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Phlebotomy Review 2

More information to review for prepare for certification exam.

QuestionAnswer
Required on EVERY specimen label 1. Name, 2. DOB or MRN (medical record number), 3. Date, 4. Time (military), 5 Phlebotomist's Initials
Items on your tray Gauze, alcohol wipes, tubes, band-aids or tape, device (syringe, butterfly, vacutainer) tournquet
Purpose of a tourniquet makes vein easier to feel. Constict venous flow out not arterial in
How long can a tourniquet be left on 1 min max!
If the tourniquet is left on longer than 1 min hemoconcentration
Where should the tourniquet be place in relation to the intended site of puncture? 3-4 inches above
Desired veins to choose from Median cubital - center of bend in arm, Cephalic vein - thumb side, Basilic - pinky side - median nerve and brachial artery - not drawn in class
Evacuated tubes containing an anticoagulant additive must be gently mixed to prevent blood from clotting
Characteristics of veins carry deoxygenated blood, have valves (the blood is NOT under pressure) Within the vein muscle facilitate the movement of blood and valves prevent backflow
A butterfly needle is used for drawing from fragile veins, drawing small veins, drawing from veins in the hand (used for more control)
Proper procedure when cleansing a venipuncture site is rub the site with alcohol in an outward, spiraling motion and allow 30-60 seconds to dry before the puncture.
What angle should a needle be inserted at 15-30 degrees
In order to prevent mislabeling, the tubes are labeled after blood is drawn and patient is still present
Chemical used to clean human skin by inhibiting the growth of microorganisms antiseptic
Components of the chain of infection Pathogen, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host
3 ways to get a blood sample capillary, venipuncture, arterial
What things are important in vein selection? size, depth, direction
Fibrinogen A blood clotting factor
Serum Blood specimen that does not contain an anticoagulant
Antecubital Near the bend of the elbow
Hemolysis Rupture or lysis of the blood cells
Median Cubital Vein Best vein to use for venipuncture
Arteries Vessels that carry blood away from the heart
Basilic Vein Alternate vein to use for venipuncture. Last choice when no other vein is available.
Veins Branching vessels that flow back to the heart.
Anticoagulant Substance introduces in to the blood or a blood specimen to keep it from clotting.
Tourniquet A soft rubber strip used on the arm to help find a venipuncture site.
Hemostasis Blood-clotting process in the body
Plasma Blood specimen that does contain an anticoagulant
Saphenous vein The longest vessel in the body
Hematoma Leakage of blood into surrounding tissue
Capillary Contains a mixture of arterial and venous blood
Citrates Type of anticoagulant additive for blood collection tubes, prevents the blood clotting sequence by removing calcium and forming calcium salts
Gauge Number Refers to the size (diameter) of the internal bore (opening) of a needle
Glycolytic inhibitor An additive used in collection tubes that prevents glycolysis
Heparin An anticoagulant that prevents blood clotting by inactivating thrombin and thromboplastin, the blood-clotting chemicals in the body
Syncope The transient (and frequently sudden) loss of consciousness due to the lack of oxygen to the brain (fainting) and resulting in the inability to stay in an upright position
Blood infection blood culture
PT Light Blue Top
Prothrombin Time Light Blue Top
PTT Light Blue Top
Partial Thromboplastin Time Light Blue Top
Fibrinogin Light Blue Top
Factor 8 Light Blue Top
Sodium Tiger Top/ SST
Potassium Tiger Top/ SST
Thyroid Panel Tiger Top/ SST
T3 Tiger Top/ SST
T4 Tiger Top/ SST
T7 Tiger Top/ SST
Liver Panel Tiger Top/ SST
Liver Profile Tiger Top/ SST
Cholesterol Tiger Top/ SST
Chem 6 Tiger Top/ SST
Chem 12 Tiger Top/ SST
Chem 20 Tiger Top/ SST
Vitamin C Tiger Top/ SST
Vitamin E Tiger Top/ SST
electrolytes Tiger Top/ SST
Bilirubin Tiger Top/ SST
Dilantin blood levels Tiger Top/ SST
Digoxin Blood levels Tiger Top/ SST
ASA blood levels Tiger Top/ SST
Tylenol blood levels Tiger Top/ SST
Lithium blood levels Tiger Top/ SST
Phenobarbital blood levels Tiger Top/ SST
Serology testing Red Top
Mono Spot Red Top
Epstein Barr Virus Red Top
Lymes Red Top
Rabies Red Top
HAV Red Top
HBV Red Top
HCV Red Top
HDV Red Top
HEV Red Top
Measles Red Top
Mumps Red Top
Rubella Red Top
MMR Red Top
Varicella Red Top
Chicken Pox Red Top
HIV Red Top
Herpes Red Top
HSV Red Top
Syphilis Red Top
RPR Red Top
VdRL Red Top
serum hCG Red Top
Pregnancy test Red Top
Ammonia Green Top
Blood pH Green Top
Cortisol Green Top
Chromosome analysis Green Top
toxicology testing Dark Blue Top
Marijuana Dark Blue Top
Cocaine Dark Blue Top
LSD Dark Blue Top
Amphetamines Dark Blue Top
Arsenic Dark Blue Top
Aluminum Dark Blue Top
Chromium Dark Blue Top
Copper Dark Blue Top
Iron Dark Blue Top
Mercury Dark Blue Top
Nickel Dark Blue Top
Selenium Dark Blue Top
Zinc Dark Blue Top
Lead Dark Blue Top
CBC Lavender Top
Complete Blood Count Lavender Top
WBC count Lavender Top
Hematocrit Lavender Top
Hemoglobin Lavender Top
ESR Lavender Top
Sed Rate Lavender Top
reticulocyte Lavender Top
T-cell count Lavender Top
TxC Pink Top
Type and Cross Pink Top
packed RBC's Pink Top
Rh Blood Banking Pink Top
DNA testing White Top
Blood Glucose Grey Top
FBS Grey Top
GTT Grey Top
Fasting Blood Sugar Grey Top
Glucose Tolerance Test Grey Top
ETOH Grey Top
Blood Alcohol Grey Top
Created by: ladypolaris14