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Hematology as it pertains to Phlebotomy

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Question
Answer
Define Hematology.   The study of blood  
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What specimen does Hematology want?   Whole blood  
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What are formed elements?   Red blood cells, white blood cells and platelets.  
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What percentage of blood is composed of Formed Elements?   45%  
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What percentage of blood is plasma?   55%  
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What is plasma?   The fluid portion of blood (55%)  
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What is plasma composed of?   90% water, 10% solutes. (protein, vitamins, carbohydrates, hormones, enzymes, lipids & salts, amino acids, electrolytes, sugar & fibronigen.  
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What is Serum?   Plasma with all clotting factors removed.  
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How many more red blood cells compared to white blood cells are usually found in blood?   1000X more RBC vs. WBC  
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How many more platelets compared to white cells are usually found in blood?   50X more Pl vs. WBC  
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What are the components of blood?   Red blood cells, white blood cells, platelets  
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Where are RBC's, WBC's & Platelets produced?   Mostly in the bone marrow.  
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What is another name for blood production/formation?   Hematopoiesis  
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What are Platelets?   Also called Thromobcytes. They are not cells, but fragments of cells. Aids in clotting.  
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Is Plasma anticoagulated blood for lab tests or non-anticouagulated?   anticouagulated.  
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If you spin a red (non-additive) or SST tube of blood, what is the top yellow fluid called?   Serum.  
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If you spin a Purple top tube of blood, what is the yellow fluid on top called?   Plasma.  
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What tube is mostly asked for in Hematology testing?   Purple EDTA  
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What is EDTA   An anticouagulant, ethylene-diaminetetraacetic acid.  
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What tube would you use for a CBC test?   Purple, EDTA (whole blood)  
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What does hematology look for in a CBC test?   WBC differential, Morphology, MPV, RBC indicies, HGB (hemoglobin), HCT (hematocrit). RBC/WBC/PLT measurements.  
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What is another word for "Packed cell volume"?   Hematocrit  
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What is the WBC's primary function?   Defense against infection.  
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What is the life span of a RBC?   120 days  
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What is the percentage of RBC's in circulating cells?   99%  
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What is the shape of a RBC?   Biconcave disc.  
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What molecule is the RBC part of for byproducts transport?   Hemoglobin  
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What is the Platelets primary function/   Clotting. (Hemostasis)  
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What i Hemostasis?   Clotting by platelets.  
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What is the life span of a platelet?   9-12 days.  
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What is HGB?   Hemoglobin  
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What is Hemoglobin?   An oxygen binding molecule.  
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What is the general rule of thumb for Hemoglobin vs. RBC values?   hemoglobins are 3X the value of RBC's.  
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What is anemia?   Low blood volume.  
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What do we look for to assess anemia in a patient?   Hemoglobins.  
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What are some common abbreviations/acronyms for Hematocrit?   HCT, CRT  
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What does a Hematocrit test look for?   Packed cell volume. Used to diagnose Anemia.  
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What is MCV?   mean corpuscular volume. (cell size)  
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What is MCH?   mean corpuscular hemoglobin  
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What is MCHC?   mean corpuscular hemoglobin concentration  
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What is RDW?   Red cell distribution width.  
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What is a WBC Differential?   A test that looks at the volume of different types of white blood cells.  
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BONUS-Name 2 WBCs and their role.   Lymphocyte-fights viral infectionsSegmented Neutrophil-fights bacterial infectionsMonocyte-performs Phagocytosis (is a phagocyte)Eosinophil-fights parasitic infections & allergic reactionsBasophil- has a role in inflammatory reactions.  
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What does Retic stand for?   Reticulocyte count.  
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What does ESR stand for?   Erythrocyte sedimentation rate(sed rate)  
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What does a decreased amount of hemoglobin suggest?   Anemia  
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What are two anemia diseases due to deficiency of substances?   Iron deficiency anemia.Vitamin B12-Pernicious anemia. (gastroectomy)  
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What is Scurvy?   A vitamin C deficiency resulting in bleeding disorder. Most known with sailors in the 1700's.  
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Name some common tests associated with hematology.   CBC, Retic, ESR  
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What is H & H?   Hemoglobin & Hematocrit test.  
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What is another name for thrombocyte?   Platelet  
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What is Hemostasis?   The body's clotting function.  
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What is Hemolysis?   The destruction/breakage of RBC.  
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What is Hemoconcentration?   Increased ratio of formed elements vs. plasma. Caused by leaving the tourniqit on too long.  
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What is the primary function of RBCs?   Transportation of oxygen and byproducts.  
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What is a reticulocyte?   An immature red blood cell.  
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What % of reticulocytes is expected in blood?   2%  
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What does the retic test check for?   production of bone marrow cells.  
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What does an ESR test measure?   The distance RBC fall within an hour.  
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What is the clinical usefulness of an ESR?   Assessment of inflammatory disease.  
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What are the 3 Hemolytic Anemias?   Sickle cellThalessemiaHeriditary SpherocytosisDIC  
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