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Phlebotomy, venipucture and, capillary puncture

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Question
Answer
What is the order of blood draws?   1. Blood cultures 2.Citrate 3.Serum Seperator Tube 4.Heparin 5.EDTA 6.Oxalate/Sodium Flouride  
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What do you put on a tube after you draw the blood?   pt. name, pt ID or date of birth, date of draw, time of draw, initials  
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What are the 3 veins you take blood from in the arm and in what order should you perfer?   1.Median Cubital Vein 2.Cephalic Vien 3.Basilic Vein  
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What are 3 blood draw complications?   Fainting, Hematoma, Nausea and Vomiting, Hyperventilation  
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What areas of the body produce blood cells?   Bone marrow, lymph nodes, thymus, and spleen  
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What is the function of blood?   To carry oxygen to body tissues and to remove the waste products(carbon dioxide)  
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How much blood do we have in our bodies?   6L  
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What are the different types of blood collection methods?   Vacuum tube, butterfly assembly, and Syringe  
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What does Potassium oxalate do?   Binds calcium  
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What does Flouride do?   Inhibits glycolysis  
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What does Sodium citrate do?   Binds calcium  
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What does EDTA do?   Binds calcium  
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What does lithium heparin do?   Inhibits prothrombin to thrombin  
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What does Thrombin do?   Promotes speedy clot formation  
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What does Sodium polyanetholesulfonate do?   Binds calcium  
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what does Ammonium heparin do?   inhibits prothrombin to thrombin  
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If you are right handed what side should your equipment be?   left  
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What is the angle of venipucture?   15% to 30%  
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What do additives do?   improve the quality of the specimen or accelerate specimen processing  
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What does the gel do?   in centrifuge the gel changes to a liquid and moves up to create a barrier between the blood cells or clot and the liquid portion of the blood.  
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When using a blood pressure cuff what how high do you set it?   slightly below the diastolic pressure  
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what is the gauge of a butterfly needle?   21 to 23 gauge  
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what are the 9 factors affecting laboratory results?   Blood alcohol, diurnal rhythm, exercse, fasting, hernolysis, heparin, stress, tourniquet on too long, volume.  
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What is diurnal rhythm?   Some specimens must be drawn at timed intervals becuase of medication or diurnal(daily) rhythm. The exact time of collecttion must be noted on the specimen.  
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What is hemolysis?   Destruction of red blood cell membrane and release of intercellular contents into serum/plasma can be caused by not allowing alcohol to air-dry at venipuncture site, using a needle that is too small, ect.  
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What is heparin in factors affecting laboratory results?   Incorrect heparin used that interferes with tests being run on patients.  
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what is the color of blood cultures?   yellow  
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what is the color of citrate?   light blue  
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what is the color of heparin?   green, light green  
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what is the color of serum seperator tube?   red, gold, tiger top  
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what is the color of EDTA   lavender  
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what is the color of oxalate/sodium flouride?   gray  
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What is the order of areas that you may get blood from?   antecubital region, around the arm, back of hand, wrist, foot.  
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what areas of the body do you need to get premission from the physician before you can take blood from that area?   foot and legs  
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What is the usual size of syringes used in venipuncture?   5 to 10ml  
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When are sixteen gauge needles often used for blood draws?   at the blood bank  
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What is a multidraw needle?   it is a double ended needle that has a rubber sheath over the end that goes into the vacuum tube.  
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What is the process fo clotting?   uncoagulated blood, calcium utilized, prothrombin converts to thrombin, fibrinogen converts to fibrin, clot forms.  
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