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Final Jeopardy
| Term | Definition |
|---|---|
| Dept. all cultures go to | microbiology |
| Largest and busiest area of the clinical lab | chemistry |
| What tubes for Type & Rh? | Red, Yellow, Pink, Purple |
| What test needs an amber microcollection tube? | bilirubin |
| Which specimen type is most frequently used in Serology/Immunology? | Serum |
| Order of Draw for: PPT, SST, Gray | SST, PPT, Gray |
| Order of Draw for: Lavender, Blood Cultures, Red | Blood Cultures, Red, Lavender |
| Order of Draw for : Blood Culture, Navy Blue, Red, Yellow, PPT, SST | Blood Culture, Red, SST, PPT, Navy Blue, Yellow |
| 3 types of tests that CANNOT be done on a skin puncture specimen | ESR, coagulation tests that require plasma, tests that require a large volume of blood, serum, or plasma |
| Never do this when drawing a dorsal hand vein on an infant | apply a tourniquet |
| 2 types of collection devices for dermal puncture | microcollection containers, microhematocrit tubes, filter paper |
| Never puncture deeper than ___ when performing an infant heel stick | 2 mm |
| How to tell the difference between an artery and a vein | An artery has a pulse |
| Blood obtained from dermal puncture is a mixture of what 5 things? | arterial blood from arterioles, venous blood from venules, capillary blood, interstitial fluids, intracellular fluids |
| Order of Draw for: Navy Blue, Red, Yellow | Red, Navy Blue, Yellow |
| Order of Draw for: Green, Gray, Light Blue, Red, Pink | Light Blue, Red, Green, Pink, Gray |
| What test is gray top most commonly used for? | Glucose |
| How do you mix the additives in the tubes and how many times? | Gently invert 8-10 times |
| Which tube must be full to be accepted? | Light Blue |
| The needle should enter the vein ____ up | bevel |
| The smaller the number the _____ the gauge of the needle | larger |
| The site used for venipuncture should be cleaned in what shape? | concentric circles |
| A good vein has what? (feeling) | a bounce or resilience |
| Why anchor a vein? | to prevent it from rolling |
| At what angle should the needle enter the vein? | 15-30 degrees |
| How long is considered fasting? | 8-12 hours |
| If you must draw blood from an arm with an IV, where should you draw? | below the IV |
| If you must draw from an arm with a hematoma, where should you draw? | distal to the hematoma |
| In a lipemic specimen, the serum or plasma appears what color? | milky or cloudy |
| What test is used to test for carbohydrate metabolism disorder? | GTT (Glucose Tolerance Test) |
| Name 3 specimens that must be kept cold after collection. | Ammonia, Lactic Acid, ACTH |
| Name 3 specimens that must be protected from light following collection. | Bilirubin, Vitamin A, Vitamin B |
| What 3 things does a barcode represent? | ID#, Lab test, Patient name |
| 3 common types of requisitions | manual, computer, barcode |
| QNS | quantity not sufficient |
| Hemoconcentration | Condition in which there is an increase of RBCs and blood components and a decrease in plasma in the blood vessel. |
| Additive in Purple tube | K2 EDTA or K3 EDTA |
| Additive in Red tube | clot activator or nothing |
| Additive in Navy Blue tube | K2 EDTA or clot activator |
| Additive in Gray tube | sodium fluoride and potassium oxalate |
| Additive in PST | lithium heparin and silicon gel separator |
| Lipids are what? | fats |
| Analyte | general term for a substance undergoing analysis |
| Osteomyelitis | bone inflammation |
| Urine is preferred over blood for what type of screening? | drug screening |
| What type of specimen is collected to diagnosis cystic fibrosis? | sweat |
| What can be detected by a breath specimen? | H. Pylori |
| What is needed for a rapid strep test? | a throat swab |
| What is required to test differential? | a blood smear/slide |
| What is the preferred collection method for a PKU? | dermal puncture |
| What is the most important step in specimen collection? | patient ID |
| 3 methods of urine collection | random, midstream, clean-catch |
| What can be tested to detect chronic drug abuse? | hair |
| 4 situations that may trigger a hematoma. | excessive/blind probing, needle only partly inserted into the vein, needle penetrates all the way though the vein, pressure is not adequately applied following venipuncture. |
| 3 types of point of care testing | glucose, ABG, coagulation testing, troponin, bleed time, lipids, BMP, Hgb & Hct |
| ETOH testing is collected in which tube? | Gray |
| Point of care testing is NOT commonly found where? | clinical labs |
| What levels are monitored to ensure the levels of the drug to stay within the therapeutic range? | trough |
| 4 reasons a specimen may be rejected | QNS, wrong tube, inadequate labelling, specimen not chilled, etc |
| What is therapeutic Phlebotomy? | withdrawing a large volume of blood as treatment for certain medical conditions (ex: polycythemia) |