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M0T 138**

Chapter 40

QuestionAnswer
What is the phlebotomist's primary role? To efficiently collect blood for accurate and reliable test results.
Performing tasks in an efficient, competent manor, wearing clean and neat attire while showing concern for pt's displays? Professionalism.
The system in which blood is transported? The circulatory system.
Where is the primary factory that produces blood cells? In the bone marrow.
Organs, lymph nodes, thymus and spleen are additional sites for? Blood cell formation.
What are the functions of blood? Blood carries oxygen and nutrients to the tissues and removes carbon dioxide.
Where does blood move waste products to for elimination? The lungs, kidneys, liver and skin.
What does the circulatory system consist of? The heart, arteries, veins and capillaries.
When blood flows AWAY from the heart, it is flowing through? The arteries.
When blood is flowing back to the heart, it is flowing through? The veins.
What is connecting most of the arteries and veins? Capillaries.
T/F: Arteries have a thick wall that helps them withstand the pressure of the pumping action of the heart. True.
Arteries branch to form? Arterioles.
Arterioles branch to become? Capillaries.
Capillaries come together to form? Venules.
Venules become? Veins.
Artery-Arteiole-Capillary-Venule-Vein is? The path blood follows through the body.
Which type of blood leaves the heart and carries oxygen to the tissues by releasing the oxygen through the cell wall of the capillaries? Oxygenated arterial blood.
How many liters (L) of of blood does the body contain? Approximately 6 (L).
What is the % of blood that is formed elements? 45%
The 45% of the formed cellular elements of blood consists of? Erythrocytes, leukocytes and thrombocytes.
What % of blood is liquid? 55%
What is the main difference between serum and plasma? Plasma contains fibrinogen and serum does not.
Preferred site for venipuncture? Antecubital space.
Which vein is used the majority of the time? Median cubidal vein.
What are the three methods used to preform venipuncture? Syringe method, vacuum method, syringe method.
Which type of punctures does the medical assistant usually do not do? Arterial punctures for blood gas testing.
What size will most syringes be when you preform venipuncture? 5 and 10mL.
Which tip allows the needle to be securely twisted onto the syringe? The Luer-Lok tip.
(T/F): needles attached to syringes and used for venipuncture do not necessarily differ from needles used for injections. True.
Most common size needles are? 20, 21, or 22 gauge or 1-1.5 inches in length.
(T/F): The larger the number the smaller the gauge. True.
What is the special needle? Double ended needle for the vacuum tube method.
Which type of needle will you use for a vacuum tube multi draw? A multi draw needle.
A winged infusion set is also known as? Butterfly collection system.
Butterfly needles are usually smaller? Or what gauge? 21 or 23 gauge.
OSHA requires safety needles to prevent stick injuries? Yes.
Anti coagulated blood is? Step 1 to blood clotting.
Calcium utilized is? Step 2 to blood clotting.
Prothrombin converts to thrombin is? Step 3 to blood clotting.
Fibrinogen converts to fibrin is? Step 4 to blood clotting.
Clot formation is? Step 5 to blood clotting.
Chemistries, immunology, serology and blood bank (cross match), which tube? Red top.
Blood type screening and chemistries, which tube? Red tiger top.
Serology, endocrine, immunology including HIV, which tube? Gold top.
Chemistries, which tube? Light green top.
He,apology (CBC), blood bank cross match, full raw invert 8 times to prevent clotting and platelet clumping, which tube? Lavender top.
Coagulation tests, which tube? Light blue top.
Ammonia, lactate, HLA typing for lithium level or ammonia level, which tube? Dark green top.
Toxicology, trace element, drug level testing, which tube? Dark/royal blue top.
For lithium level, use sodium heparin, glucose full draw, which tube? Light gray.
Paternity testing, DNA studies, which tube? Yellow top.
Serum lead determination, which tube? Tan/brown top.
Westergren sed rat, full draw, which tube? Black top.
STAT serum chemistries, which tube? Orange top.
Yo Bitch Rigel Gets Lucky Picking Great Douche Bags--- stands for? Order of draw-- yellow, light blue, red, greens, lavender, pink, gray, dark blue.
1 inch wide and 15-18 inches long is the size of? The tourniquet.
When using a blood pressure cuff as a tourniquet what should you do? Take BP, and then maintain scuff slightly below diastolic pressure. Average 40mm/Hg.
(T/F): Due to OSHA Bloodborne Pathogen Standard all collection trays are to be red or labeled with an approved biohazard sticker. True.
Pt's first last mi, DOB, ID number, date and time and your initials are all things that are needed for? Specimen labeling before leaving the pt's side.
Anticubidal region of the arm,, back of hand, back of wrist, ankle or foot is the order for? Checking for the best available site.
Apply the tourniquet? 3-4 inches above the site.
When performing venipuncture with a syringe it is important to hold pressure for 2-3 min after removing the needle or elevating the arm to stop the bleeding but it is not advised to bend the elbow, why? This increases the risk for a hematoma.
Does blood alcohol affect test results and should be replaced with non alcoholic antiseptic beforehand. Yes.
Diurnal rhythm. Draw at intervals b/c of medication rhythm. Time must be noted.
Exercise Increases heart enzymes--trained runners can have false results due to runners anemia.
Fasting. If eating while fasting, test results will be compromised.
Heparin. Using incorrectly can affect test results.
Stress. Excessive crying can alter the WBC count.
Tourniquet on too long. Can result in hemoconcentration, changing chemical concentration.
Volume. Not enough blood causes a dilution factor, changing the size of cells and variation of results.
Upper Cut Puffy Face n Cheeks stand for? Steps to blood clotting-- Uncoagulated blood, calcium utilized, prothrombin to thrombin, fibrinogen to fibrin, clot forms.
Created by: rhiginbo
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