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| Question | Answer |
|---|---|
| Know the role of a MA in phlebotomy | high quality care to pts by acting professionally |
| what is the primary source for the production of blood cells | bone marrow |
| know the functions of blood | carry oxygen to the tissues and remove carbon dioxide |
| how any liters of blood are in the body | 6 liters |
| know the process of a blood clot | converts fibrinogen to fibrin |
| what blood cell is responsible for transporting oxygen and carbon dioxide | red blood cells/erythrocyte |
| where can I find the buffy coat | between plasma and the red blood cells in uncoagulated blood |
| why does OSHA require safety needles | safety for the phlebotomist |
| if a blood sample can not be obtained what can I do | rotate the needle and advance further |
| know the appropriate action when palpating a vein | gently with finger tips |
| what are additives used for | anticoagulant, preservative, or clot activator |
| how can I identify which anticoagulant is in them | tube color |
| what is an advantage of a soft rubber tourniquet | inexpensive to replace |
| when using a BP cuff, the cuff should be maintained at what pressure | slightly below diastolic pressure (about 40mm/Hg) |
| what is the one thing all phlebotomy trays have placed on them | biohazard symbol |
| what is the very first step of a successful venipuncture | identify the pt |
| what information must be written on a specimen label | pt name, dob, id number, date, time of collection, MA initials |
| know the order when picking an available vein site | antecubital region, , back of the hand, back of the wrist, foot or ankle |
| know the correct way to apply a tourniquet | 3 to 5 inches above site |
| what gauge of needles are most commonly used in venipuncture | 20,21,22 |
| why would we use a syringe in venipuncture | small volumes of blood from fragile, thin or rolling veins |
| what would you call the blood collecting that can use a syringe or vacutainer | |
| know the correct order of draw | yellow, light blue, red, green, lavender, gray, dark blue |
| know the proper steps for quality assurance | labeling, requisition, no needles attached, appropriate additive, at least 75% full, free of clots, no hemolysis, don't combine tubes, don't mix tubes with different additives, mix tubes gently |
| know the factors that can effect laboratory values | blood alcohol, diurnal rhythm, exercise, fasting, hemolysis, heparin, stress, tourniquet on too long, volume |
| this is a mixture of blood and cellular fiber found in the first drop of capillary puncture | interstitial fluid |
| the primary site for an adult capillary puncture | finger tip |
| primary site for infant capillary puncture | heel |
| causes of hemolysis | alcohol |
| appropriate action when collecting capillary sample | wipe away the first drop |
| correct sequence that occurs during clotting | uncoagulated blood, calcium utilized, prothrombin converts to thrombin, fibrinogen converts to fibrin, clot forms |
| appropriate action when ma is unsuccessful with venipuncture | rotate the needle and advance further, try another tube, after two attempts ask another ma, then notify provider if both are unsuccessful |
| if a pt is on gingko biloba, aspirin or coumadin, what should you do | hold pressure at site for longer |
| which vein is used the majority of time for venipuncture | median cubital vein |
| know all the arteries of the arm | brachial, ulnar, radial |
| toxicology | dark blue |
| chemistry | red |
| coagulation | light blue |
| glucose | light gray |
| CBC/hematology | lavender |