Midterm: Patient Preparation

Question 0

8- 16 hours of fasting for

Answer 0

Glucose, lipid, lipopolysaccharide

Question 1

Increase lactate, fatty acid, ammonia, ALT, AST, CDK, LD

Increase in growth hormone, prolactin, testosterone and leutenizing hormone

Answer 1

Exercise

Question 2

48 hours fasting for

Answer 2

Increase in serum bilirubin

Question 3

72 hours for

Answer 3

Plasma triglyceride

Question 4

Metabolic products or food can increase high CHON and increase Urea

Answer 4

Diet

Question 5

Will increase urinary excretion of 5 hydroxy indole acetic acid

Answer 5

Serotonin

Question 6

Increase concentration of glucose

Answer 6

Caffeine

Question 7

Release catecholamine from medulla and brain tissue

Answer 7

Caffeine

Question 8

Diet increase turbidity or lactescence

Answer 8

Triglyceride > 400mg/dl

Question 9

Diet contribute to the degree of Icteric (bilirubin)

Answer 9

25.2 mg/L

Question 10

Causes shifting of water and electrolytes into tissue causing hemoconcentration

Answer 10

Sitting to supine

Question 11

Constriction of blood vessels and reduction of plasma volume

Answer 11

Supine to siting

Question 12

Extra vascular water transfer to vascular system and dilutes nondiffusable plasma

Answer 12

Standing to supine

Question 13

Prolonged tourniquet application can lead to?

Answer 13

Hemp concentration and anaerobic sis

Question 14

Increase in NEFA ( nonesterified fatty acid)

Answer 14

Nicotine tobacco

Question 15

Increase in gamma glutamyl transpeptidase

Answer 15

Alcohol

Question 16

Hypoglycemia

Answer 16

Alcohol

Question 17

Affects adrenal hormone.

WBC is affected

Answer 17

Stress

Question 18

TDM SHOULD be scheduled from the last time of the last dose.

Answer 18

Drug

Question 19

BUN

Answer 19

Blood urea nitrogen

Question 20

Can elevate liver function enzyme

Answer 20

Hepatotoxic drug

Question 21

Decrease in plasma Na and K levels

Answer 21

Diuretics

Question 22

Factors affecting blood collection

Answer 22

1) exercise
2) fasting
3) diet
4) posture
5) tourniquet
6) tobacco
7) alcohol
8) stress
9) drugs

Question 23

Arteries and veins layers of tissue

Answer 23

1) tunica intima- inner layer
2) tunica media - middle layer
3) tunica adventitia - outer layer

Question 24

First step in collection and the most crucial part

Answer 24

Patient identification

Question 25

ID bracelet includes

Answer 25

1) First and last name 2) hospital number 3) room no. 4) bed no. 5) physicians name

Question 26

Identified by nurse or relative. Or ID BRACELET

Answer 26

1) unconscious or mentally incompetent | 2) infant or children

Question 27

Verbally ask their full name, bday, address, I'd bracelet, drivers license with photo

Answer 27

Ambulatory or outpatient

Question 28

Approximate volume of whole blood of human

Answer 28

5 quarts or 4.73 L

Question 29

Volume of blood for female and male

Answer 29

Female - 4-5L | Male - 5-6 L

Question 30

Estrogen suppresses this hormone causing RBC to lower

Answer 30

Erythropoietin

Question 31

Tests for arterial puncture

Answer 31

Blood gas and ph measurement

Question 32

Sites of arterial puncture

Answer 32

1) radial 2) brachial 3) scalp 4) femoral 5) umbilical

Question 33

Liquid portion of unclothed or anticoagulated blood with fibrinogen

Answer 33

Plasma

Question 34

Liquid portion of clotted blood

Answer 34

Serum

Question 35

Gel used in SST

Answer 35

Phixotrophic gel

Question 36

3 basic method of blood collection

Answer 36

1) evacuated tube system 2) needle and syringe 3) winged infusion set ( butterfly)

Question 37

Order of draw | Reduce the risk of specimen contamination

Answer 37

1) blood culture - yellow 2) citrate - light blue 3) non additive - red / gold 4) heparin - green 5) EDTA - lavender 6) sodium fluoride - gray

Question 38

Yellow top additive and dept

Answer 38

Additive : sodium polyanethole sulfonate | Dept: microbiology

Question 39

Light blue additive and dept

Answer 39

Sodium citrate | Hematology ( coagulation, PT, PTT, APTT)

Question 40

Red top glass

Answer 40

Additive: No additive Dept: serology, blood bank, chemistry

Question 41

Red top plastic and gray rubber

Answer 41

Additive: SST Dept: chemistry

Question 42

Gold top

Answer 42

Additive: SST Dept: chemistry

Question 43

Green top

Answer 43

Additive: lithium heparin and sodium heparin | Dept: chemistry

Question 44

Light green top plasma barrier tubes

Answer 44

Additive: lithium heparin and sodium heparin with gel separator Dept: chemistry

Question 45

Prothrombin to thrombin prevention. No coagulation

Answer 45

Heparin

Question 46

Removal of calcium

Answer 46

EDTA

Question 47

Lavender top

Answer 47

Additive: EDTA Dept: CBC hematology

Question 48

Gray top

Answer 48

Additive: sodium fluoride and K oxolate Dept: chemistry blood glucose and alcohol

Question 49

Gray top antiglycolitic tube

Answer 49

NaF - lithium iodoacetate

Question 50

Gray top anticoagulant

Answer 50

K oxolate - k2 EDTA