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Final exam

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
Created by: Larock