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Phlebotomy > Unit 1: Part 2 > Flashcards

Unit 1: Part 2 Flashcards

1
Q

Homeostasis definition

A

Process by which blood vessels repair after injury

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2
Q

What are the four stages of repair?

A

Vascular phase
Platelet phase
Coagulation phase
Fibrinolysis

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3
Q

Vascular phase

A

Injury to a blood vessel, causes it to constrict slowing blood flow

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4
Q

Platelet phase

A

Injury to the endothelial lining, causing platelets to adhere

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5
Q

Coagulation phase

A

Coagulation factors that converts temporary platelet plug to a stable Fibrin clot

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6
Q

Partial thromboplastin time

A

used to evaluate the intrinsic pathway, also put in a light blue top

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7
Q

Prothrombin time test

A

used to a value the extrinsic pathway for anticoagulant therapy (people on blood thinners)

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8
Q

Fibrinolysis

A

The breakdown and remove all of the clot
-Repairing tissue

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9
Q

If the test tube says CMP & BMP which one do you get rid of?

A

Always get rid of BMP

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10
Q

What information should be on the test tube

A

Name, date of birth, the type of test,ICD10,, and Dr. signature

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11
Q

If you’re performing a blood draw on an alcoholic, what do you use to clean the skin with?

A

Clora prep or iodine

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12
Q

Where should tourniquet be applied?

A

3 to 4 inches above the puncture site

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13
Q

How long should a tourniquet be placed on the arm?

A

Less than a minute to prevent hemoconcentration

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14
Q

What do Vacutainer tube do?

A

Suck blood out of veins

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15
Q

Characteristics of a light blue top

A

Must be filled completely
-Have a 9 to 1 ratio

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16
Q

Vacutainer needles (can be multiple sample needle)

A

Most common is 21G, 1.25 inch.
Angle is 15 to 30°

17
Q

Wing infusions set

A

Butterfly needle used for small veins on the hand
-23 Gauge at 5° angle

18
Q

What should you do when disposing a needle?

A

Never recap a needle, whether it has a safety or not

19
Q

Should the bevel be up or down?

A

Always beval up

20
Q

What information should always be in your notes when dealing with a patient

A

Sites, location, area
-What needle type, what anti-septic
* know the specifics

21
Q

3 most common veins

A

Left side of arm: basilic vein
Middle of arm: median cubital vein
Right side of arm: cephalic vein

22
Q

What does OSHA stand for

A

Occupational safety and health administration

23
Q

What does HIPPAA stand for

A

Health insurance, portability, and accountability act

24
Q

PHI stand for

A

Protected health information

25
Q

What does CLSI stand for

A

Clinical and laboratory standards institute

26
Q

Why do we take the tourniquet off less than a minute?

A

To prevent hemoconcentration

27
Q

Hemostasis definition

A

Blood vessels repair after injury

28
Q

How many layers do veins have?

A

Three layers
Inside: partial thromboplastin time (PTT)
Middle: contains blood
Outside: prothrombin time test (PT/INR)
INR: international normalized ratio 

29
Q

What color is the tops of a PTT and a PT/INR?

A

Light blue tops

30
Q

Plasma definition

A

Liquid portion of unclouded blood, and still contains clotting factors
- blood doesn’t clot

31
Q

Definition of serum

A

Liquid portion that allows clotting
- clotting factors are no longer present bc they’ve already been used

32
Q

What are the clotting factors?

A

Calcium, protein, fibrinogen

33
Q

Tubes with anticoagulants

A

(Blood doesn’t clot)
-lavender
-Green (light or dark)
-Pink
-Royal blue with lavender stripe
-Light blue
-Gray

34
Q

Tubes without anticoagulants

A

(Blood that clots)
- clear
-Red: glass or plastic
-Tiger top, gold top marble top
-Royal blue with a red stripe

35
Q

What will be produced when anticoagulants are separated in a centrifuge?

A

Plasma

36
Q

What will be produced when tubes without anticoagulants are separated in a centrifuge?

A

They will produce serum

37
Q

What is the approved order of draw?

A

Broth

-discard tube (clear or red)
-Light blue top (sodium citrate)
-Red top (clot activator if plastic)
-Gold/tiger/marble top (silica/gel)
-Light green top (lithium heparin/gel)
-Dark green top (sodium heparin)
-Pink top (potassium EDTA)
-Lavender top (EDTA)
-Gray top (sodium fluoride/potassium, oxalate)

-dark blue ( in order of draw)

Phlebotomy (7 decks)

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