LB10 Flashcards

1
Q

can be performed bedside or can be performed comfortably anywhere the patient is

A

Point of Care Testing

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2
Q

other names for POCT

A

alternate site testing, ancillary, bedside, near-patient

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3
Q

most common term for POCT

A

bedside

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4
Q

laboratory instrumentation used for POCT

A

small, portable, often handheld

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5
Q

advantages of POCT

A
  1. convenience
  2. short turnaround time for results
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6
Q

disadavantages of POCT

A
  1. not consistent
  2. results are sensitive/specific
  3. limitations to specificity, sensitivity, accuracy and precision
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7
Q

where are test systems cleared

A

FDA

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8
Q

include test systems cleared by the FDA for home use

A

CLIA Waived Tests

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9
Q

tests used to diagnose and monitor cardiovascular disease

A

Cardiac Troponin T and Troponin I

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10
Q

tests for coagulation testing

A

ACT, PT, APTT

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11
Q

checks glucose using capillary blood

A

Glucometer

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12
Q

electrochemical strip with enzyme electrode containing glucose oxidase or dehydrogenase

A

Glucometer

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13
Q

useful in blood donation drives

A

Hemoglobinometer

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14
Q

compares color of light passing through a hemolyzed blood with a standard

A

Hemoglobinometer

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15
Q

requires capillary blood

A

Strip tests

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16
Q

tests that require strip tests

A

pregnancy test, malaria test, strip tests for hepatitis B, hepatitis C, and HIV I, HIV II

17
Q

values that are well outside the range of normal

A

panic values

18
Q

time required for blood to stop flowing from a standardized puncture on the inner surface of the forearm

A

Bleeding Time

19
Q

where is BT test performed

A

volar (inner) lateral surface of the forearm

20
Q

used to standardize and maintain constant pressure

A

blood pressure cuff

21
Q

made with a sterile automated incision device

A

incision

22
Q

interfere with interpretation of the test by prolonging bleeding time

A

Salicylates

23
Q

site for BT test

A

volar forearm approximately 5 cm distal to the antecubital area and devoid of surface veins, scars, bruises or edema

24
Q

seconds for blotting for BT

A

30 seconds

25
Q

when will you stop bringing the filter paper to the incision

A

when blood no longer stains the filter paper

26
Q

difference of ivy’s method and duke’s method

A

Ivy’s method - uses a blood pressure cuff
Duke’s method - uses a lancet and makes a puncture

27
Q

normal value for ivy’s method

A

2-8 minutes

28
Q

normal value for duke’s method

A

2-5 minutes

29
Q

Factors that increase bleeding time

A
  1. any disturbance of platelet plug formation
  2. BP above 40 mmHg
  3. too much pressure on incision device
30
Q

Factors that decrease bleeding time

A
  1. failure to start the timing as soon as incision is made
  2. too much little pressure on incision device
  3. BP below 40 mmHg
31
Q

most effective method for clotting time

A

Lee and White Method

32
Q

temperature of water bath during Lee and White Method

A

37C

33
Q

normal value for lee and white method

A

5-15 minutes

34
Q

most convenient for clotting time

A

Drop or Slide

35
Q

uses the tip of a lancet across drop of blood until fibrin threads cling to strip

A

Drop or Slide

36
Q

normal value for drop and slide

A

2-4 minutes