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Final exam
| Question | Answer |
|---|---|
| Petechiae | Non raised red spots at the site of the tq as a result of the tq being left on too long/ too tight |
| Hemolysis | Destruction of erythrocytes |
| Blood | A living tissue that provides O2, nutrients and removes CO2 and waste products |
| Hemoconcentration | Too many formed elements in plasma as a result of the tq being left in place too long |
| Agglutinins | Antibodies |
| Agglutinogens | Protein molecules |
| Four components of blood | Erythrocytes (RBC), Leukocytes (WBC), plasma (yellow liquid portion of blood), thrombocytes (platelets) |
| Four blood types | A, B, AB, O |
| Where blood cells are produced | Bone marrow |
| Veins in antecubital fossa and what is your first consideration | Median cubital, basilic, cephalic - median is 1st consideration |
| In phlebotomy procedure,what is the most important step | Properly id the patient |
| How to clean a puncture site for routine venipucture | Outward spiral |
| Gauge size compares to needle size | Smaller gauge the larger the needle |
| OSHA | Occupational Safety & Health Administration |
| CLIA | Clinical Laboratory Improvement Amendments |
| What are CLIA waived tests | Dipstick testing for Leukocytes, Bilirubin, Specific gravity, PH and keytones |
| JCAHO | The Joint Commission on Accreditation of Healthcare Organizations |
| CLSI | Clinical and Lab Standard Institute |
| Needle stick protocol | flush area with water and clean area with soap and water or alcohol based hand sanitizer |
| Chemical Spill protocol | proceed to the safety shower or eyewash station |
| What OSHA Hazardous Communication Standard requires | MSDS |
| The results if you fail to perform your duties | incorrect treatment,possible death, unnecessary length of stay in hospital and an increase in cost of care for patient |
| ICU | Intensive Care Unit |
| ER/ED | Emergency Room/ Emergency Department |
| O2 | Oxygen |
| BP | Blood Pressure |
| Dx | Diagnosis |
| pt | Patient |
| po | By mouth |
| BID/bid | twice a day |
| NPO | Nothing by mouth |
| q2h | every two hours |
| qid | four times a day |
| SOB | shortness of breath |
| PRN | as needed |
| COPD | Cardio Pulmonary Disease |
| Heme | Blood |
| Gastr | Stomach |
| Thromb | Clot |
| Derm | Skin |
| Phlebo | vein |
| Cephal | head/brain |
| Anticoagulant yields | plasma |
| Coagulant functions and specimen it yields | Clots and yields serum |
| Plasma | Fluid portion of the blood |
| NIOSH | National Institute for Occupational Safety and Health; A division of CDC |
| How to break the chain of infection | Wash your hands |
| What is Hemoglobin | Gives Erythrocytes their red color and contains antigens that determine blood type |
| Serum | Plasma WITHOUT clotting factors |
| Homeostasis and what is an example | The ability or tendency of an organism or cell to maintain internal equilibrium by adjusting its physiological process - example is hemostasis |
| Formed Elements | Cellular potion of the blood |
| Nosocmial infection | A healthcare associated infection usually a result of healthcare worker not washing their hands |
| Solution you clean your caddy with | 10% bleach |
| What PPE is required with drawing blood | gloves (even if pt is HIV/HEP+) |
| Infection | an invasion and growth of a microorganism in the body that causes disease |
| Vaccine OSHA requires employer to provide for free | HEP B |
| Chemical composition of capillary blood is (arterial/venous) | Chemical composition is more arterial than venous blood; especially in warmed tissue, where blood flow is rapid. |
| Function of an artery | Carry highly oxygenated blood away from the heart |
| Function of a vein | Carry deoxygenated blood from capillaries back to the heart |
| Function of Capillaries | Enables exchange of H2O and tissues from blood to tissue |
| Order blood cultures are collected | Aerobic - Anaerobic |
| Smallest veins in the body | Venules |
| When numbers of microorganisms are highest | Just before a patient spikes a fever |
| Reasons why blood cultures are collected from different sites | Maintain the integrity of the sample |
| Why blood cultures are ordered | Detect the presence of pathogenic microorganisms in patients blood |
| How blood cultures are ordered | STAT and require strict aseptic techniques |
| Septicemia | Pathogenic microorganism in the blood |
| In direct blood culture collection, you always | Draw each set from different sites |
| Aerobic | Microorganism that REQUIRES oxygen (O2) to grow |
| How 70% Isopropyl Alcohol is used when collecting a blood culture | cleans the top of the collection medias |
| Position a patient is placed when they have issues with syncope | Supine |
| Purpose of valves | Stop the backflow of blood |
| Define Anaerobic | Microorganisms that DO NOT require Oxygen (O2) to grow |
| Organs that make up the circulatory system | Heart, lungs and blood vessels |
| When collecting a blood culture; what should you always ask your patient | Are you allergic to iodine? |
| Values that are higher in capillary blood | Hemoglobin & Glucose |
| Values that are higher in venous blood | Potassium, Calcium and total protein |
| Indwelling lines | VAD (Vascular Access Device), CVC (Central Venous Catheter), PICC (Peripherally Inserted Central Catheter) |
| Composition of capillary blood | Arterial and Venous |
| Microtainer Draws - Departments of Lab/use | Purple - Hemotology; Green - Chemistry; Dark Brown - Bilirubin |
| Procedure when drawing from a patient who has an IV | IV must be turned off for at least 2 minutes, tq placed distal to IV site and draw from vein that the IV is NOT inserted. After draw is complete, document on Req all IV solutions |
| Maximum age of child for heel stick | 12 months |
| Define Iatrogenic anemia and contributing factors | Anemia caused by hospital procedures; phlebotomy |
| Reasons for Dermal punctures | When traditional venipuncture is not possible and when a dermal puncture is acceptable fo rtesting |
| Tests that cannot be performed via dermal puncture | ESR/SED Rate, Blood Cultures, Most Co-Ag tests |
| Blood collected when performing a dermal puncture | Capillary Blood |
| Procedure performed prior to leaving nursery | Log patient ID, Date, time, Volume collected, and your initials |
| Directions a dermal puncture should be made on finger | Perpendicular to finger print |
| HIPPA | Health Insurance Portability and Accountability Act |
| Inadequate blood to additive Ratio | 9:1 Na Citrate 2/3 full EDTA |
| Expressed Consent | Verbal/Signed paperwork |
| Implied Consent | Action |
| Allen Test | Utilized when performing ABG |
| What CLIA Mandates | Regulation of all facilities that perform patient testing in the US |