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venipunture final

order of draw lt blue, red, gold/red gray, green, lavender/pink, gray
light blue sodium citrate, invert 3-4x, stand time 0, centrifuge 15 min, plasma
red clot activator, invert 5x, stand time 30min, centrifuge 10min/2hrs, serum
gold/red gray gel/clot activator, invert 5x, stand time 30 min, centrifuge 10min/2hrs serum
green heparin, invert 8-10x, stand time 0, centrifuge 0, plasma
lavender/pink edta, invert 8-10x, stand time 0, centrifuge 0, plasma
gray sodium fluoride, invert 8-10x stand time 0, centrifuge 0, plasma
what is serum the liquid portion with clotting factors removed
what types of test are run from a serum specimen red/gold- chemistry
what is plasma liquid portion of blood
what types of test are run from a plasma specimen (green ,gray), (lav,pink), (blue)- chemistry, hematology, coagulation
how much blood do you need to draw to collect 2ml of serum? 4ml
what is a separator tube? separates cells/clots from plasma or serum
what does a separator tube contain synthetic gel
why is it important to draw in the correct order avoid contamination of additives
which would be drawn first; cbc or coagulation study coagulation
whole blood specimens used for blood counts (RBC, WBC, etc.) should be refrigerated and tested with in 72 hrs
what size needle is used on a child under 2yrs of age 23g butterfly, dorsal hand
local anesthetic cream may be applied on a child before drawing blood. when should it be applied before the procedure 1hr
when a pt is diabetic and a glucose test is required, which tube is used and what is the correct draw gray first
cbc, rbc, platelet count, HgB, Hct hematology, lavender, plasma
cholesterol, sodium chloride, potassium, electrolytes chemistry, gold, serum
PT/NR coagulation, light blue, plasma
why do we chart what we have done or not done if its not in the chart it didn't happen
what info is recorded in the pt chart date, time, what was done, site, what was done w/ the specimen
what info is recorded on the tube pt name. DOB, date, time
in which types of situations would you choose to perform a syringe blood draw? fragile veins, young child, suction might collapse vein, dehydrated pt, poor distention, elderly
how do you know you are "pulling" the blood at the correct speed? no more than 1ml of head space
what might occur if you are "pulling" the blood to quickly hemolysis
are these tubes sterile yes
where are blood cultures in the order of draw 1st
is the venipuncture procedure an aseptic or sterile procedure aseptic
why is hand-hygiene important during venipuncture reduce risk of transmitting infection
when are hands washed before and after procedure
when are gloves worn during actual VP - ok to palpate and prepare without gloves on
how do you make sure you have the correct patient verify name and dob
what are appropriate communication to tell or ask your pt before beginning a procedure ask permission to draw their blood, explain the procedure, ask if patient has a history of problems with blood draw
where should your supplies be during the procedure on your non-dominate side
the median vein is most commonly used and is located in the antecubital area
the basilic vein is located is avoided due to its proximity to the brachial artery and median nerve
the best vein to draw blood from are those that you can palpate
70% alcohol should not be used for blood cultures alcohol allergy blood alcohol test
what can happen if you perform the procedure before the alcohol is dry hemolysis, stinging
what is the correct tourniquet placement 3-4 inches above the elbow
the tourniquet should be released when the last tube is 1/2 to 3/4 full
can the tourniquet be placed over clothing yes
what are the complications of leaving a tourniquet on too long hemoconcentration, altered test results, petechiae, pain, nerve damage, hemolysis
how long should you observe the vp site before applying the gauze and tape 5 to 10 sec
what is the purpose of asking the patient to "pump and hold twice" distend the vein with blood
what is SESIP self sheathing retractacle needle
what do you do if the needle comes out partially-push it back in; completely-stop procedure
what is frothing blood come out so fast it froths or bubbles
what causes frothing needle lumen too long, loose connection of equipment, removing the needle while tube still intact, tourniquet in tight
why is frothing avoided hemolysis
what are possible causes of hematoma excessive probing, failure to insert the needle far enough into the vein, needle goes through the vein
what is hemoconcentration concentration of blood cells is increased in proportion to the plasma
how do u avoid this complication don't leave tourniquet on longer than 1 min
what is hemolysis breakdown of rbc release of hemogloblin from cell
how do you know when a specimen is hemolyzed ? rosy color to bright red serum or plasma
what are petechiae small pin-point hemorrhage in the skin
how do you avoid this complication tourniquet is on too long or too tight
what would you do if you saw petechiae developing while drawing blood loosen tourniquet and keep drawing
what to do if the antecubital space has been recently burned choose another site because these areas are prone to infections
what must you consider when drawing blood from an obese pt veins are deeper, difficult to palpate, deeper angle
what does it mean when your pt becomes nauseous during the procedure talk through it, offer emesis basin, cool compress deep breaths
what must you consider with a pt with a history of fainting or become light-headed during venipuncture lay them down for procedure
how do smelling salts work ampule filled with ammonium carbonate
how are smelling salts applied break ampule, wave it back n forth 4 inches under nostrils until regain consciousness
what must you consider with a pt taking anti-coagulant medication bleeding is more likely and requires extended pressure
what causes collapsing veins suction in tube is too great
your pt complains of a stinging sensation with the venipuncture procedure most likely cause alcohol not dry
what is necessary prior to drawing blood specimens from the lower extremity doctors order
list 3 ways you can cause nerve damage during the venipuncture procedure wrong site excessive probing inserted too deeply
what percent of physicians base their treatment decisions on blood test 80%
how does this apply to you DO IT RIGHT !!
Created by: t4achange