Collection of Blood Flashcards

(59 cards)

1
Q

Physiologic Factors affecting Test Results (6)

A
  1. Posture
  2. Diurnal Rhythm
  3. Exercise
  4. Diet
  5. Stress
  6. Diet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Large molecules that cannot filter into the tissues (3)

A
  1. Protein
  2. Cholesterol
  3. Iron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Refers to daily body fluid fluctuations that occur with some constituents of blood

A

Diurnal Rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Higher in the morning (3)

A
  1. Cortisol
  2. TSH
  3. Iron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lower in the morning (1)

A
  1. Eosinophils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can exercise increase? (7)

A
  1. Creatinine
  2. Total Protein
  3. Creatinine Kinase
  4. Myoglobin
  5. Aspartate Aminotransferase
  6. HDL-Cholesterol
  7. WBC Count
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What can cause a temporary increase in WBC count in children?

A

Anxiety and Excessive Crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Smoking can cause?

A

Increased WBC / Cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Long term smoking can cause?

A

Decrease Pulmonary Function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Decreased pulmonary Function can result to?

A

Increased Hemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Under fasting the exception of water is only for how many hours before a blood draw?

A

8-12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If patient has eaten recently there is temporary increase in?

A

Glucose and Lipid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is increased lipids that can cause turbidity called?

A

Lipemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Used to provide a barrier against venous blood flow to help locate vein?

A

Tourniquet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tourniquet should be applied _____ above the veni site

A

3-4 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Order of Draw?

A
  1. Yellow
  2. Blue
  3. Red
  4. Green
  5. Lavender
  6. Gray
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Blood specimens for serum testing must be allowed to clot first for _____ prior to centri

A

30-60 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Clot activators include ____ or ____ that activates ________ and ______

A

Glass or Silica Particles
F7 and Thrombin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Removes calcium by forming insoluble calcium salts (3)

A
  1. EDTA
  2. Citrate
  3. Oxalate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Prevents clotting by binding to antithrombin and inhibiting thrombin

A

Heparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

This inhibits metabolism of glucose by blood cells and what is the color of the tube?

A

Anti-glycolytic Agent / Gray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Most frequently used anti-glycolytic agent?

A

Sodium Fluoride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

An inert material that undergoes a temporary change in Viscosity

A

Gel Separator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

_____ the gauge number, the _______ the bore

A

Smaller / Larger

25
Most common needle size for adult veni?
21 gauge
26
Useful in collecting specimens for children or older patients
Winged Blood Collection Set
27
Useful in collecting specimens for children or older patients
Winged Blood Collection Set
28
Most common skin antiseptic
70% Isopropyl Alcohol
29
For Blood Culture, What is included in the 2-step procedure?
1. 30-60 secs rub with alcohol 2. 1%-10% Povidone-Iodine pads
30
Whare is the most common site for venipuncture?
Antecubital Fossa
31
2 Anatomical Patterns of veins
1. H Pattern 2. M Pattern
32
Veins under H pattern?
1. Median Cubital Vein 2. Cephalic Vein 3. Basilic Vein
33
Veins under M Pattern
1. Median 2. Accessory Cephalic Vein 3. Basilic Vein
34
Why is Basilic Vein the last choice?
Closest to brachial artery
35
What finger do you use to palpate vein?
Index
36
Ratio of blood to anticoagulant?
9:1
37
Gauge for children?
22-23
38
Complications (10)
1. Ecchymosis 2. Hematoma 3. Fainting 4. Hemoconcentration 5. Hemolysis 6. Petechiae 7. Allergies 8. Nerve Damage 9. Seizures 10. Vomiting
39
Leakage of small amount of blood in tissue around puncture site
Ecchymosis
40
Leakage of large amount of blood around the puncture site causes the area to rapidly swell
Hematoma
41
What does CLSI not recommend to use for the revival of patients ?
Ammonia
42
Increased concentration of cells, larger molecules and analytes in the blood
Hemoconcentration
43
Rupture of red cells with consequent escape of Hgb
Hemolysis
44
Small red spots indicating small amounts of blood have escaped into the skin
Petechiae
45
Symptoms of Nerve Damage?
1. Sharp Pain 2. Tingling 3. Numbness in the arm
46
Venipuncture in Special Situations (5)
1. Edema 2. Obesity 3. Burned, Damaged, Scarred and Occluded veins 4. IV Theraphy 5. Mastectomy Patients
47
Technique of choice to obtain blood specimen from newborn and pediatric patients
Skin Puncture
48
Skin puncture is for what type of patients? (3)
1. Adults that are severely burned 2. Obese Patients 3. Elderly Patients with Fragile Veins
49
Blood from skin puncture closely resembles ______
Arterial Blood
50
This can increase blood flow sevenfold
Warming Site
51
Heel warmer or Warm washcloth temperature and time
<42°C / 3-5 mins
52
Povidone-Iodine in skin puncture can cause?
False Increase (K+, P & Uric Acid)
53
Puncture site of Skin Puncture for Heel
Lateral Side of Heel / Medial Side of Heel
54
Heel puncture depth
<2 mm deep
55
Bone infection from heel puncturr
Osteomyelitis
56
Do Not puncture _____ ,_____ , _____ area
1. Swollen 2. Bruised 3. Infected
57
Do not perform skin puncture in patients with?
1. Edema 2. Dehydration 3. Poor peripheral circulation
58
Order of Draw for Skin Punture
1. Blood Gas Analysis 2. Slides 3. EDTA 4. Other tubes 5. Serum Tubes
59
Reasons for Specimen Rejection (8)
1. Unmatched form and label 2. Unlabeled Tube 3. Hemolyzed Sample 4. Wrong collection time 5. Wrong Tube used 6. Clotted specimen 7. Contaminated with intravenous fluid 8. Lipemic Sample