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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 |