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Phlebotomy
Fichas del conjunto (51)
- 14 steps when hand washing when contaminated with blood.1. use good antimicrobial soap
2. rinse with running water
3. apply solution of 50% isopropyl or ethyl alcohol
4. leave on skin for at least 1 min and repeat - 2The number one way to stop spread of infection is what?Handwashing
- 3Glucose is the measure of what in your blood?Sugar levels
- 4IRON is necessary for the formation of what?Hemoglobin
- 5What is the single most ordered blood test?CBC
- 6Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL) are blood components that carry what throughout the body?Cholestrol
- 7MCV stands for ....... and indicates the cell whatMean Cell Volume and it indicates the cell size.
- 8List two characteristics of capillaries1. Exchange vessels
2. Microscopic vessels. - 9The major veins for venipuncture are located in the what?Median Cubital
- 10Name the 3 veins in the antecubital fossa and give their location1. Median Cubital
2. Chephallic
3. Basilic - 11The most common antiseptic used for routine blood collection is what?70% isopropyl alcohol.
- 12The ..... the number of needle gauge, the .... the diameterThe larger the needle gauge, the smaller the diameter.
- 13Evacuated tubes fill automatically because of the what in the tube.Vacuum
- 14Palpating will help you determine the ..., ..., and ... of the vein. An artery will have a what?Size, direction and depth. Artery has a pulse.
- 15Inverting each tube with an additive will help prevent what of the cells?Clumping
- 16What is a buffy coat?Thin layer of platelets
- 17List 4 of the eleven tests most commonly used to detect blood disorders.1. Bone Marrow
2. CBC
3. Differential
4 Eosinophil Count (EO) - 18TBC are formed in the .... and stored in the ....Bone marrow and spleen
- 19RBC function intravascularly and WBC function extravascularly. ExplainIntra: Within the veins
Extra: In the tissues, outside of the veins - 20What is the primary function of WBC?Bodies defense system
- 21What is the primary function of thrombocytes/platelets?To stop the bleeding
- 22What are 3 conditions of a basal state?1. At rest
2. Early in the day
3. When fasting - 23How do each of these factors affect the collection procedure? 1. Exercise 2. Stress 3. Medications. 4. Gender 5. Posture 6. Altitude 7. Age 8. Tourniquet Time1. Elevates blood levels
2. Elevation in WBC and decrease in serum iron
3. Alters lab results
4. Has effect on concentration of blood components
5. Causes plasma to filter into tissues
6. Higher up causes body to produce RBC increase oxygen
7. blood values change with age
8. prolonged time can cause hemoconcentration and hemolysis. - 24What are 3 correct ways of identifying a patient1. Ask Name
2. Check wristband
3. Confirm with nurse of DON - 25What should you do if the patient refuses to have their blood taken?Remind them that it is DR orders. If still, inform nurse and make sure you document it correctly.
- 26Define TransfxationWhen the needle goes all the way through
- 27Secondary hemostasis involves the formation of a tougher 'fibrin' clot formed of what three things?Fibron, RBC, and platelets
- 28What position should a patient who has a tendency to faint be placed in while performing any blood collection procedure?Lying down
- 29What is the concern with a patient with petechiaeBe cautious to excessive bleeding
- 30A hematoma is caused by the leakage of what into the tissue from a whatleakage of blood from the veins
- 31What is hemoconcentrationIncreased concentration of larger molecules and formed elements
- 32What is hemolysisRupture of RBC
- 33What caution should be taken when pulling back on the plunger of the syringe and why?Make sure you dont pull back to fast.
- 34What is the concern if the patient is dehydrated?Veins will shrink
- 35List the Seven requirements for a quality specimen1. patient properly prepared
2. Correct Specimen
3. correct additive
4. not hemolyzed
5. fasting samples collected timely
6. correctly timed
7. Transported timely also - 36A phlebotomist may attempt to draw blood from a patient how many time?twice
- 37What is the order of patient priorites? (4)1. STAT
2. Timed
3. Fasting
4. Routined - 38A blood culture is used to detect what?Bacteria Septisema
- 39GTT samples should be drawn at what intervals?Fasting, 30 min, 1 hr, 2 hr, 3 hr.
- 40What is the single most critical procedure when performing a crossmatch?Proper labeling
- 41The purpose of the bleeding time is to detect what?Platelet functioning disorder
- 42A platelet is actually parts of a larger cell called what?Magakaryocyte
- 43A normal healthy person will have what in their blood.no bacteria
- 44Requests for tests and results are strictly what?Confidential
- 45The fluid portion of the blood is called what and the cellular portion is referred to as the ... ...fluid portion is called plasma and cellular portion is the formed elements
- 46List the BD Oreder of Draw for Glass tubes and their additives (8)1. Blood culture, yellow
2. Syrum, red
3. Citrate, light blue
4. BD SST, red or yellow/blotchy
5. Heprin, green
6. BD PST, light green/ blotchy
7. EDTA, purple
8. Fluoride, grey - 47List the possible causes of hemoconcentration (5)1. Prolong tourniquet time
2. massage
3. squeeze
4. probe
5. ?? - 48Name 5 positive language signs1. smile
2. eye contact
3. face to face
4. be well groomed
5. within zone of comfort - 49The tube for cold agglutinins must be placed in a what to prewarm?37 degree Celsius incubator
- 50The incision for a bleeding time is performed how low below and what to the what?5 cm below and parallel to the antecubital crease
- 51When doing a blood culture: Once you have cleaned the arm with alcohol, you must again clean the arm with what?Iodine
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- Fichas sobre Phlebotomy, creado por rileytherookie el 12/07/2013.
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- rileytherookie
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