Basics Flashcards
(110 cards)
1
Q
Most common site
A
Antecubital fossa
2
Q
H pattern
A
Veins for venipuncture
3
Q
Located near the center of the antecubital fossa
A
Median cubital vein
4
Q
Preffered vein
A
Median cubital
5
Q
Fairly well anchored
A
Cephalic vein
6
Q
Often harder to palpate
A
Cephalic vein
7
Q
Not well anchored
A
Basilic vein
8
Q
Rolls easily
A
Basilic vein
9
Q
Increased eisk of puncturing a median cutaneous nerve branch or the brachial artery
A
Basilic vein
10
Q
Veins that Can be used for venipuncture
A
- back of the hand
- wrist
11
Q
Vein that should never be used
A
- underside of the wrist
12
Q
Veins that can be used but not without the permission of the patient’s physician
A
Foot
Ankle
Leg
13
Q
Turbidity of serum
A
Clear
14
Q
Turbidity of plasma
A
Clear to slightly hazy
15
Q
Turbidity of nonfasting serum with lipids
A
Cloudy
16
Q
Centrifugation of serum
A
10 minutes RCF at 1000-2000g
17
Q
It contains fibrinogen
A
Plasma
18
Q
Stat and TAT are often collected in tubes containing _____ because they can be centrifuged immediately to obtain plasma
A
Heparin
19
Q
Contains both cells and plasma
A
Whole blood
20
Q
Must be collected in an anticoagulant tube to keep it from clotting
A
Whole blood
21
Q
Used for most POCT and hema especially in acute care and stat
A
Wholr blood
22
Q
Methods of veni
A
ETS
Needle and syringe
Butterfly set
23
Q
Why ETS is preferred
A
Minimize the risk of spx contamination and exposurr of blood
24
Q
Used on small, fragile, damaged veins
A
Needle and syringe
25
Discourahrd by CLSI due to safety and spx QUALITY issues
Needle and syringe
26
Can be used with the ETS or a syringe
Butterfly set
27
For infants and children method
Butterfly set
28
Hand veins method
Butterfly set
29
Method used for difficult-draw situations
Butterfly set
30
Pathway activated by glass stopper
Intrinsic
31
Activates extrinsic pathway
Factor 3
32
Restrict venous flow but not arterial flow
Tourniquet
33
Tourniquet must not be left longer than
1 minute
34
Size of tourniquet
1 inch wide x 15 inches long
35
Gauge and bore are ____ related
Inversely
36
Preferred needle length
1 inch
37
Considered standard for routine venipuncture
21 gauge
38
Components of ETS
Multisample needle
Evacuated tubes
Tube holder
39
Includes a plastic syringe, a needle, and a transfer device
Syringe system
40
Gauge for pedia
23
41
Accuvein is a Handheld device that emits ______ and is held about ___ inches over the potential phlebotomy site
Infrared light
7
42
For serum/chemistry and serology stopper
Red (glass)
Red (hemogard)
43
For whole blood/hematology stopper
Lavender glass
Lavender plastic
44
For molecular diagnostics
Pink
White
45
For whole blood and bb
Pink
46
Whole blood
Both Lavender
Pink
47
Plasma
All except Red, Lavender, Pink, Thrombin, Clot activator separation gel, SSP
48
Plasma/coagulation
LIGHT BLUE:
- Na citrate
- Thrombin and soybean trypsin
49
Lead testing
TAN
- Sodium heparin
- K2EDTA
50
Paternity testing
ACD
51
HLA phenotyping
ACD
52
Plasma/chemistry
Lithium heparin and gel
Sodium heparin
Lithium heparin
53
Toxicology
Royal blue
54
Glucose testing
Sodium fluoride
Potassium oxalate
55
Serum/chemistry
Thrombin
Clot activator separation gel
56
Anticoagulant of gray
Potassium oxalate
57
Antiglycolytic agent of Gray
Sodium fluoride
58
Preferred for PBS
K3EDTA in liquid form
59
Preferred for hema
K2EDTA/spray-dried
60
Wbc preservation
ACD
61
Fibrin degradation products
Thrombin and soybean trypsin
62
Universal anticoagulant
Heparin
63
Alternative antiglycolytic
Iodoacetate
64
Ratio of sodium citrate to blood in black top
4:1
65
Sodium fluoride binds to ____ thus inhbiting the __-dependent enzyme, ____
Mg
Enolase
66
Silica clot activator
Clot activator or with separation gel
67
Activates coagulation
Red (glass)
68
Does red glass has an anticoagulant?
None
69
Spray-dried K2EDTA
Lavender (plastic)
Pink
70
Anticoagulant of white
EDTA and gel
71
Order of draw
Sterile
Coag
Serum tube with/without clot activator
Heparin
EDTA
Glycolytic inhibitor
72
Length of lancet
Less than 2 mm
73
Heparinized syringe
For Arterial puncture
74
Method used for arterial puncture
Syringes instead of ETS (cuz of the pressure)
75
Can be collected without a tourniquet
Arterial
76
Primary arterial sites
Radial
Branchial
Femoral
77
Major complications of arterial puncture
Thrombosis
Hemorrhage
Possible Infection
78
Done before the collecting of arterial blood from radial artery
Modified Allen Test
79
Used to determine the collateral circulation of ulnar artery to the hand after the radial artery puncture
Modified Allen Test
80
Analytes increased in Stress
Pag Stress ang ulo, it needs CAP-C
Cortisol
ACTH
Prolactin
Catecholamines
81
First to increase in adrenaline rush
Catecholamines
82
Analytes increased with exercise
Lactic acid, LD
AST
Creatine
Thyroxine
CK
83
Analytes decreased in exercise
Cholesterol
TAG
84
Increased when standing
Cholesterol
Albumin
Calcium
Aldosterone
85
Increased in ambulatory px
CK
86
Analytes increased after recent food ingestion
TAG
iCa
Glucose
Insulin
Gastrin
87
Analytes decreased after recent food ingestion
Phosphorus
Amylase
Potassium
ALP
Chloride
88
It does not require fasting
Total Cholesterol
HDL
89
Analytes affected with age
Cholesterol
Albumin
Phosphorus
ALP (increased in older)
90
Analytes increased in females
Gamma-globulins
Alpha-lipoproteins
Fe
Cholesterol
91
Lower at night
(si PIAA mababa sa gabi)
Plasma Renin
Insulin
ACTH
Aldosterone
92
Higher in afternoon and evening
GH
ACP
93
Cortisol is lowest at
8Pm to 12am
94
Cortisol is _____ at 8PM than 8am
50% lower
95
Prolactin is higher at
4 and 8am
8 and 10pm
96
Iron peaks
Early to late morning
97
Iron _____ during the day
Decreases 30%
98
Array of signs and symptoms resulting from high cortisol
Cushing syndrome
99
Black people has
High TP, low Albumin
100
Black males has
High CK/LD, IgG 40% high
101
White male has
20% high IgA
102
White & >40 yrs old:
High cholesterol and TAG
103
Cushing disease increased in
ACTH resulting to high cortisol
104
Difference of Cushing syndrome from Cushing disease
Signs and symptoms from high cortisol - Cushing syndrome.
Cushing disease, ACTH involvement
105
Spx Require Ice (immediate cooling)
Lactic Acid, Ammonia, Blood gas
106
What happens if bloof gas is not cooled
Low pH and pO2
107
Causes marked hemolysis
CK
108
What happens in marked Hemolysis
Low sodium in ECF becomes diluted
109
Hemolysis
Potassium
pO4
Fe
Mg
ALT
AST
LD
ALP
catecholamines
CK
110
Stat is a medical meaning "immediately" from the Latin
statim
