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Phlebotomy
Phlebotomy 115 Week 6
| Question | Answer |
|---|---|
| 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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