MT634 LEC - 1ST SHIFTINGS Flashcards

(84 cards)

1
Q

Hippocrates believed that..

A

disease was the result of excess substance—such as blood, phlegm, black bile, and yellow bile—within the body.

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2
Q

Four humors and basic elements

A

Earth – blood, brain
Air – phlegm, lung
Fire – black bile, spleen
Water – yellow bile, gall bladder

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3
Q

Crude tools (sharp-edged stones) were used to puncture vessels and allow excess blood to drain out of the body. what age was this?

A

Stone age

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4
Q

Releasing blood in an effort to rid the body of evil spirits, cleanse the body of impurities. what age was this?

A

Stone age

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5
Q

What year used leeches in jar to extract blood, as well as the Egyptian tomb painting found that depicts the use of medical leeches?

A

1400 B.C

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6
Q

the ones who can perform surgery; legally during the middle ages

A

Surgeons of the long robe

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7
Q

the ones who perform leeching, shaving, tooth extraction; barbers during the middle ages

A

Surgeons of the short robe

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8
Q

Barber shop signage symbolizes what? (Enumerate)

A

Red – blood
Bowl – sinasalo ng cup
White line – bandages/ torniquet
Pole – stick the patient must hold while the surgery is being done.

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9
Q

Most prevalent medical instrument during the 17th and early 18th centuries

A

Lancet

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10
Q

T/F during the 17th and early 18th centuries they use infection control

A

false, they don’t as there was no concept of antisepsis

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11
Q

Application of a heated suction apparatus called the “cup”

A

cupping

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12
Q

Used in the 17th and early 18th century in making a series of parallel sections

A

cup, bloodletting fleam

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13
Q

Why is phlebotomy performed?

A
  • Diagnostic testing
  • Transfusion at a donor center
  • Therapeutic purposes
  • Monitoring prescribed treatment
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14
Q

How is phlebotomy accomplished by?

A

Venipuncture, capillary puncture

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15
Q

collection of blood from a vein

A

venipuncture

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16
Q

getting minimal blood for testing

A

capillary puncture

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17
Q

components of a competent clinical phlebotomist

A
  1. Good manual dexterity
  2. Special communication skills
  3. Good organizational skills
  4. Thorough knowledge of laboratory specimen requirement
  5. Knowledge of departmental policies (inside and outside their designated field)
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18
Q

Give at least 2 duties and responsibilities of a phlebotomist

A
  • Prepare patients for collection procedures associated with laboratory samples
  • Collect routine skin puncture and venous specimens for testing as required
  • Prepare specimens for transport to ensure stability of sample
  • Maintain patient confidentiality
  • Perform quality-control checks while carrying out clerical, clinical and technical duties
  • Transport specimens to the laboratory
  • Comply all procedures instituted in the procedure manual
  • Promote good relations with patients and hospital personnel
  • Assist in collecting and documenting monthly workload and recording data
  • Maintain safe working conditions
  • Perform appropriate laboratory computer operations
  • Participate in continuing education programs
  • Collect and perform point-of-care checks on POCT instruments
  • Prepare and process specimens
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19
Q

Traits of a phlebotomist

A
  1. Positive customer relations
  2. Recognizing diversity
  3. Professionalism
  4. Self-confidence
  5. Integrity
  6. Compassion
  7. Self-motivation
  8. Dependability
  9. Ethical behavior
  10. Confidentiality
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20
Q

Study of nonverbal communication

A

Kinesics

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21
Q

Where verbal and nonverbal communication do not agree

A

Kinesic slip

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22
Q

The study of individual concept and space

A

Proxemics

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23
Q

Types of proxemics and their distances

A

Intimate 1 to 18in
Personal 1.5 to 4ft
Social 4 to 12ft
Public 12ft +

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24
Q

DOH/Public health programs

A

TB Control Project
Free HIV Testing (Quiricada St’ Sta. Cruz Manila)
Manila Social Hygiene Clinic Satellite Treatment Hub
San Lazaro Hospital
National Center for Mental Health

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25
Differentiate inpatient to outpatient
Inpatient - stays in a hospital while under treatment, usually at least for one night Outpatient - receives medical treatment without being admitted to a hospital.
26
Components of chain of the infection
- Infectious agent - Reservoirs - Portal of exit - Means of transmission - Portal of entry - Susceptible host
27
Means of infection transmission
- Airborne - Contact - Droplet - Vector - Vehicle
28
Means of infection transmission that has particles that are typically less than 5um in diameter and can be inhaled
Airborne
29
Means of infection transmission is the most common
Contact
30
Types of contact transmission
Direct and indirect
31
Means of infection transmission via infectious droplets (particles 5um in diameter or larger), to the mucous membranes of the mouth, nose, or conjunctiva of the eyes
Droplet
32
Means of infection transmission transfer of an infectious agent carried by an insect, arthropod, or animal
Vector
33
Transmission of an infectious agent through contaminated food, water, or drugs.
Vehicle
34
Infection control methods
Hand hygiene PPE Glove removal Respirator Procedures when entering OR, Nursery, and ICU’s
35
Infection control for patients highly susceptible to infections
Protective/reverse isolation
36
Examples of patients that may undergo reverse isolation
Immunocompromised patients, burn patients, organ transplant patients, aids patients, neutropenic chemotherapy patients
37
Components under isolation systems
Category-specific system Disease-specific system
38
What type of precaution is when the blood and certain body fluids of all individuals were considered potentially infectious
Universal Precaution
39
What type of precaution uses gloves for contacting moist body surfaces
Body substance isolation
40
Types of guidelines for isolation procedures
Standard precautions Transmission-based precautions
41
What are the functions of infection control program
- To protect patients, employees, visitors - To screen employees for infectious diseases and to require immunization - To provide evaluation and treatment to health workers who have been exposed to infections while on duty - To monitor employees and patients who are at risk of infection
42
agency of the U.S. Department of Health and Human Services that is in charged with the investigation and control of various diseases
Centers for Disease Control and Prevention (CDC)
43
What are the two main divisions of the vascular system
Pulmonary and systemic circulation
44
Function of pulmonary circulation
carries blood from the right ventricle of the heart to the lungs to remove carbon dioxide and pick up oxygen; the oxygenated blood is then returned to the left atrium of the heart. RV>Lungs>LA
45
Function of systemic circulation
serves the rest of the body, carrying oxygenated blood and nutrients from the left ventricle of the heart to the body cells and then returning to the right atrium of the heart with blood carrying carbon dioxide and other waste products of metabolism from the cells LV>Body Cells>RA
46
Order of deoxygenated blood to the heart
Vena cava>right atrium>right ventricle>pulmonary artery
47
Order of blood vessel in terms of increasing internal diameter
Capillaries>arterioles>venules>arteries
48
Circulation of blood through the heart sequence
SVC>IVC>Tricuspid>RV>Pulmonary Valve>Pulmonary Arteries>Pulmonary Veins>LA>Mitral Valve>LV>AV>Aorta
49
The smallest veins at the junction of the capillaries
Venules
50
The largest veins in the body
Venae cavae
51
The longest veins in the body
Great saphenous veins
52
microscopic, one-cell-thick vessels that connect the arterioles and venules, forming a bridge between the arterial and venous circulation.
Capillaries
53
What kind of blood is mixed in the capillaries?
Venous and arterial blood
54
Plasma is to:_, as serum is to:_
Anticoagulated, coagulated
55
What is the preferred SITE for venipuncture?
Antecubital fossa
56
Why is the preferred vein the median antecubital fossa?
It is well anchored
57
Sequence of preferred veins for venipuncture
Medial antecubital < Cephalic < Dorsal part of hand, or wrist < basilic < foot < femoral tap (arterial)
58
Structures punctured by the phlebotomy needle
Hypodermis/Subcutaneous Blood Vessel Connective tissue Muscle
59
Dedicated area of a medical laboratory or clinic equipped for performing phlebotomy procedures
Phlebotomy chairs
60
Types of phlebotomy chairs
Standard Extra wide Reclining
61
Infant blood drawing stations
Papoose board
62
Phlebotomy chairs for big patients or for patients who are with a child.
Extra wide
63
Types of phlebotomy needles
Multi-sample, hypodermic, winged infusion set
64
Parts of a needle
Point, bevel, shaft, hub
65
Parts of a syringe
Luerlock tip, barrel, plunger
66
Parts of an evacuated tube system
Needle, safety shield, holder, evacuated tube
67
Tubes used for blood collection
Evacuated tubes
68
substances that prevent blood from clotting (coagulating)
anticoagulants
69
two methods that prevent coagulating
chelating (binding) precipitating calcium
70
when a test requires whole blood or plasma, what must a tube contain?
Anticoagulant
71
TUBES WITH ANTICOAGULANTS
EDTA, Citrate, heparin, oxalate
72
TUBES WITH SPECIAL USE ANTICOAGULANTS
Sodium Polyethanol Sulfonate (SPS), Acid Citrate Dextrose (ACD), Citrate Phosphate Dextrose (CPD)
73
EDTA means
Ethylenediaminetetraacetic acid
74
substance that prevents glycolysis, the breakdown or metabolism of glucose (blood sugar) by blood cells.
Antiglycolytic agents
75
What color of tube tops include antiglycolytic agents?
gray
76
a substance that enhances coagulation in tubes used to collect serum specimens
clot activators
77
usual color of tube tops that have clot activator additive
yellow
78
an inert (non-reacting) synthetic substance initially contained in or near the bottom of certain blood collection tubes
thixotropic gel separator
79
what color of tube top includes a thixotropic gel separator?
Orange, gold, RST
80
Proper order of draw when tubes are collected
Sterile, lt. blue, red, SST, PST, Green, Lavender, Gray
81
What can happen when tubes are filled in the wrong order?
can lead to interference in testing from cross contamination of the specimen by additive carryover, tissue thromboplastin, or microorganisms.
82
Contamination when transfer of additive from one tube to the next
Carryover / cross contamination
83
Contamination where Tissue thromboplastin, present in tissue fluid
Tissue thromboplastin contamination
84
Contamination of blood culture bottles or caused by not cleaning of sites
Microbial contamination