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Phlebotomy

Phlebotomy 115 Week 6

QuestionAnswer
POCT Point of Care Testing
POCT Glucose Monitoring
POCT Blood coagulation monitoring
POCT Cholesterol screening
POCT Alternate-site testing
POCT Near-patient testing
POCT On-site testing
Elderly Considerations Hearing Loss
Elderly Considerations Failing Eyesight
Elderly Considerations Loss of taste, smell, and feeling
Elderly Considerations Memory loss
Elderly Considerations Skin tissue becomes thinner
Elderly Considerations Muscles become smaller
Elderly Considerations Increased sensitivity and allergies
Elderly Considerations Increased susceptibility to accidential hypothermia
Blood gas & electrolyte POCT Measures partial pressure of oxygen (pO2), partial pressure of carbon dioxide (pCO2), and pH.
Blood gas & electrolyte POCT Used whenever a patient has a heart or lung disorder
ABO Blood Groups A, B, AB, O
Type A Blood A antigen is present
Type B Blood B antigen is present
Type AB Blood A & B antigens are present
Type O Blood No A or B antigens are present
POCT Decentralized Lab Testing
POCT On-Site Testing
POCT Patient Focused Testing
Populations Requiring POC Testing HIV positive and AIDS patients
Populations Requiring POC Testing Organ Transplant Patients
Populations Requiring POC Testing Chemotherapy Patients
Populations Requiring POC Testing Chemotherapy Patients
Populations Requiring POC Testing Elderly Patients
CLIA '88 Requirements re: POCT Manufactures instrument instructions be kept on file
CLIA '88 re: POCT Manufactures recommendations are followed including those for quality control
Antigen Foregin entity that you are exposed to that stimulates your immune system to create antibodies
Immunology/Serology Study of serum
Naturally occuring antibodies ABO antibodies
Type O Blood Contains no surface antigens but has both A & B antibodies
Rh- Only 15% of population
Rh- Rhogam is the drug given to mother
Hemolytic Diseaseof the Newborn Rh- mother with an Rh+ baby
IgM Immunogloublin
IgM 1st antibodies that develop after exposure
IgG 2nd antibodies produced after you get better
Types of Immunity Passive Naturel
Types of Immunity Active Natural
Types of Immunity Active Artifical
Types of Immunity Passive Active
Passive Natural Immunity Recieve maternal antibodies through placentia or breast milk
Active Natural Immunity Contract disease and produce memory cells
Active Artifical Receive a vaccination and produce memory cells
Passive Artificial Receive antiserum with antibodies from another host
Type A Blood Has B antibodies or AntiB
Type B Blood Has A antibodies or AntiA
Type AB Blood Has no antibodies
Qualitive Assays Quality - Yes or No answers
Quantitve Assays Quantity - How positive
Titers Studies w/antibodies, how many you have at this time in the disease process
Titer The last indicator in a serial dilution
Occult Blood Testing Assists in the confirmation of the presence of blood in black stools, can be helpful in in detecting GI tract lesions and colorectal cancer
Accuracy The closeness of a result to the actual value
Precision The reproducibility of the result
Standard Deviation 95% of results will fall within 2+/-
POCT for Accute Heart Damage Troponin I
POCT for Accute Heart Damage Myoglobin
POCT for Accute Heart Damage Creatine Kinase
POCT for Accute Heart Damage Uses whole blood, plasma, or serum
POCT for Coagulation Studies Prothrombin Time (PT)
POCT for Coagulation Studies Whole Blood
POCT for Cholesterol Screening Whole Blood
Quality Assurance Patient preparation & specimen collection
Quality Assurance Specimen transportation & processing
Quality Assurance Instrumental and technical performance of clinical laboratory assays
Quality Assurance Labortory Safety
Quality Assurance In-service training and education of laboratorians and other health care professionals
Quality Control Maintining procedure manuals
Quality Control Maintaining testing protocols
Quality Control Maintaining accuate records
Quality Control Maintaining equipment
Quality Control Porficiency testing
Quality Control Continual laboratory inspections by accredited agencies
Standards Substances having a known value used in quality control and patient testing
Controls Substances, usually made from human blood, with known values performed in conjunction with laboratory tests to check equipment, reagents and techniques
CLIA '88 Requirements Effective quality control program
CLIA '88 Requirements Accurate records of testing, maintenance of equipment and compentency of personnel
CLIA '88 Requirements Successful participation in an accrecidited Profeciency Testing Program - every 3 months
CLIA Waved Tests Hemoglobin by CuSO4 or direct read
CLIA Waved Tests CBG - Home approved monitors
CLIA Waved Tests Fecal Occult Blood
CLIA Waved Tests Urine pregnancy test using color
CLIA Waved Tests Urinalysis reagent strip
CLIA Waved Tests Rapid strep test from throat swab
CLIA Waved Tests Protime
CLIA Waved Tests Spun hematocrit
CLIA Waved Tests Cholesterol
CLIA Waved Tests Immunoassay for infectious mononucleosis and Helicobacter pylori
Type O- Blood Universal Donor
Autologous Transfustions When a patient donates his or her own blood before anticipated surgery
Blood Bank Specimen Requirements Donor weight must be at least 110lbs
Blood Bank Specimen Requirements Donors temperature must not exceed 99.5 degrees
Blood Bank Specimen Requirements Donors pulse should be regular and strong and be between 50-10 BPM
Blood Bank Specimen Requirements Donors blood systolic blood pressure should be no higher than 180 mm Hg, diastolic blod pressure should be no higher that 100 mm Hg
Blood Bank Speciment Requirements Hematocrit values must be no less than 38 percent
Blood Bank Specimen Requirement Hemoglobin value must be no less than 12.5g/dl
Created by: Adwa
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