Phlebotomy 3 Flashcards

Prefixes
Terms Definitions
VP
VENIPUNCTURE
SPS
Yellow
Ca
Calcium
ENDO-
WITHIN
Heparin.
Dark Green.
distal
further away
Neuron
Nerve Cell
-ECTOMY
SURGICAL REMOVAL
BUN
Blood Urea Nitrogen
Packed cell volume
hematocrit
Hemostasis
process of coagulation
HIV
Human Immunodeficiency Virus
Electrolytes
Dissolved salts.

Sodium (Na+)
Potassium (K+)
Chloride
-OMA
TUMOR OR MASS
Color? Chemistry testing
Red
Glucose fasting is:
8-12 hrs
Butterfly needle.
Winged infusion set.
Anticoagulant
prevents coagulation of blood
systole
contraction of the heart
Gray-Top Tube
Potassium Oxalate/Sodium Fluoride

Blood Alcohol, Plasma Glucose
CCU
CRITICAL / CARDIAC CARE UNIT
Fomite
Object that harbors infectious material.
POL stands for:
physicians office lab
POL stands for:
physician's office lab, puncture-opened lancet, pulmonary over lungs, personal operational lab
The phlebotomist inspects the antecubital fossa of a patient and notes that a purple area surrounds the venipuncture site, accompanied by swelling, is called:
hematoma
Pathogen
Any Microorganisms that produce disease.
H & H
(Hemoglobin & Hematocrit)
Lavendar/Pink
Hematology
Hypoglycemia
low level of blood sugar
cells combine to form this
tissues
supine
laying on back face up
Red/Grey-Top Tube
Clot Activator/Separator Gel

Most Serum Testing
Femoral artery is in...
The leg
Malpratice is a claim of:
Improper treatment.
Which agency evaluates the safety, clinical efficacy, and medical efficacy of the equipment and supplies used by blood collection?
FDA
Which agency evaluates the safety, clinical efficacy, and medical efficacy of the equipment and supplies used by blood collection?
FDA,EPA,OSHA,JCAHO
What molecule transports oxgen and carbon dioxide in the blood?
hemoglobin
What molecule transports oxgen and carbon dioxide in the blood?
hemogolobin or glycogen
Involuntary contraction of an artery is called?
arteriospasm
During routine venipuncture, how should the needle be positioned, relative to the vein selected?
same direction
Antidiuretic hormone (ADH) requires which of the following blood collection tubes for proper test results?
purple-topped tube
Coumadin
Trademark for the preperation of warfarin sodium.
arterialized
change venous blood into arterial blood
Hemolysis
The disintegration of red blood corpuscles and the dissemination of hemoglobin into the surrounding fluids.
Conduction System
cardiac cycle beginning with contraction of atria ending with contraction of ventricles
transverse
horizontal plane dividing the body from top and bottom
C & S
Culture & Sensitivity Test
CBC consists of what?
RBC, WBC, platelets
NaCitrate (tests)
Pro time (PT), Activated Partial Thromboplastin Time (PPT, APTT), Fibrinogen, Fibrin Split Product, Thrombin Time, Anthrombin III
Civil Action.
Concerned with actions between private parties.
The manufacturer must supply a material safety data sheet (MSDS) for:
Isopropyl alcohol.
The cellular elements of the blood responsible for the transport of oxygen to the tissues are called:
erythrocytes
Drawing blood through a hematoma may cause what to a patient's specimen?
hemolysis
What structure is located on inferior to the transverse plane?
uterus
The hazard labeling system developed by the NFPA has the yellow quadrant of the diamond to indicate:
instability hazard.
What is Occupational Safety and Health Administration?
OSHA
Which vessels carry blood that is highest in oxygen?
arteries
According to the NFPA hazard-labeling system the yellow quadrant of the diamond indicates:
instability hazard
Hematoma
A localized collection of blood within the tissue due to leakage from the wall of a blood vessel, producing a bluish discloration (ecchymosis) and pain.
Serum
Referring to blood, the clear liquid portion of blood that seperates out after clotting has taken place. Since clotting has occured, serum is fibrinogen deficientl. Contrast to plasma.
Thixotropic gel
Gold or mottled red and gray.
Plunger
Rodlike device that fits tightly into barrel
Metabolic Panel tests use what additive
Na Heparin
Engineering Controls
Equipement which isolates or removes hazards from the workplace such as sharps disposal containers, self sheathing needle etc.
Vasoconstrictor
chemicals which cause blood vessels to constrict
infection
invasion and growth of a micro organism in the body that causes disease
peri cardium
supports and lubricates the heart during contractions
Two Major Chemicals Stored in the Bone
Calcium
Phosphorus
Why are additives used?
Anticoagulant, preserve, accelerate clotting process
A patient agrees to undergo treatment after the method, risks, and consequences are explained to him. This is an example of:
Informed Consent.
Respondeat superior.
Employers are liable for action of employees.
Serum is blood that:
does not contain anticoagulants
Serum is blood that:
is highly oxgenated, contains anticoagulants, does not contain anticoagulants, is rich in carbon monoxide
The purpose of collecting blood for the GTT is to test the patient's:
insulin-releasing mechanism.
It provides rapid transport of water, nutrients, electrolytes, hormones, enzymes, antibodies, cells, and gases to all cells of the body.
cardiovascular system
It provides rapid transport of water, nutrients, electrolytes, hormones, enzymes, antibodies, cells, and gases to all cells of the body.
digestive system, cardiovascular system
Improper or unskilled care of a patient by a member of the health care team is:
Professional negligence
Improper or unskilled care of a patient by a member of the health care team is:
respondent superior or professional negligence
What needle has the smallest interior diameter
largest number, 23
What needle has the smallest interior diameter
23, 20,23,21,15,22,19,18
What level will remain elevated for at least 24 hrs following exercise?
CK
What body cavity that houses the urinary bladder and the reproductive organs is the:
pelvic cavity
Palpate
To examine or feel by the hand.In relation to venipuncture, this technique is used to "feel" a vein which will tend to rebound when slight pressure is applied with the finger. The technique used to help determine the size, depth and direction of the phone.
Glucose
The sugar measured in blood and urine specimens to determine the presence or absence of diabetes. Glucose is the end product of carbohydrate metabolism and is the chief source of energy for all living organisms.
What tests would be most affected by carryover of K2EDTA?
Potassium.
What is the most common size needle?
21- Green
Plasma Seperator Tube (PST)(tests)
electrolytes, Metabolic Panel, Hepatic Function panel, MISC STAT tests
Buffy Coat
white thin layer which forms between plasma red blood corpuscles, consisting of whit blood cells and platelets
molecular diagnostics
department that analyzes DNA within a variety of tissues
auto immunity
condition in which the immune system attacks the body's own tissue

fights itself
epidermis
outer most layer

they die off and new ones keep coming
Myelin
Covering of the axon that protects and insulates the axon.
a platelet is actually parts of a large cell called a ....
megacaryocyte
Drawing a patient's blood without his or her permission can result in a charge of:
assault and battery.
The focus of infection control turned from preventing patient-to-patient tranmission to preventing patient-to-personnel transmission with the introduction of this concept.
Universal Precautions. (UP)
What values are higher in newborns than in adults?
red cell count
What is an infection called that is the result of 3 infection chain components being linked?
health care-acquired
What is an infection called that is the result of 3 infection chain components being linked?
chain of infection is complete
What body cavity houses the heart and lungs is the:
thoracic cavity
During the Ivy Bleeding Time procedure, the maximum length of time that may elapse between inflation of the blood pressure cuff and making the incision is :
60 seconds
During the Ivy Bleeding Time procedure, the maximum length of time that may elapse between inflation of the blood pressure cuff and making the incision is :
10, 60, 90,120 seconds
What location is most appropriate for a skin puncture?
the middle finger
Basillic Vein
Large vein on the inner biceps. Often chosen for intravenous injections and blood drawing.
PKU
Test is done from newborn's heel or on urine.
The primary test performed to detect and indentify microorganisms and to determine the most effective antibiotic therapy
culture and sensitivity
Wearing gloves during phlebotomy procedures is mandated by the:
Occupational Safety and Health Administation. (OSHA)
fistula
a tube passing from a cavity or vessel to a free surface or another cavity.
When performing venipuncture, hand washing is necessary:
Before and after each patient.
Phlebotomy
To penetrate a vein for the process of obtaining a blood specimen
Basilic Vein
A vessel of the forearm that is acceptable for venipuncture.
Which blood tube should be drawn first, gold (CMP/BMP) or blue (coagulation studies)?
Blue (coagulation studies)
Examples of Quality Control are:
Check expiration dates of evaculated tubes, document maintenance on centrifuge, and document maintenance on centrifuge.
What federal agency instituted and enforces regulations requiring the labeling of hazardous materials?
Occupational Safety and Health Administration (OSHA)
A patient is being treated with thiazide diuretic. What health care professional is responsible for recognizing potential drug interferences with test results?
physician
A patient is being treated with thiazide diuretic. What health care professional is responsible for recognizing potential drug interferences with test results?
medical technologist, nurse, phlebotomist, physician
The phlebotomis should inform a patient that the ABG procedure is:
more painful, compared to venipuncture
Blood collection vaccum tubes may contain silicon to:
decrease the possibility of hemolysis,
Blood collection vaccum tubes may contain silicon to:
decrease the possibility of hemolysis, decrease interfer between the red blood cells and the, create a barrier between the RBCs and serum, create a barrier between RBCs and plasma
Which of the following types of health care-acquired infections are most prevalent?
urinary tract infections
Good Samaritan Law
This law deals with the redering of first aid by health care professionals at the scene of an accident or sudden injury. It encourages health care professionals to provide medical care within the scope of their training without fear of being sued for negligence.
A pink top tubes containing EDTA is primarily used for:
Blood bank tests.
If a test is ordered STAT, it means that the patient is in:
Critical Condition.
Prostatic Specific Antigen (PSA)
Used to diagnose and monitor prostate cancer.
a tube for cold agglutinins must be placed in a...
37 C incubator
What is the best thing to ise to extinguish a flammable liquid fire?
Class B extinguisher.
Tx drug monitoring is used for pts taking:
lithium
Tx drug monitoring is used for pts taking:
dextran, lithium, streptokinase, mithramycin
Examination of witness before a trail is referred to as:
discover
Examination of witness before a trail is referred to as:
discovery, statue of limitations, respondent superior, implied consent
What is the rationale for the order of draw for the collection of multiple specimens following skin puncture?
minimize platelet clumping
What is the rationale for the order of draw for the collection of multiple specimens following skin puncture?
minimizing-contamination, hemoconcentration, hemolysis, minimize platelet clumping
What is the best solution to use to clean up blood spills?
1:10 sodium hypochlorite.
3 Common Lab Tests to Determine Heart Damage
Creatine Kinase (CK)
Creatine Phosphokinase (CPK)
Troponin T
An example of a quality assurance (QA) indictor is:
The contamination rate for blood cultures will not exceed the national contamination rate.
When drawing an infants blood you must:
document the amount of blood drawn
How do you get blood from a syringe to collection tubes?
Syringe transfer device
A lab technician asked a phlebotomist to recollet a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, "The specimen was OK, but the results were inconsistent." How would the laboratory
They did not compare with previous results when a delta check was conducted.
A phlebotomist who has been diagnosed with strep thraot should:
Take antibiotics for 24 hours before returning to work.
All of the folowing are ways to avoid malpractive litigation EXCEPT:
reporting incident within 48 hrs
All of the folowing are ways to avoid malpractive litigation EXCEPT:
regularly participating in continuing education programs, reporting incidents within 48 hrs, properly handling all confidential communications, obtaining consent for collection of specimens
List 3 ways vein damage can be prevented?
Don’t draw from same site
Don’t blind probe
Don’t use improper technique when redirecting
What is the first step of a successful venipuncture?
Putting the patient at ease
The best course of action when entering an isolation room is:
Follow the directions on the sign on the door.
Sweat chloride test used for what dx
cystic fibrous and use a large surface area (leg is best)
What qualities are required for needle safety devices:
Allow the user's hand to remain behind the needle at all times, create a barrier between the hands of the user an the needle after use, and one handed activation.
what to do if patient refuses to have blood taken
remind them doctor ordered it, document it
What criterion do you use to decide what size tubes to use for ETS blood collection?
Age of the patient, amount of blood needed for the test, and size and condition of the patient's vein.
Before starting a bleeding time test, the phlebotomist should:
ask the patient if he or she has taken any medications
Your patient is not in the room when you arrive to collect a timed specimen. The patient's nurse states that the patient will be unavailable for several hours. What should you do?
Fill out a delay slip stating why you were unable to collect the specimen.
iso
same
anti-
against
micro
small
poly
many
neo
new
ambi
both
ante-
before
ante
before
ad
toward
dys
painfuldifficult
hypo
below
mal
bad
homeo
same
per
through, throughout
dys-
bad, different
ab
away from
re
do again
ecto- exo
outside of
/ 166
Term:
Definition:
Definition:

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