Week 6 Flashcards

1
Q

The Tympanic membrane and the hypothalamus share what

A

The same blood supply so very accurate measurements of blood temperature can be obtained

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2
Q

Brachycardia

A

bradycardia [brad″e-kahr´de-ah]

slowness of the heartbeat, so that the pulse rate is less than 60 per minute. This can occur in normal persons, particularly during sleep; trained athletes also usually have slow pulse and heart rates.

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3
Q

tachycardia

A

an abnormally rapid heart rate.

is a heart rate that exceeds the normal resting rate.[1] In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults.[1] Heart rates above the resting rate may be normal (such as with exercise) or abnormal (such as with electrical problems within the heart).

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4
Q

What are the minimal labeling requirements for blood bank samples

A
  • Full name
  • ID number
  • date of birth
  • date and time of collection
  • phlebotomist initials
  • indicating where the specimen was drawn from
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5
Q

Most blood being samples require what tops

A

Large red topped, lavender or pink top

No PEdi tubes or SST

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6
Q

The blood bank samples minimum labeling requirements must be checked by how many nurses prior to transfusion

A

Two nurses must match these numbers prior to transfusion

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7
Q

The requirements for being able to donate blood

A

Donors are interviewed to determine eligibility

Must be at least 17 years old and after 66 you must be in good enough health to donate

Must weigh minimum of 110 pounds

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8
Q

Donated blood is used for what

A

Collection to be used to transfuse others

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9
Q

Can just any phlebotomist do donation collection?

A

No it requires special training and exceptional VP skills

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10
Q

What gauge needle is used in donation

A

16 gauge needle

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11
Q

What is the arm cleaned with for blood donations

A

Ispropyl alcohol and Betadine

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12
Q

How long does blood donation take

A

15 minutes

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13
Q

Blood cultures are taken usually because

A

FUO or suspicion of Septicemia

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14
Q

A blood culture is used to detect what

A

used to detect type of bacteria in the blood and which best antibiotic to use

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15
Q

Blood cultures also help to determine

A

Usefulness of treatment

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16
Q

What is a blood culture

A

Blood cultures are aerobic and anaerobic bottles they’re used to grow bacteria in the blood to determine what the infection in the body is

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17
Q

Autologous blood donation can be done but may take how long to prepare

A

It could take up to several weeks prior to surgery to collect enough blood for autologous blood donation

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18
Q

What must your hemoglobin be at in order to do an autologous blood donation

A

Your Hgb must be at least 11 to donate

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19
Q

When drawing blood cultures it is very important to keep everything what

A

Sterile

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20
Q

A blood culture is usually drawn in sets of

A

Two, three, four, five, or six,. These are usually drawn every 15 minutes to 30 minutes

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21
Q

A blood culture draw consists of two bottles

A

Aerobic bottle and anaerobic bottle

The broth in the anaerobic allows bacteria that does not need air to grow

Broth in the aerobic bottle grows bacteria that needs air grow

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22
Q

Drawing a blood culture using a butterfly needle which bottle do you draw first

A

You always want to use the aerobic bottle first as it is the broth that grows bacteria that needs air and the line from the butterfly needle will bleed air into the sample which is already present

If you do the anaerobic first you will ruin the sample

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23
Q

When drawing a blood culture it is important to double prep the skin because why

A

Because failure to properly prepare the skin can lead to a false positive

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24
Q

Blood culture prep cleaners include

A

Tincture of iodine, but must be removed after procedure due to allergic reaction’s impossible effects on the thyroid and liver

Multiple isopropyl alcohol pads

Chlorhexedine gluconate, must not be used on infants less than two months old

Povidine/ 70% ethyl alcohol combination

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25
Can you draw blood for a blood culture directly into a blood culture bottles
No, because there is risk of reflux into the vein of the broth
26
May blood to be drawn directly into a SPS tube (yellow top) and then transferred into a BC medium
Yes this is acceptable
27
Blood culture tubes will except about how many cc of blood
7 to 10 cc
28
Antimicrobial removal device
An ARD Is a device to remove antibiotics from the blood so the blood can be put in a blood culture
29
How long should an ARD device be allowed to hold the blood
No more than two hours
30
Why might you need to cool a specimen
In order to slow down Metabolism some specimens require complete immersion in a slurry of ice and water
31
What are some specimens that need to be immersed in a slurry of ice and water
Ammonia, green top tube Arterial blood gas, which in Massachusetts a phlebotomist is not allowed to do
32
Light-sensitive specimens
Bilirubin Vit B Carotene Folate
33
Light-sensitive specimens can be protected by what
A light blocking tube or wrapping samples in aluminum foil or paper towel
34
Therapeutic phlebotomy is used for what
The treatment for diseases that require the removal of blood
35
Polycythemia is a disease that requires therapeutic phlebotomy. What does this disease do
It is an overproduction of red blood cells, blood drawn one HET gets too high
36
Hemochromatosis is a disease requiring therapeutic phlebotomy. What does this disease do
It makes an excess of iron deposits in the tissue, defect in iron metabolism.
37
GTT is used for what
To detect DM and hypoglycemia
38
When taking a GTT PT must do what
Fast for between 12 to 16 hours, and water only, no gum, no smoking
39
A GTT measures what
Measures insulin response to a measure dose of glucose
40
Insulin is produced where and does what
It is produced in the pancreas and regulates glucose
41
a fasting blood sugar, FBS, checked during a GTT must be below this number.
200
42
If fasting blood sugar during a GTT is over 200 what must happen
Medical doctor must be notified, urine may also be collected
43
How much of the glucose drink is an adult given during a GTT
Approximately 75 to 100 grams of glucose
44
Symptoms of diabetes (DM)
Sudden weight loss Polyuria Polydipsia Polyphagia
45
Polyurea
Excessive urination
46
Polydipsia
Excessive thirst
47
Polyphagia
Excessive hunger
48
How long is the GTT usually
A glucose tolerance test is usually 3 hours possibly 6 hours
49
What is the GCT
It is a glucose count test, commonly used her pregnancy to see if you have pregnancy induced diabetes
50
The patient allowed to leave the facility during a GTT
No
51
Chain of custody specimens
Usually requested by law-enforcement or other officials for legal reasons
52
Most common chain of custody tests
Drug testing alcohol screens DNA analysis
53
When collecting a chain of custody specimen what do you need to do
Detailed documentation of the specimen from collection to testing May need a healthcare provider to proctor collection of urine Phlebotomist may need to check patient's ID
54
Phlebotomist must remember one collecting chain of custody specimens that you may end up doing what
Testifying in court
55
Therapeutic drug monitoring (TDM)
Done to establish therapeutic ranges and avoid toxicity Test usually run on infants testing peaks and troughs
56
What is a peak level in TDM
A peak,maximum, levels are collected when the highest level as expected usually 30 to 60 minutes after dose
57
What is a trough level in reference to TDM
A trough, minimum, level is collected when the lowest level is expected. Usually prior to the next dose
58
Why is it important to do TDM on infants
If infants are given to high of a dose of antibiotics can cause deafness
59
Bleeding time test are used for what
Detecting PLT function disorders by testing PLT plug formation in the capillaries
60
Bleeding time test is used for safety reasons in regards to what Preprocedure
A test for clotting problems are used for presurgical screening
61
If doing a bleeding time test what is important to ask the PT
Have you taken any blood thinning substances for up to two weeks prior to testing Including but not limited to aspirin, Coumadin, heparin
62
If performing a bleeding time test and PT admits to taking a blood thinner substance for up to two weeks prior to testing what do you need to do
Call M.D. immediately
63
The bleeding time test may cause what
Scarring
64
Leaving time test is normally how long
2 to 8 minutes This is a test retake a coffee filter like substance and wake up the blood until it they stop bleeding. It is very important that you do not break the PLT plug
65
Bleeding time test procedure
Select forearm area If hairy may need to shave Clean site with alcohol, allowed to dry Place BP cuff around arm and inflate to 40 mmHg Depress the trigger while starting the timer, remove device Blot the blood every 30 seconds by bringing filter paper close to the incision and work the blood but do not touch the incision Continue to blot to the filter paper no longer picks up blood Stop the timer and record the results to the nearest 30 seconds If bleeding continues longer than 30 minutes the test is stopped Remove the car, apply bandage and instruct patient to keep covered for 24 hours
66
POCT
Point of care testing, also known as bedside testing Brings the lab location to the patient
67
In POCT it is important to have QC
Quality control must be understood by the operator, proper machine maintenance is needed to ensure accurate results in point of care testing
68
Test that can be done through POCT
Glucose Hemoglobin (HGB) Cholesteryl Prothrombin Time (PT) Urine analysis (UA) Strept Human chorionic gonadotropin (HCG)
69
When drawing a blood alcohol specimen it is acceptable to clean the arm with
Benzalkonium chloride
70
Which of the following is the most critical part of blood culture collection
Antisepsis of the collection site
71
TDM peak concentration may be defined as the
The highest concentration of the drug during the dosing interval
72
When preforming a GTT, the fasting specimen is drawn at 8:15 and the patient finishes the glucose beverage at 8:20. When should a one hour specimen be collected
920
73
What is the color of stopper for a CTAD what type of test is it used for and why
Light blue: coagulation: to inhibit platelet activation
74
What type of specimen is needed for a guaiac test
Feces
75
Which test must have a 9 to 1 ratio of blood anticoagulant in the collection tube
Protime
76
What test is collected in a trace element free tube
Aluminum
77
Common chemistry test performed by POCT instruments include
Sodium(NA) and potassium(K)
78
What test measures packed cell volume
Hematocrit test (Hct)