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Carnegie cam practic
chemistry practical exam review MA fall 2014
Question | Answer |
---|---|
what is the purpose of the thixotropic tropic gel in this gold top tube? | separate serum from clot |
how long must a serum tube sit at room temperature in an upright position after it is drawn? | 30 minutes |
how long is the serum tube centrifuged? | 10 minutes, 15 minutes if red/gray |
is this tube centrifuged? | If there's gel in the middle, yes! |
is this centrifuge balanced? | Equal on all sides Tubin tubes even across same to same weight |
how is the cap removed from this blood tube? | Gauze over top, pointed away, push cap with non dominant thumb until loose, remove with dominant hand |
which fingers are used for finger puncture? | Ring and middle finger of non dominant hand if possible |
where is the fingertip punctured? | On tip, slightly off center |
when should alcohol be used to cleanse the site in a finger puncture? | before puncture, after encouraging blood flow |
what is the name of this device used for finger puncture? | Lancet |
when should the finger be massaged in a finger puncture? | Never. It is called encourage blood flow |
list 3 things not to do during finger puncture | don't puncture middle of finger, don't squeeze, don't encourage after cleaning |
what should be done immediately after puncturing the finger? | Throw Lance it in sharps container. |
How was the control sample applied to the test strip with the blood glucose meter | one drop of control on wax paper. Store controls at room temp. |
When does this control solution for the blood glucose meter expire? | Manufacturer expiration or 6 months after opening, whichever comes first. |
When where do you find the acceptable blood glucose meter control ranges for the blood glucose meter? | On the bottom of the strip box. |
are these test strips acceptable to use for patient testing? | Check manufactorer expiration date. (last day of month) |
regarding the blood glucose meter how is a blood sample applied to the test strip? | Like a straw. Place strip into drop. |
regarding the blood glucose meter how long is the test strip held in to the drop of blood? | Until meter beeps. |
How is the used strip removed from the blood glucose meter? | With gauze |
What is a normal non-fasting blood glucose level? | 65-139 |
What is a normal fasting blood glucose range? | 65-99 |
What are the steps to performing the blood glucose test? | 1- clean meter; 2- Do controls; 3-test patient |
Where should a lancet be discarded? | Sharps container |
Where should blood tubes be discarded? | Sharps |
How should a blood spill be cleaned up? | Wipe spill with dry paper towel. Pour disinfectant on. Wipe again. |
Where do you dispose of materials used to clean up a blood spill? | Biohazard bag |
How should the eye and eyelids be held open if body fluids come in contact with the eyes? | With thumb and index finger |
How long must the eye be flushed with water? | 15 minutes |
Which samples can be used on the Monospot test device? | Whole blood (finger puncture) or lavender tube or serum/plasma (red = puncture / black=tube) |
When should buffer be added to sample wellof the mono spot test device? | after blood sample is in |
How do you hold the transfer pipette and buffer solution while performing the Monospot test? | Vertical |
How is the Monospot test device positioned? | Flat surface. Do not move after adding sample. |
What does a positive Monospot result look like? | Line at C and T |
what does a negative Monospot result look like? | line at C only |
What does an invalid Monospot result look like? | No line or only at T. repeat procedure. |
How would you describe the finger stick blood sample that should be applied to the Accu-chek Instant Plus test pad? | Hanging drop. |
Has enough blood been added to the Accu-chek Instant Plus test strip? | Cover whole yellow pad. |
Name 3 things you should not do when applying the drop of blood while performing the Accu Chek instant plus test: | 1. Do not add second drop 2. Don't touch skin to pad 3. Don't smear finger on pad |
What should you do if the drop of blood is not large enough for the Accu Chek test? | Repeat test |
Is this meter coded for use with this jar of test strips? | Turn on to display code. Code whenever using new strips. |
Using this control and this vial of test strips, what is the acceptable range? | Inside box of controls on information sheet (match lot numbers) |
How often should controls be run? | At least every new box |
How often should the Accu-Chek meter be coded and windows cleaned? | At least every new box |
When is the Accu Chekprotective cover closed? | When inserting strip and after blood is applied |
When is the Accu Chekprotective cover opened? | Before finger puncture and when removing strip |
What should you do if the Accu Chekmeter display reads LO? | Check size of drop. Repeat if not covered. If pad is covered fully, then less than 150. |
How long should the patient fast for a Cholestech lipid panel? | 9-12 hours |
How is the test cartridge inserted into the Cholestech machine drawer? | Black band to right. Sample end in first |
What color must the Cholestech test cartridge turn to indicate the test has been run correctly? | Purple |
What does the A1CNow+ test monitor? | Glucose |
The A1CNow+ result reflects blood level over what time period? | 3 months |
What units are used to report the A1CNow+ result? | Percent |
How much blood should be in the A1CNow+ collector? | Fill to end of collection tube |
What numbers match on all A1CNow+ test parts? | Lot number |
At what temperature should test strips be stored? | Room temp |
What does this temperature range mean? 35-46F / 2 - 8C | Refrigeration |
What does this temperature range mean? 32F / 0C | Freezer |
What does this temperature range mean? 59 - 86F / 15 - 30C | Room temp |
What does this temperature range mean? 98.6F /37C | Body temp |