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20 Cards in this Set

  • Front
  • Back
Department Overview
(8 departments)
chemistry
hematology
coagulation
immunohematology (blood bank)
serology (waived testing)
urinalysis & body fluids
microbiology
Reasons to know different departments?
(4 reasons)
1) anticipate lab tech
2) able to answer questions from other staff
3) have accurate results /c proper attention to detail and collection
4) will not order incorrect/improper tests
Phleb. Knowledge + Lab Knowledge =
comprehensively informed Phlebotomists
Busiest department in the lab and why?
Chemistry department.
The majority of common testing done here.
Why is Gel Barrier important in Serum or Plasma samples?
Gel barrier important for stopping metabolism.
Sample Test
Serum is?
color series?
best tubes to use (S_T)?
Liquid portion of clotted blood.
Red Series
Gold, and Red Marble (SST) -
because of thixotropic gel, after centrifugation gel separating serum from cells
Sample Tests
Plasma tests -
color series?
Best tubes to use (P_T)?
Lithium or sodium Hepernized
Green Series
Mint, or Green Marble (PST)-
don't have to wait for cells to clot, anticoag never clots.
Best practice for possible pregnant pt?
Draw both series, Plasma and Serium. Can't use Plasma sample on pregnant pt.
Best choice series in ER?
PST is good choice - TAT is critical, sample not needed to clot.
*TEST*
Electrolyte Panel
Lytes
Chem. department
Green gel series best choice.
* sodium, potassium, chloride, carbon dioxide.
*TEST*
"BLENDED" chem test
Kidney function Test
24 Hr. collection urin
*must have serum tube drawn within 24 hr. of collection end.
*TEST*
TDM
Theraputic Drug Monitoring
DRUG LEVELS
- digozin (cardiac)
- phenobarbital (anti convulsant)
- phenytoin (dilantin, anti convulsant)
- Lithium (anti psychotic)
- theophylline (asthmatic)
*must not last dose on collection
PEAK VS. TROUGH
Peak; highest level of medication, drawn just after LD - 15 - 30 min on IV, 2 hrs oral
Trough; lowest level of medication, drawn just before next dose
Baseline refers to, what with medication?
level before medication therapy starts.
Fasting VS. NON Fasting
Fasting; "basal state", 12 hrs fasting no food, no drink, water okay
NON Fasting; any food or drink less than 10 - 12 hrs ago.
*TEST*
"BLENDED" chem test
Kidney function Test
24 Hr. collection urin
*must have serum tube drawn within 24 hr. of collection end.
*TEST*
TDM
Theraputic Drug Monitoring
DRUG LEVELS
- digozin (cardiac)
- phenobarbital (anti convulsant)
- phenytoin (dilantin, anti convulsant)
- Lithium (anti psychotic)
- theophylline (asthmatic)
*must not last dose on collection
PEAK VS. TROUGH
Peak; highest level of medication, drawn just after LD - 15 - 30 min on IV, 2 hrs oral
Trough; lowest level of medication, drawn just before next dose
Baseline refers to, what with medication?
level before medication therapy starts.
Fasting VS. NON Fasting
Fasting; "basal state", 12 hrs fasting no food, no drink, water okay
NON Fasting; any food or drink less than 10 - 12 hrs ago.