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Phlebotomy Reviews
NCCT preparation
| Question | Answer |
|---|---|
| A patient's arm band has a different medical number than on your order but the name and date of birth are the same. Do you continue with the draw> | No |
| Two questions to ask a patient to confirm that they are the correct patient are what? | What is your name and Date of birth |
| The urinary system is responsible to | filter waste |
| The respiratory system is responsible for | oxygenating blood |
| Which is a smaller gauge 18 or 25? | 25 |
| lancets for infant heel sticks are smaller than | 2.5 mm |
| Lavender top tubes have what chemical in them? | EDTA |
| Common hematology tests are (list4) | CBC, hgb, hct, differential, sickle screen, Sed rate, platelet counts |
| The light blue tube has what chemical in it? | Citrate |
| The light blue tube is used for what tests? | coagulation studies PT, PTT, |
| Red top tubes are used for what? | Serum Chemistries |
| Red top chemistries are | glucose, cholesterol, triglycerides, potassium, BUN, DK liver |
| SST stands for | Serum separator tube |
| SST chemistries are | glucose, cholesterol, triglycerides, potassium |
| Green top tubes have what chemical in them | Heparin |
| Green top tubes are commonly used for which tests? | ammonia, HLA types, chromosome screens |
| Gray top tube has what chemicals in it? | sodium: oxylate and flourate |
| Gray top tubes are used for what tests? | glucose only, GTT, blood alcohol test, lactic acid |
| The yellow top tube has one of two chemicals. What are they? | ACD or SPS |
| ACD yellow top is used for what tests? | Cell studies like genetics |
| SPS yellow top os used for what tests? | blood cultures for transport |
| What is the usual antiseptic for venepunctures? | 70% alcohol |
| What is the usual antiseptic for blood alcohol levels? | Betadine |
| What is the usual cleanser for blood cultures? | Chlorahexadine |
| If a person is allergic to shellfish (iodine) what antiseptic should be used? | Chlorahexadine |
| If a person is allergic or on a drug sensitive to alcohol what antiseptic should be used? | Betadine |
| What is the angle of penetration for venepuncture? | 30 degrees |
| What is the angle of penetration for winged infusion sets? | 15 degrees |
| What is the angle for preparing blood smear slides? | 30 degrees |
| If a patient has an IV drip going into an arm, where do you draw blood? | Below the IV or other arm. |
| What condition of a patient would you not draw from affected arm? | Masectomy or removal of arm lymph nodes |
| For a finger stix blood draw why do you wipe away the first drop | interstitial fluid may dilute sample |
| If you squeeze a finger puncture to vigorously what can happen? | Interstitial fluid may dilute sample. |
| The function of the heart is to do what? | Pump blood |
| The function of arteries is to do what? | carry blood away from the heart |
| The function of veins is to do what? | Carry blood to the heart. |
| What is the function of the pulmonary vein? | Carry blood from the lungs to the heart. |
| What is the function of the pulmonary artery? | Carry blood from the heart to the lungs. |
| What are the smallest blood vessels called? | Capillaries |
| What are small veins called? | Venules |
| What are small arteries called? | Arteriols |
| The practice of Universal Precautions in drawing blood is to prevent disease spread to whom? | The phlebotomist. |
| EDTA binds what to prevent clotting? | Calcium |
| What organization is responsible for safety? | OSHA |
| Who is responsible for safety training in the hospital setting? | The employer |
| Heparin blocks what during a clot formation? | thrombin |
| In patient contact, when do you wash your hands? | Before and after |
| Citrate binds to what to prevent clotting? | Calcium |
| Glass tubes may break in a centrifuge, why is it important to wait for the machine to stop? | Prevent blood & glass aerosols. |
| How do you remove broken glass in a centrifuge? | with gloves and forceps |
| The purpose of a tourniquet is to help what? | locate a vein, restrict blood flow |
| If a vein collapses during a venapuncture, what should you do? | Reduce vacuum pressure with a smaller tube or syringe. |
| If a patient is awake and aware refused to have their blood drawn, what should you do? | Respect their wishes. |
| 3 required attributes of a sharps container are? | Puncture, spill and tamper resistant. |
| Burn patients have their blood drawn where? | undamaged and unscarred skin |
| List 2 things to minimize aerosol contamination. | Keep rubber stoppers on the tube and wait for centrifuge to stop. |
| Bleach solutions are diluted to what ratio? | 1:10 |
| Spinning a red top sample before clotting has finished causes what? | Fibrin strands in the serum |
| What is the safe time limit for the use of a tourniquet? | 1 minute |
| If a hematoma forms during venipuncture what must you do? | Discontinue and apply pressure. |
| In a gray top tube what is Sodium fluoride used for? | antiglycolosis |
Created by:
Ladybug9537
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