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Phlebotomy Fund 1

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Question
Answer
Venipuncture   pirercing vein with needle Example- blood samlpes  
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Sites to aviod with venipucture   extensive scars, side of mastectomy, hematoma, arm with IV fusing, cannula/fistula/heplock,edmatous extremities  
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First draw TEST TUBES?   ALWAYS a blood culture- yellow or yellow-back tube  
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2nd draw test tubes?   Coagulation- Lightblue color used for blood cloting  
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3rd draw test tubes?   Red top- non additive  
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Last draw TEST TUBES?   SST(gray or gold top),Sodium heparin(dark green), PST(light green), EDTA(lavender), ACDA(yellow), Oxalate/fluoride(light gray)  
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After collecting blood for TEST TUBES   invert each tube 5-8 times, label all tubes BEFORE leaving bedside  
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tourniquet LIMIT??   2 minutes max  
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trouble shooting-NO BLOOD?   MOve forward or backward, adjust angle, tourniquet may be too tight  
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Hematoma   Forms under skin adjacent to puncture, release tourniquet withdraw needle and apply firm pressure  
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Accidental Arterial Stick   Blood will be bright red, withdraw and hold pressure for at least 5 minutes  
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LANCET   OUTER PORTION OF HEEL, used on babies, use micro tube  
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Older adults Venipunture   fragile veins, bruise easily, veins "Blow", rooling veins, aviod tortuous(big) veins, avoid cord hard like veins  
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