquet |
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What is the primary function of WBCs |
The body's defense/ immunity |
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What is the primary function of thrombocytes/ platelets |
To stop bleeding/ clotting |
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What are the 3 conditions of a basal state |
1) early morning 2) patient @ rest 3) patient fasting |
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What are the 3 correct ways of IDing a patient |
1) asking them to state their name 2) ID bracelet, picture ID 3) nursing verifying their identity |
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What are the 4 things that each specimen should be labeled with? |
1) the patient's full name 2) the time (military time) 3) the date 4) phlebotomist's initials |
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What do you do when a patient refuses to have their blood taken? |
Document it in writing, and let someone know of authority (doctor, nurse, phleb supervisor) |
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Define transfixation |
Needle passes through vein top and bottom |
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BD order of draw |
1) blood culture-sps 2) citrate tube 3)SST, gel separator 4)serum tube 5) rapid serum tube (rst) 6)PST, gel separator with heparin 7) heparin tube 8) EDTA tube 9) PPT separator tube with k2edta with gel 10) fluoride (glucose) tube |
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What position should a patient who has a tendency to faint be placed in while performing any blood collecting procedure? |
Laying on back (supine) |
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What is the concern with patients with petechiae |
Excessive bleeding |
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What is the major concern with blind probing |
-veins can be torn -tissue destroyed -nerves damaged - psychological trauma to patient - PAINFUL |
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A hematoma is caused by leakage of [blank] into the tissue from a [blank] |
Blood; vein |
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Recommendation for patients who develop a hematoma |
Ice for the first 24 hours (10 minutes on/off), then use heat after first 24hours |
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List probable causes of hemoconcentration |
1) prolonged tourniquet time 2) massaging 3) squeezing or probing the site 4) pumping the fist 5) long term IV therapy |
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What is hemolysis |
Rupture of red blood cells |
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Why should burn or scarred areas be avoided for sites of blood draw? |
Burned areas are sensitive to pain and infection. Scarred areas are hard to palpitate for veins |
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What caution should be taken when using a plunger on a syringe |
Pull slowly because if you pull to quickly the vein will collapse |
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What is the concern if the patient is dehydrated |
Vein shrinkage |
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7 requirements of a quality specimen |
1) patient is properly prepared, and drug interference is avoided 2) correct specimen collected with correct labeling 3) the correct anticoagulant with sufficient amount 4) the specimens are not hemolyzed 5) fasting samples are taking in a timely manner and patient is fasting 6) timed specimens are correctly timed and documented 7) specimens are transported to lab in timely manner to maintain freshness |
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A phlebotomist may attempt to obtain blood from a patient? |
2 times |
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What are the order of patient priorities |
1) STAT (immediate) 2) timed 3) fasting 4) routine |
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A blood culture is used to detect |
Septicemia, bacteria, or infection |
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GTT sample should be drawed in intervals of? |
Fasting, 30 min, 1hr, 2hr, 3hr |
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What is the single most crucial procedure when performing a cross match |
CORRECT LABELING |
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The purpose of bleeding time is to detect what |
Platelet function disorders |
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When doing a blood culture, once you've cleaned the arm with alcohol, you must again clean the arm with what? |
Iodine |
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The tube for cold agglutinins must be places in an what to prewarm |
37°C incubator |
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A prenatal screen is ordered to determine what, to see whether the blood is what? |
Type and Rh; Rh positive or Rh negative |
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Incision for a bleeding time test is performed [blank] cm below and [blank] to the [blank] |
5cm, parallel, antecubital crease |
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A platelet is actually part of a large cell called a [blank] |
Megakaryocyte |
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A normal, healthy person will have [blank] in the blood |
No bacteria |
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Requests for tests and results are strictly [blank] |
Confidential |
