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Finals

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Question
Answer
What size needle usually used in vacutainer holder system   21 G 1-1 1/2" needle  
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What does vacutainer system mean   Air has been sucked out of tube so blood can be sucked in while drawing  
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What is serum   liquid portion the blood without the clotting factor  
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What type of property does the gel in the serum separator have   Thixotropic  
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What does thixotropic mean   Liquify when aggitated or heated  
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Antecubital space   The area of the forearm most frequently used in venipuncture  
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Anticoagulant   A substance that inhibits blood clotting  
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Artery   Blood vessel that carries blood away from the heart  
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Asepsis   Absence of any harmful microorganisms  
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Buffy Coat   A thin, light-colored layer of white blood cells and platelets that lies between a top layer of red blood cells when an anticoagulant has been added to a blood specimen  
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Contamination   Introduction of disease producing organisms into or on normally sterile agents  
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Fibrinogen   A protien found in plasma which aids in clotting  
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Hematoma   A swelling or mass of coagulated blood caused by a break in a blood vessel  
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Hemolysis   The breakdown of blood cells  
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70% Isopropyl alcohol   Antiseptic solution capable of preventing growth of microorganism  
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Median Basilic   Large vein of the antecubital space most commonly used for drawing blood  
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Plasma   The liquid part of blood  
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Serum   The liquid part of blood from which the clotting factor fibrinogen has been removed  
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Sterile   Free of all living organisims, harmful and non-harmful  
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Syringe   Apparatus made of plastic which is fitted to a metal needle, and consists of a barrel and a fitted plunger  
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Tourniquet   A constrictor used ti distend the veins for venipuncture  
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Vacutainer Method   Method of venipuncture using a two way needle. One end is used for the venipuncture, the other is attached to the rubber stopper of a vacuum tube in which the blood is collected.  
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Vein   Blood vessel that carries blood toward the heart  
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Venipuncture   Puncturing of a vein to remoove blood or insert fluids  
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Why is hand-hygiene important during venipuncture   To prevent contamination  
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How do you make sure that you have the correct patient   Ask name and DOB  
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How do you palpate vein   Horizontally  
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What do veins feel like   Rubbery or spongy  
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How can you make a vein more prominent   Tourniquet, pump fist, tap, warm compressions, hold arm down below heart  
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What vein is most commonly used   median cubidian area  
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Where is the median cubidal vein located   antecubital area  
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The____vein is avoided due its proximity to the______artery and______nerve   Basilic-brachial-median  
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The besst veins to draw from are the ones that you can________   feel  
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70% isopropyl_____is applied in a_____motion from_____ to______ and must remanin on the skin_____; it is used to _______ reproduction of __________   Alcohol- circular- inner- outer- until dry- inhibit- bacteria  
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Isopropyl alcohol is not used for   Alcohol allergy, Blood alcohol level, Blood culture  
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What position should the needle tip and bevel be in when you puncture the vein   bevel up tip down  
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What angle is typically used for inserting the needle into the skin   15 degrees  
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What is the correct tourniquet placement   1-2 inches above site  
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Why is the physiologic reason for pulling the skin taut   Anchors the vein  
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What do we call a tube that is not filled to exhaustion   short draw  
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Why is order of draw important   to prevent contamination  
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The most important aspect to watch during a procedure   the needle  
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How do you invert a tube of blood   gently  
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How long should you observe the VP site before applying gauze and tape   5-10 seconds  
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What information is charted in patient chart   Date, time, what was drawn, sent to lab, MA name  
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What do you do if needle comes out   pull taut and go back in  
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What do you do if you accidentlly puncture an artery   Remove tourniquet, remove tube, remove needle, apply pressure  
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How would you know if you punctured an artery   Bright red, pulpating  
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What pathogens can be contracted from a needle stick injury   HIV, Hepatitis B, Hepatitis C  
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What is hemotoma   accumalation of blood under the skin  
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How do you avoid hemotoma   Do not leave tourniquet on longer than 1-2 minutes  
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What is hemolysis   ruptured cells  
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What is petechiae   small pinpoint hemorrhage  
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