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What is the additive for the yellow tube?
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What is the additive for the study of anaerobic (without oxygen) bacteria in Blood Culture bottle?
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Phlebotomy Tubes

phlebotomy tube order, additives, and common tests

QuestionAnswer
What is the additive for the yellow tube? Acid Citrate Dextrose (ACD) Solution A or B
What is the additive for the study of anaerobic (without oxygen) bacteria in Blood Culture bottle? Contain a nutrient rich broth to enable bacterial growth and an anticoagulant to prevent the blood from clotting called Sodium polyanethol Sulfonate (SPS)
What is the additive for the study of aerobic (with oxygen) bacteria in Blood Culture bottle? Contain a nutrient rich broth to enable bacterial growth and an anticoagulant to prevent the blood from clotting called Sodium polyanethol sulfonate (SPS)
What is the additive in the black tube? Sodium Citrate
What is the additive in the Light Blue tube? Sodium Citrate
What is the additive in the Red-Clear top tube? Does not contain an additive of any kind.
What is the additive in the Red top tube? Silica clot activator
What is the additive in the Red/Black (tiger) top and Gold top tubes? SST polymer gel separator tubes with clot activator
What is the additive in the Light Green top tube? Lithium Heparin and gel for plasma separation
What is the additive in the Green top tube? Sodium Heparin
What is the additive in the Green/Black striped top tube? Polymer gel and Lithium Heparin
What is the additive in the Lavender top tube? Ethylenediaminetetraacetic acid. Interior of the tube wall is coated with either EDTA K2 or EDTA K3
What is the additive in the Pink top tube? K3 EDTA
What is the additive in the Tan top tube? • Sodium heparin (glass) • K2 EDTA (plastic)
What is the additive in the Royal Blue top tube? • Sodium heparin • Na2 EDTA
What is the additive in the Gray top tube? • Potassium oxalate/sodium floride • Sodium fluoride/Na2 EDTA
List common lab tests for which the Yellow top tube is used. For whole blood tissue typing (DNA) & (HLA), paternity testing and organ donor testing.
List common lab tests for which the Blood Culture bottles are used. Microbiology studies for fever of unknown origin.
List common lab tests for which the Black top tube is used. Erythrocyte Sedimentation Rate (ESR) a non-specific measure of inflammation.
List common lab tests for which the Light Blue top tube is used. APTT, INR, PT, Fibrinogen, D-Dimer
List common lab tests for which the Red-clear top tube is used. Electrolytes, Infectious diseases HIV, STD’s. Drug levels: amikacin, amiodarone, amitriptyline, imipraimine and nortriptyline levels. Often used as a waste tube because it does not have any additives to cause cross contamination.
List common lab tests for which the Red top tube Same tests as Red-clear but clots faster do not use as waste tube.
List common lab tests for which the Red/Black striped or Gold top tube is used. ANA,ASO,basic metabolic panel (BMP),Calcium, comprehensive met.panel (CMP),Digoxin,lytes(Na+,K+,Cl,CO2),HIV,hormones,allergens,hepatitis,CK,troponin,myoglobin,lipids,hepatic,lithium,microsomal antibody, mononucleosis, PSA,renal function,thyroid testing.
List common lab tests for which the Light Green tube is used. Hepatic (liver) function tests, electrolytes and markers of cardiac damage (troponin). Endocrine and metabolic disorders, therapeutic drug monitoring and toxicology, protein electrophoresis, lipid panels. Ammonia, HIV rapid Anti-body.
List common lab tests for which the Green top tube is used. Stat K (potassium), lithium levels, electrolytes, ionized calcium Vitamin-B1 Thiamine
List common lab tests for which the Gray/Green striped top tube is used. Glucose, cholesterol, triglycerides
List common lab tests for which the Lavender top tube is used. CBC (Complete Blood Count); RBC count, WBC count & platelet count; WBC differential count; Hemoglobin & Hematocrit (H&H) determinations; ESR (erythrocyte sedimentation rate); sickle cell screening, A1-C
List the common lab tests for which the Pink top tube is used. Blood donor screening, Type and Cross Match, blood bank determinations.
List the common lab tests for which the Tan top tube is used. Lead levels
List the common lab tests for which the Royal Blue top tube is used. Trace elements, nutritional chemistry, and toxicology Adult lead levels, arsenic, heavy metals, mercury and zinc.
List the common lab tests for which the Gray top tube is used. Glucose determinations.
What special considerations are required when drawing blood for blood cultures? Draw Anaerobic first unless using butterfly. Five preanalytical areas that can affect reliability of results. 1.timing of collection 2.number collected 3.amount of blood collected. 4.distribution between bottles. 5.disinfection of site.
What special considerations are required when drawing blood with a Light Blue top tube? Do not over or under fill. If using butterfly draw waste tube first to prevent under filling tube.
What special considerations are required when drawing blood with a Red-Clear top tube? Clots in 60 minutes.
What special considerations are required when drawing blood with a Red/Black top tube or Gold top tube? Allow blood to clot upright for 30 minutes before centrifuging.
What special considerations are required when drawing blood with a Light Green top tube? Do not use for lithium testing. Ice is needed to transport tube for ammonia levels.
What special considerations are required when drawing blood with a Green top tube? Ionized Calcium needs to be transported in ice.
What special considerations are required when drawing blood with a Gray top tube? Special anti-glycolytic additives stabilize glucose values for up to 24 hours at room temperature.
How many inversions should been done after drawing blood in a Yellow top tube? 8
How many inversions should been done after drawing blood in blood culture bottles? 8 Collect 10 ml of blood using sterile technique into each bottle. Store/Transport @ Room Temperature within 24 hours of collection. For children under 12 yrs, 5 ml blood to 1 aerobic bottle.
How many inversions should been done after drawing blood in a Black top tube or Light Blue top tube? 3-4 gently
How many inversions should been done after drawing blood in a Red top tube? 5
How many inversions should been done after drawing blood in a Red/Black striped top tube? 5
How many inversions should been done after drawing blood in a Light Green top tube? 8
How many inversions should been done after drawing blood in a Lavender top tube? 8
How many inversions should been done after drawing blood in a Pink top tube? 8
How many inversions should been done after drawing blood in a Tan top tube? 8
How many inversions should been done after drawing blood in a Royal Blue top tube? 8
How many inversions should been done after drawing blood in a Gray top tube? 8
 

 



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