Phlebotomy Test By Nitefox

Front 1

Chroma

Back 1

Is a color measurement almost completely free of white.

Front 2

Hemo

Back 2

Blood

Front 3

Poly

Back 3

Many

Front 4

Veni

Back 4

Vein

Hint 4

Or Veno

Front 5

Pulmonary

Back 5

Lungs

Front 6

Lysis

Back 6

Destruction

Front 7

What are 3 conditions that patients will need Therapeutic Phlebotomy?

Back 7

1. Hemochromatosis

2. Polycythemia

3. Pulmonary Edemo

Hint 7

HPP

Front 8

Decreasing the total blood volume is for patients with

Back 8

Pulmonary Edema

Front 9

Therapeutic Phlebotomy is

Back 9

Extracting large volumes of blood to bring certain values in blood inline

Front 10

High Red blood count is called...

Back 10

Polycythemia

Hint 10

Poly ate too many crackers

Front 11

What does "Phlebo" and "Tomy" mean in Greek?

Back 11

Vein

Incisions

Front 12

"Osis"

Back 12

Suffix meaning a process, condition, or state, usually abnormal or diseased

Front 13

Edema

Back 13

Swelling

Front 14

How many inches is the tourniquet tied about the draw site?

Back 14

4" - 6"

Front 15

High amounts of iron in blood called

Back 15

Hemochromatosis

Hint 15

Google

Front 16

Hemolysis

Back 16

Destruction of Red blood cells

Front 17

Another word for Phlebotomy is

Back 17

Venisection

Front 18

Prevent "Hemolysis"

Back 18

Destruction of red blood cells

Front 19

How many inches is the tourniquet tied above the draw site?

Back 19

4'' inches - 6" inches

Front 20

What does OSHA stand for?

(acronym)

Back 20

Occupational

Safety

Health

Administration

Front 21

What does OSHA do?

Back 21

OSHA is responsible for the identification of various hazards present in the workplace and for the creation of rules & regulations to minimize exposure to hazards.

Front 22

What does "Phlebo" and "Tomy" mean in Greek?

Back 22

Phlebo = Vein

Tomy = incision

Front 23

Decreasing the total blood volume is for patients with?

Back 23

Pulmonary Edema

Front 24

Which things can you do?

1. Let patient decline Medical Treatment.

2. Let patient know which test are performed.

3. Give them test results.

4. Explain what the test check is for.

Back 24

1 & 4

Front 25

Patient Consent

These are the types of patient consent needed to do a procedure.

Back 25

Informed consent

Expressed consent

Implied consent

HIV consent

Parental consent for minors

Tort

Front 26

Tort

Back 26

The classic intentional tort in medical practice is forcing unwanted medical care on a patient.

Hint 26

The harmneed not be intended, but the act must be intentional, not merely careless or reckless. Most intentional torts are also crimes.

Front 27

Hemoconcentration

Back 27

Increased concentration of cells and solids in the blood usually resulting from loss of fluid to the tissues

Front 28

How can you cause Hemoconcentraion?

Back 28

When tourniquet is left on longer than one minute

Front 29

Therapeutic Phlebotomy is...

Back 29

Extracting large volumes of blood to bring certain values in thee blood inline

Front 30

What are 3 conditions that patients will need Therapeutic Phlebotomy?

Back 30

1. Hemochromatosis

2. Polycythemia

3. Pulmonary Edema

Front 31

Tourniquets should be taken off ONE minutes before or after the beginning of venipuncture?

Back 31

Before

*to prevent hemoconcentration and infiltration of blood into tissue may occur.

Front 32

Basilic Vein

Back 32

vein- upper arm lying along the inner border of the biceps -draining the whole limb

-opening into the axillary vein

Front 33

The least firmly anchored vein located near the brachial artery. If the needle is inserted too deep you risk puncturing the bracial artery or nerve.

Back 33

Basilic Vein

Front 34

Name 9 of the common venipunture Supply Equipment

Back 34

Laboratory Requisitions- Order/Test Forms

Antiseptic - (70% Alcohol Pads)

Tourniquet - (slows the venous blood flow)

Gloves- (must always be worn)

Vacutainer Tubes - (Color coded tubes)

Needle Adapters - (tube holders or hubs)

Winged Infusion set - (Butterfly Needles)

Needle Disposal Container - (Sharps container)

Front 35

FUN FACT

11% of the deaths are caused by misinformation on patient identification band bracelets.

Back 35

So make sure to identify your patients correctly!

Front 36

True or False?

You should always draw blood BELOW an IV site?

Back 36

TRUE

Front 37

Cephalic Vein

Back 37

This vein can be more difficult to locate. HOWEVER, It is the easiest vein to palpate in an Obese patient

Front 38

True or False?

Never use small needle on a big vein, it could give a patient Hemostesis

Back 38

True

Front 39

Stesis (Stasis)

Back 39

Stoppage or slowed body fluid

Ex. a stasis ulcer is an ulcer that develops in an area in which the circulation is sluggish and the venous return

Front 40

Never use small needle on a big vein, it could give a patient these 2 tings...

Back 40

Hemostasis or Hemolysis

Front 41

This vein is most commonly used for venipunture procedures. It is large and is usually anchored well.

Back 41

Median Cubital Vein

Front 42

Recognizing the patients Injury

If a patient says that the blood draw hurts, tingles, is painful, should the blood draw be discontinued?

Back 42

Yes.

Front 43

Name what is defined

1. A small pricking needle to pierce skin for capillary blood.

2. Small tubes, microtainers for capillary collectings

3. Used for samlpes that require microscopic examination, blood smear

4. Small glass or plasic tubes that collect blood from a finger stick then spin in a centerfuge for hemocrit % of blood

Back 43

1. Lancet

2. Capillary Collection Tube

3. Glass Slide

4. Capillary tubes

Front 44

Requisition Forms

Can patients order their own test? Can we give them the results directly?

Back 44

No & No

Front 45

What is the Order Of Draw?

Vein

Needle

Clean

Tourniquet

Tube off

need safety cap

Tourniquet on

Tape

Cotton-Pressure

Tube on

Anchor

Back 45

1 Tourniquet on

2 Vein - Find it

3 Clean

4 Anchor -Thumb

5 Needle

6 Base firm hand

7 Tube On - Red flash

8 Tourniquet Off

9 Tube Off

10 Needle safe clip

11 Cotton Pressure

12 Tape

Front 46

PPE is ___________.Gloves are woen to reduce the likelihood of __________ to be transmitted during venipunture, or other procedures dealing with patients________

Back 46

Personal Protection Equiptment

Microorganisms

Muscus Membranes

Front 47

Mucus Membranes are also

1

2

3

Back 47

1 Eyes

2 Nose

3 Mouth

Front 48

True or False

Needles Should NEVER be recapped

Back 48

True!

Front 49

Needle safety and prevention act

Exposure: If exposed

Back 49

1 Wash area with antibacterial soap and running water

2 Report to your supervisor ASAP

3 Fill out exposure form

4 Identify the source of the individual AND test the source for HBV & HIV after consent is obtained

Front 50

Venipuncture Procedure

What is the most critical mistake a Phlebotomist can make?

Back 50

Identifying the wrong Patient.

11% leads to death

Front 51

Bedside manner, Care and Attitude

1st & Foremost, positively identify the patient, ask nurse if needed

Remember.... PPPP

Read.......

Back 51

PPPP: Pleasant with the Patient & Professional with the Poke

READ: Body language can tell you if the patent is about to go into a syncopal episode (faint)

*

Hint 51

* Once you perfect talking and drawing blood the patient will wonder how you finished with out them noticing.

Front 52

Syncopal

Back 52

Loss of consciouness (faint)

Front 53

Important Steps to remember

1 Ask patients name & D.O.B

2 Tourniquet 4-6 "

3 Clean - Concentric Circles

4 Anchor -Below antecubital area

5 Bevel UP! at 15-30 angle

6 Guaze & Pressure!

7 Watch out for hematoma

8 Don't Pre label your tubes

9 Label dem tubes

Back 53

Don't forget

Front 54

What degree angle should you insert the needle?

Back 54

15-30 degrees

Front 55

What are the proper steps to end a blood draw?

Back 55

1 Remove the tourniquet

2 Remove the tube

3 Place Quaze/ cotton over the site

4 Remove the needle

5 Activate the safety

Front 56

QNS stand for...

Back 56

Quality NOT Sufficient

Front 57

Identify Patient

1. Patients that require deep palpation 9/10 they know where their veins are

2. Obese patients with veins hard to locate - try their cephalic vein

3. Less firm anatomy-skin tears ect. often disoriented, cranky, stubborn.

Back 57

1. Servere Edema

2. Bariatric Patients

3. Geriatric Patients

Front 58

What is an accumulation of fluid in the tissues, that can alter test results if we draw blood from there?

Back 58

Edema

Edematous tissues

(looks like thick sweat)

Front 59

What is the key to phlebotomy?!

Back 59

The key is to remain calm and don't panic.

Front 60

What is it called when a patient faints or experiences dizziness before of after venipuncture?

Back 60

Vasovagal Syncope

Front 61

Vasovagal

Back 61

Temporary fall in blood pressure. Caused by overactivity of the vagus nerve, especially as a result of stress.

(with pallor, fainting, sweating, and nausea)

Front 62

This is caused when the bevel of a needle is not completely in the vein and blood releases into the tissue under the skin...

Back 62

Hematoma

Front 63

Tome (Oma)

Back 63

Swelling/Tumor

Front 64

Quick! your patient fainted! What do you do now?

Back 64

Ok, Stay calm.

Remove the needle

*Ammonia should never be used, it might trigger an asthma attack

Front 65

No blood is coming out the bevel is in the upper wall and isn't allowing blood flow?

Back 65

Your patient is dead. Jk, you didn't anchor the vein.

Front 66

What is the result of hemolysis and contamination of the specimen with tissue fluids?

Back 66

Milking the finger. Never milk it.

*Warning the site prior to puncture will increase blood flow to the site

Front 67

Never collect ESR on PT &PTT

Back 67

What is PT & PTT? look it up.

Front 68

Capillary/Venus blood for ages over 2 yo and adults should be done on the ____&____ finger on the non __________hand slightly to the side of the center. ALWAYS wipe off the first drop of blood with a _________ not _______.

Back 68

3rd & 4th

dominant

guaze

Front 69

Heel Stick

For infants less than 1-2 yo Area of draw?

NO DEEPER THAN?

Back 69

Lateral potions of the Plantar surface of the foot.

NO DEEPER THAN

2.0mm = infants

0.85mm=Preemies

Always wipe away the first drop!

Front 70

-Bilirubin is a common test done on babies via heelstick.

-It's when the liver isn't breaking dwn & certian red blood cells, over producing bilirubin & baby becomes yellow.

Back 70

Another word for bilirubin is....

Jaundice

Front 71

When collecting bilirubin samples the tubes are...

Back 71

Amber colored

Microcollection containers, or wrapped with foil

Front 72

What is Hemostasis healing process?

Back 72

When the blood vessels are repaired after injury in 4 stages

Front 73

Specimen Handling & Procurement -Fasting Specimens

Basal State

Back 73

Is when you patient:

Fast and refrains from strenuous exercise for 8-12 hours prior to the blood draw

*water is ok

Front 74

Post Prandial

Back 74

is defined as "after a meal" and a lipid panel should be drawn when a patient is fasting.

Front 75

Therapeutic Drug Monitoring

Through

Back 75

(lowest Chemical blood level)

* 30 minutes before Pharmaceutical dose

Front 76

Therapeutic Drug Monitoring

Peak

Back 76

( Highest chemical blood level)

Front 77

Ammonia Is a common test that needs to be placed where?

Back 77

on ice

Front 78

What is:

With Stasis/ Without Stasis

Back 78

with a tourniquet/ without a tourniquet

Front 79

Pre-Analytical errors

Back 79

pre-analytical =skills/procedures

prior to specimen being analyzed

Front 80

Common test

What is OGTT's test?

How many draws would a 3-hour OGTT have?

Back 80

Glucose

4 blood draws

Front 81

Additional common test

These are ordered to detect the presence of Micro Organisms in the patients blood.

Back 81

Blood cultures

Front 82

Blood Cultures

What is the most common cause of contamination when drawing blood cultures?

Back 82

Improper skin preparation

Front 83

True or False?

Blood cultures are usually ordered in multiple sets from multiple sites at various times.

Back 83

True

Front 84

1 blood culture consist of 2 bottles. Name them...

Back 84

an anaerobic bottle and aerobic bottle

Front 85

common ordered test

Durnial Variations times?

Back 85

8am and 12am

the cyclic variations of levels within the body during a 24- hour period

Front 86

PKU

Back 86

Phenylketonuria

Test ordered for infants to detect phenylketonuria, a genetic disease that causes mental retardation and brain damage. [dermal puncture]

PKU is done on blood from new born's heel or on urine.

Front 87

ABG

4 test are?

Back 87

PH, Carbondioxide, Oxygen, bicarbonate

Front 88

Common Test

What are the 4 primary test preformed on arterial samples?

Where?

Back 88

1.PH, Carbondioxide, Oxygen, bicarbonate

2. from the radial artery on the thumb side of the wrist.

Front 89

common test

A respiratory therapist, nurse usually drws this test. Often obtained from the radial artery on the thumb side of the wrist.

Back 89

Arterial Blood Gas

(ABG)

Front 90

The liquid portion of unclotted blood

Back 90

Plasma

Front 91

The liquid part of clotted blood.

Back 91

Serum

*serum does not contain clotting factors

Front 92

What are the 4 phases of Hemostasis healing process?

Back 92

1. Vascular Phase- blood vessels constrict slowing down the flow of blood

2. Plate phase -platelets stick to the site forming platelet plug (aggregation) Temporary

3. Coagulation phase - converts the temporary platelet plug into a stable fibrin clot using instrinsic & extrinsic pathway system

4. Fibrinolysis- This is the break down & removal of the blood clot

Front 93

Hemostasis only works when

Back 93

The blood vessels, blood platelets and coagulation factors are working.

Front 94

Tubes with Anticoagulants

G

G

L

L

R

Back 94

Gray

Green

Lavender

Light Blue

Royal Blue With Lavender Stripe

Front 95

Tube With Out Anticoagulant

G

R

R

T

S

Back 95

Gold

Red

Royal Blue With Red Strip

Tiger

Speckled

Front 96

Tubes with Anticoagulants

Back 96

G

G

L

L

R

Front 97

Tube With Out Anticoagulant

Back 97

G

R

R

T

S

Front 98

Aerobic

Back 98

With Oxygen

Front 99

Anaerobic Bottle

Back 99

With Out Oxygen

Front 100

Sterile

Back 100

clean and free from bacteria

Front 101

Sterile Bottles are the blood cultures that consist of what 2 bottles?

Back 101

Aerobic & Anaerobic

Front 102

Panels & Profiles

Lipid Panel* may consist of?

*Profile

Back 102

Low density lipoprotein (LDL)

a.k.a complete fasting

Front 103

Panels & Profiles

Hepatitus A, Antibody= Food

Hepatitis B = Surface Antigen

Hep B, Core Antibody,1gm=sex

Hep C Antibody = blood

Back 103

A,B,B,C

Front 104

Sections of the clinical Laboratory

Microorganisms that cause disease are_____________

Back 104

1. Pathogentic

Disease = pathy

Front 105

If a physician suspects drug abuse, can a urine sample be collected?

Back 105

Yes.

Front 106

o Collect with a ______shaped plastic lid.

o Cant be contaminated with _______ or water.

o Contained with clean, dry, plastic_____s. o Stool should be refrigerated for ___ hours, unless reason to believe it was a bacteria infection.

Back 106

Hat

Urine

Jars

72

Front 107

Sputum

Back 107

matter expectorated from the respiratory system and especially the lungs in diseased states that is composed of mucus but may contain pus, blood, fibrin, or microorganisms (as bacteria)

Front 108

Sputum Collection is collected through a.....

Back 108

Cough

Front 109

Urine Collection

Amber means protection of what?

Back 109

Light

Protection from the Light

Front 110

Urine COllection

Tubes:

Ambiant =

Back 110

Room Temperature

Front 111

Semen Collection

Make sure patient doesn't____ Semen specimen to______ or extreme ________ It needs to stay as close to the________temperature as possible.

Back 111

Expose

Light

Temperatures

Body

Front 112

Laboratory Processing

What is Centrifuge Function?

Back 112

The machine that spins the blood around to separate the cells and the plasma or serum.

Front 113

Centrifuge

What is the first important thing to worry about with centrifuging?

How do you make sure?

Back 113

1. Making sure your samples are balanced in the machine.

2. Place tubes of equal size & with equal volume of blood (or dummy water) directly opposite on rack.

Front 115

What is the most important thing when creation a blood smear?

Back 115

Creationg a feathered edge

Front 116

Hematocrit Testing

Back 116

Test by collecting Blood in a Capillary tube and centrifuge.

Must be 2/3 full

Front 117

Integumentary System

Erector Pili

Back 117

Tiny smooth muscles fibers attached to each hair follicle

Front 118

Varialbles in specimen Quality

1. QNS =

2. Inadequate inversion with anticoagulant

3. Icteric Specimen

4. Lipemic Specimen

5. Hemalyzed Specimen

Back 118

1. Quantity not Sufficient or Inadequate Specimen

2. Invert 8-10 times (or 3-4 for blue)

3. High amount of bilirubin in blood. Serum/ Plasma Brown - Green

4. High amounts of lipids in blood "milky plasma"

5. (Usually) Caused by Phlebotomist = red/pink serum/plasma

Front 119

The Blood Vessels

The blood vessels in the human body are:

A

A

C

V

V

Back 119

Arteries

Arterioles

Capillaries

Venules

Vein

Front 120

Anatomy & Physiology

The Circulatory System:

How many liters of blood is in the average 155lb person?

Back 120

5-7 liters

Front 121

Anterior View

In the forearm elbow area of a patient. What are the 3 main veins you will draw from?

Back 121

1. Basilic Vein

2. Cephalic Vein

3. Median Cubital Vein

Front 122

Integument System

The integumantary system contains the largest organism in the human body, called the...

Back 122

Skin

Front 123

Integumantary System

Epidermis

Back 123

is the outtermost layer of skin

Front 124

Tunica

Back 124

:an enveloping membrane or layer of body tissue

Hint 124

Front 125

The Blood Vessels

The blood vessels - except for the capillaries- are composed of blood many layers?

Back 125

1. Tunica Adventia - Outer connective tissue I.

2. Tunica Media - middle, smooth, muscular I.

3. Tunica Intima - inner endothelial layer

Hint 125

Front 126

The Blood Vessels

What are the arteries and the arterioles function?

Back 126

Carries oxygenated blood from the heart to the various parts of the body that require oxygen & nutrients

Front 127

Venules

Back 127

: a small vein especially : any of the minute veins connecting the capillaries with the larger systemic veins.

Front 128

The blood vessels

Venules & Veins function is to what?

Back 128

Carry deoxygenated blood back to the heart.

Front 129

Endothelial Cell Layer

Back 129

A layer of flat cells lining the closed internal spaces of the body such as the inside of blood vessels and lymphatic vessels (that convey the lymph, a milky fluid) and the heart.

Front 130

The Capillaries have only one endothelial cell layer.

They connect the arterioles & venules.

Exchanges...

Back 130

Oxygen, Carbon dioxide, nutrients and "waste" between the blood and tissue cells.

Front 131

Venous Blood

Back 131

Blood that has passed through the capillaries of various tissues other than the lungs, is found in the veins, in the right chambers of the heart, and in pulmonary arteries, and is usually dark red as a result of a lower content of oxygen.

Front 132

Arterial Blood

Back 132

Arterial blood gas (ABG): The sampling of the blood levels of oxygen and carbon dioxide within the arteries, as opposed to the levels of oxygen and carbon dioxide in venous blood. Typically the acidity, or pH, of the blood is measured simultaneously with the gas levels in ABG sampling.

Front 133

Capillary blood is a mixture of...

Back 133

Arterial & Venous blood

Front 134

Another word for the blood veins and venules that carry blood back to the heart is called what?

Back 134

Deoxygenated blood

Front 135

Leuko

Back 135

White

Front 136

Erytho

Back 136

Red

Front 137

Cytes

Back 137

Cells

Front 138

What blood consist of ____% Plasma (liquid). The other _____% consist of formed elements or ______. Formed Elements include Throbocytes (______) erthocytes (______) and Leukocytes(_____).

Back 138

55%

45%

Cells

Platelets

Red Blood Cells

White Blood Cells

Front 139

components of whole blood

Thrombocytes

Back 139

a.k.a platelets; They are essential for blood coagulation. Plateletes aid in the process of hemostasis and are essential to the repairing of blood vessels after injury.

Front 140

Thrombo

Back 140

The formation or presence of a blood clot in a blood vessel.

Front 141

Componants of whole blood

Erythocytes

Back 141

Erythro= Red, also called Red Blood Cellls ( RBC's) contain hemoglobin, the oxygen - carryin protein. Normal life span of red blood cells in 120 days.

4.2 - 6.2 billion RBC per micro liter

Front 142

Components of Whole Blood

Leukocytes

Back 142

Leuko=White, Called White Blood Cells (WBCs) Function to provide infection protection to the body.

* 5,000 - 10,000 per microliter for an adult.

Front 143

Components of whole blood

How many types of blood cells are in the blood stream?

Back 143

1. Neutrophils - 40-60% of WBC population, they engulf and digest bacterial their # increase in bacterial infection

2. Lymphocytes- 20-40% of WBC their # increase during viral infection

3. Monocytes - 3- 8% of WBC their # increase w/ intracellular infections and tuberculosis

4. Eosinophilis - 1 -3% # increased w/ allergies

5. Basophils 0 - 1% never increase

Front 144

Liquid Portion of Anticoagulated Blood.

Contains clotting factors.

Back 144

Plasma

Front 145

Liquid portion of Coagulated Blood. Does not contain clotting factors.

* Because they were used to make the blood clot.

Back 145

Serum

Front 146

Infection control

Nosocomial Infection

Back 146

A term used to define any infection contracted in health care setting.

Front 147

Fomite

Indirect contact transmission occurs when a fomite - an inanimate object that carries disease - serves as a temporary reservoir for the infectious agent.

Back 147

That's a fact

mhmm... ( I'm so sleepy)

Front 148

Transmission

The easiest way to break the chain of transmission is by________your_______.

Back 148

Washing your hands!

Hand washing is one of the most important practices used to prevent transmission of blood-borne pathogens

Front 149

Nosocomial

Back 149

Originating or taking place in ahospital, acquired in a hospital, especially in reference to an infection.

Front 150

___% of all patients that enter a medical facility will develop a Nosocomial infection.

Back 150

5%

Front 151

OSHA, requires what for all health care professionals exposed to blood and other bodily fluids?

Back 151

Hepatitis B Vaccinations

Front 152

Hepatitis B (HBV)

Back 152

A virus which primarily causes inflammation of the liver.

* Hepatitis B virus can be transmitted in several ways including blood transfusion, needle sticks, body piercing and tattooing using unsterile instruments, dialysis, sexual and even less intimate close contact, and childbirth.

Front 153

Is Hepatitis B (HBV) a nosocomial infection?

Back 153

Yes. HBV is the most commonly occurring nosocomial infection for lab employees.

Front 154

Fact:Blood-borne Pathogens such as HBV & HIV can be transmitted through contact with infected human blood & other potentially infectious body fluids such as the following: semen, vaginal secretions, saliva & other bodily fluids.

Back 154

Pathogens.... everywhere...

Front 155

Universal Precautions

Back 155

Describes a prevention, which all blood and potentially infectious materials are treated as if they are infectious.

Front 156

Standard Precautions

Back 156

are the minimum measures taken to prevent direct contact with blood and other bodily fluids.

Barrier protection.

Front 157

Transmission Based Precautions:

1. Contact Isolation

2. Airborne Precautions

3. Droplet precautions

4. Reverse (or Protective) Isolation

Back 157

Are all precaution techniques

Front 158

What color tube is an ammonia test in and what do you have to take into consideration?

Back 158

Green/Sodium

Front 159

ABG ( Arterial Blood Gas )

Back 159

Analyzes blood for Oxygen, Carbon dioxide, Bicarbonate, blood pH.

Determines the effectiveness of respiration

Front 160

Bleeding Time

Back 160

A test done to ascertain platelet function

a small incision made on the forearm, a special paper is applied to the wound and then timed for how long it takes for platelets to form a plug and stop the bleeding.

Front 161

CDC

Back 161

Center for Disease Control and Prevention.

Front 162

Chain of Custody

Back 162

Tracking each and every individual to have had access to or have been in possession of something.

(in medicine - usually refers to tracking samples of DUIs used in criminal cases)

Front 163

Cyanotic

Back 163

Bluish skin color due to lack of oxygen

Hint 163

Cyan = Blue

Front 164

Durinal Variations, Measure the bodies ability to what?

Back 164

metabolize certain substances.

(Monitors patents condition within a 24hr period)

Front 165

Fomite

Back 165

An inanimate object that transports microorganisms.

Front 166

Formed Elements

Back 166

Red Blood Cells, White blood Cells, and Platelets.

Hint 166

Building blocks

Front 167

Galactosemia

Back 167

A rare genetic metobalic disorder that affects indivisuals ability to metabolize the sugar galactose properly.

Front 168

Guage

Back 168

Needle diameter is measured by gauge; the larger the needle diameter the smaller the guage.

Front 169

Hematocrit

Back 169

The ratio of the total red blood cell volume to the total blood volume and expressed as a percentage.

Blood donation humans should check before giving blood donations.

Front 170

Hematuria

Back 170

Blood in urine

Front 171

Hemoglobin

Back 171

The oxygen carrying pigment of the Red Blood Cells.

Check before blood donation

Front 172

Hemolyze/ Hemolysis

Back 172

The breaking of the red blood cells membrane releasing free hemoglobin into the circulating blood

Front 173

HIPPA

Back 173

Health

Insurance

Portability and

Accountability

The primary goal of the law is to make it easier for people to keep health health insurance, protect confidentiality and healthcare information and help the healthcare industry control administrative cost.

Front 174

Hypoglycemia

Back 174

Abnormally low sugar level.

Front 175

Informed consent

Back 175

Giving the patient adaquate information concerning the method, risk, consequences expected outcomes and alternatives.

Front 176

Latrogenic

Back 176

Promoting products to a person that does not support the goal of the person affected.

Front 177

Lipemic

Back 177

The presence of an excess of fats or lipids in the blood specifically : hypercholesterolemia.

Front 178

Lipemic Lab Results

Back 178

After blood has spun and seperated in centerfuge the serum/plasma portion is milky in apearance.

Hyperlipidema would cause the blood to be lipemic.

Hint 178

Samples are most likely to be lipemic if the patient was not fasting prior to collection.

Front 179

NCCLS

Back 179

Natural

Center for

Clinical

Laboratory

Standards

This agency is a national organization that sets the standards for phelbotomy procedures.

Front 180

NCCLS new name is?

Back 180

CLSI

Clinical

Laboratory

Standards

Institute

Front 181

Negligence

Back 181

The failure to exercise the standard of care.

Front 182

Onco

Back 182

Latin onco — meaning tumor

Front 183

logy

Back 183

The suffix logy means “study of.”

Front 184

Oncology

Back 184

The Study and treatment of Cancer

Front 185

Petechia

And how can we cause it?

Back 185

Tiny non-raised red spots that appear on the skin from rupturing capillaries.

Caused by tourniquet being left on too long or too tight.

Front 186

itis

Back 186

Suffix meaning inflammation

Front 187

Phlebitis

Back 187

Inflammation of a vein.

Can be cause by repeated venipuncture on a vein

Front 188

Point-of- care testing (POCT)

Back 188

Diagnostic testing at or near the site of patient care. Point is to bring the patients results immediately.

Front 189

Quality Assurance (QA)

Back 189

Program that guarantees quality patient care by tracking the outcomes through scheduled audits. Provides guidelines and protocols checking expiration dates, calibrating equipment ect.

Front 190

STAT

Back 190

Immediatly

Front 191

Sphygmomanometer

Back 191

[sfig-moh-muh-nom-i-ter]

Device placed on the arm of the patient, inflated, cuts off all the blood flow to the arm. A stethoscope is placed on the antecubital fossa, and pressure is released slowly. As the blood begins to flow a determination is made based on the sounds in the stethoscope and "bumps" on the sphygmomanmeter to determine systolic and diastolic blood pressure.

Front 192

CLIA Number

Back 192

All Medicare claims must include CLIA number for the laboratory

Front 193

Waived Test

Back 193

Possible results with errors

Front 194

Clinical Laboratory Improvement Amendments (CLIA) year of...

Back 194

1988

Standards of Clinical testing performed on humans

Front 195

The 24-hour urine protein test checks what?

Back 195

The function of the kidney and helps detect disease

Front 196

US facilities that perform lab work for health are under what?

Back 196

The CLIA (5) When CLIA was implemented in 1992

Front 197

The 3 categories of testing for CLIA purposes are...

Back 197

1. Waived

2. moderate complexity

3. high complexity

Front 198

Test can be wavied under CLIA if they are determined to be...

Back 198

Simple test with an insignificant risk of an erroneous error.

Act of 1997

Front 199

Fact

About 1,600 test systems

less than 76 are waived under CLIA

Back 199

FDA evaluates studies

Front 200

Quality Control Testing (QC)

Back 200

QC testing procedure provide assurance that the test preforms as expected and alerts the user when problems occur.

Front 201

Frequency Control Testing

Back 201

The product insert describes the minimum conditions or recommended frequencies for testing internal and/or external controls. Each site should determine that. Test each device/product.

Front 202

TRUE or FALSE

CLSI a volunteer-driven not-for-profit organization

Back 202

TRUE

Front 203

mia

Back 203

Suffix meaning blood or referring to the presence of a substance in the blood. As for example, anemia (lack of blood) and hypervolemia (too high a volume of blood).

Front 204

Transporting specimens based on handling requirements:

Vitamin B6

Back 204

Front 205

Transporting specimens based on handling requirements:

Ammonia

Back 205

Front 206

Diaphoresis

Back 206

This is the medical term used to desribe excessive abnormal sweating in relation to your enviroment and activity level.

Front 207

Iatrogenic Anemia

Back 207

Anemia is a condition marked by a deficiency of RBCs or of hemoglobin in the blood, resulting in pallor and weariness.

Front 208

Pallor

Back 208

Pale color of skin

Front 209

Iatro

Back 209

"physician, medicine, healing,"

Front 210

Genic

Back 210

Cause

Front 211

Calculate volume to avoid iatrogenic Anemia by drawing no more than ____% of blood volume on infants ans no more that ______ml for adults.

Back 211

10%

100 ml

Front 212

Homeo

Back 212

"similar to"

Front 213

Hemostasis

Back 213

The arrest of bleeding, rather is be by normal vascocontriction (the vessel walss closing temporarily) by an abnormal construction ( plaque) or by coagulation or surgical means ( like ligation)

The many ways of Hemostatis... it all means the same. SLOWED OR STOPPED BLOOD FLOW.

Front 214

Homeostatis

Back 214

Basically Blood Maintenance

A property of cells, tissues, and organisms that allows the maintenance and regulation of the stability and constancy needed to function properly. Homeostasis is a healthy state that is maintained by the constant adjustment of biochemical and physiological pathways.

Front 215

Bombastic

Back 215

A person that sounds intelligent but actually add no sound facts to his/her comments.