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MLSP > Pre-Analytical Consideration in Phlebotomy > Flashcards

Pre-Analytical Consideration in Phlebotomy Flashcards

1
Q

events or actions that take place before laboratory testing

A

Pre-Analytical Testing Phase

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2
Q

doctor’s order/test request is given

A

Starts

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3
Q

when actual laboratory testing starts

A

ends

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4
Q

identify factors that affect the process and address them as needed

A

Phlebotomist’s role

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5
Q

Variable:
Blood Composition Affected: RBC, WBC, and Creatinine clearance could be
affected as we grow old; increase in concentration

A

Age

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6
Q

Variable:
Blood Composition Affected: people living in higher ______ areas have
increase amount in RBC so that they can compensate the oxygen

A

Altitude

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7
Q

Variable:
Blood Composition Affected: glucose, lipids, and electrolytes are increase
when a person is intaking higher glucose, lipids, or
electrolyte diet; person that just ate could have an
increase in the following as well, regardless of their
lifestyle

A

Diet

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8
Q

Variable:
Blood Composition Affected: Hemoconcentration, RBC, Enzymes, Iron (Fe), Calcium (Ca), Sodium (Na)

A

Dehydration

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9
Q

Variable:
Blood Composition Affected: Thyroid Stimulating Hormone (TSH), Cortisol, Iron (Fe)

A

Diurnal Variation

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10
Q

Variable:
Blood Composition Affected: Enzymes, Hormones

A

Drug Therapy

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11
Q

Variable:
Blood Composition Affected: pH, PCO2, Creatine Kinase (CK), Lactic Acid Dehydrogenase (LDH), and Glucose

A

Exercise, IM
Injection

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12
Q

Variable:
Blood Composition Affected: Hormones, Cortisol

A

Fever

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13
Q

Variable:
Blood Composition Affected: RBC, Hemoglobin, Hematocrit

A

Gender

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14
Q

Variable:
Blood Composition Affected: occurs when the liver is not functioning; cause a yellow coloring to the patient: epidermis, sclera of the eyes, and will cause the serum and plasma of the patient hysteric [increase; bright yellow than usual]; any colorimetric tests can be altered

A

Jaundice

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15
Q

Variable:
Blood Composition Affected:
[standing to sitting] can alter
the following mentioned in the table; important to
be in a basal state [not moved for at least 15
minutes]

A

Changes in position

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16
Q

Variable:
Blood Composition Affected: can cause
hemoconcentration wherein blood will have an
increase concentration in tissue fluid and analytes
that will cause intercell

A

Temperature and humidity

17
Q

Variable:
Blood Composition Affected: Yellow color interfaces due to increased bilirubin

A

Jaundice

18
Q

Variable:
Blood Composition Affected: Creatine Kinase (CK), Skeletal Muscle Fraction of LDH

A

Intramuscular
Injection

19
Q

Variable:
Blood Composition Affected: Protein, Potassium (K)

A

Position

20
Q

Variable:
Blood Composition Affected: RBC

A

Pregnancy

21
Q

Variable:
Blood Composition Affected: Cholesterol, Cortisol, Glucose, Growth Hormone (GH), Triglyceride,
WBC

A

Smoking

22
Q

Variable:
Blood Composition Affected: WBC, Iron (Fe), Adrenocorticotropic Hormone, Catecholamine, Cortisol

A

Stress

23
Q

Variable:
Blood Composition Affected: Hemoconcentration

A

Temperature and
Humidity

24
Q

PROBLEM AREAS

  • Too painful []; circulation is
    impaired [], areas with tattoos
    prone to infection and colorimetric analysis due
    to dyes
  • Henna tattoos are not included
A

Burns, Scars, and Tattoos

25
Q

PROBLEM AREAS
Sclerosed, hardened, or clotted

A

Damaged Vein

26
Q

PROBLEM AREAS

  • Abnormal swelling due to accumulated
    interstitial fluid. Locating veins becomes harder
    [pagmamanas]; IV insertion, heart problems,
    etc. are the causes of edema.
  • The blood that will be collected in this area will
    be contaminated with interstitial fluid
A

Edema

27
Q

PROBLEM AREAS
Removal of breast during surgery. May cause
swelling and infection due to obstruction of
lymph nodes

A

Mastectomy

28
Q

PROBLEM AREAS
- Veins become deep and difficult to palpate

A

Obesity

29
Q

PROBLEM AREAS
- Swelling or mass of blood in tissues due to
leakage. Caused by venipuncture. Painful for
patient If selected as a site
- Last resort [above the hematoma], but best to
avoid

A

hematoma

30
Q

ALLERGIES
Use non-latex alternative to gloves, tourniquet
and bandage

A

Latex Allergy

31
Q

ALLERGIES
Use different antiseptic

A

Antiseptic Allergy

32
Q

ALLERGIES
- Gauze pad should be applied over site; removal
at 15 mins
- Apply pressure for 5 mins

A

Adhesive Allergy

33
Q

• Due to medications (Aspirin/Anticoagulants) =
excessive bleeding
• Remedy: apply pressure for an extended time

A

EXCESSIVE BLEEDING

34
Q

• Patient’s prone to fainting must be aske to lie down
prior to procedure

A

FAINTING

35
Q

• Discontinue the procedure until patient feels better
• Emesis bowl must be prepared in case
• Cold damp cloth must be ready as well

A

NAUSEA AND VOMITTING

36
Q

• When patient complains of extreme pain/numbness
= stop procedure
• Numbness = nerve injury

A

PAIN

37
Q

• Small red/purple spits appearing as rashes; appears
upon tourniquet application

A

PETECHIAE

38
Q

• Discontinue the blood draw immediately

A

SEIZURES OR CONVULSIONS

MLSP (14 decks)

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