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Phleb SG CH 12-15
| Question | Answer |
|---|---|
| What pH value indicates alkalosis? | Above 7.45 |
| What pH value indicates acidosis? | Less than 7.35 |
| Which artery is most commonly used for ABG collection? | Radial |
| What is the normal pH of blood? | 7.35-7.45 |
| What parameter measures the amount of oxygen on the blood? | Pa O2 |
| What parameter is a measure of the percent oxygen in the blood? | O2 sat |
| What blood parameter is a measure of carbon dioxide levels in the blood? | Pa CO2 |
| Which blood parameter measures the acidity or alkalinity of the blood? | pH |
| What artery has the best collateral collection? | Radial artery |
| Where is the radial artery located? | Thumb side of the wrist(distal forearm) |
| What anticoagulant is used for arterial blood gas collection? | Heparin |
| What test measures the levels of bicarbonate blood? | Bicarbonate(HCO3) level |
| Where is the tourniquet placed for ABG collection? | Its not used |
| A blood gas specimen that is not iced must be transported to the laboratory with what time frame? | 5-10 mins |
| What test is commonly used to assess the collateral circulation of the radial artery? | Modified Allen Test |
| What arterial sampling error lowers pH value? | introduction of air bubbles |
| What possible complication of the arterial puncture cab close the artery, thereby preventing oxygen from reaching tissue? | Arteriospasm |
| What is the approximate blood volume of a 150 pound adult? | 4.5-5.5 liters |
| What is the maximum amount of blood that can be removed from a child in a 1 month period? | 10% |
| Removal of greater than what percentage of a child's blood volume can cause cardiac arrest? | 10% |
| Using the standard newborn volume of 80 mL/kg, a 3.2 kg infant has 256 mL of blood. How much blood can safely be withdrawn from the infant? | 7.68 |
| Infants should not have greater than what percentage of their blood removed in a 24 hr period? | 3% |
| What special precautions must be taken with neonatal bilirubin samples? | Protect from light |
| What is the most commonly used anesthetic cream for venipuncture in pediatric patients? | EMLA |
| Adhesive bandages are not used on children younger than what age due to the danger of choking? | 2 yrs old |
| What is the primary reason that blood collection for a child should be kept as calm and comfortable as possible? | To reduce stress and movement, which can improve blood flow and minimize pain |
| What is the appropriate way to collect blood from a child ? | Explain the procedure in an age appropriate way, use a calm tone when speaking, have parent assist by holding the child |
| Define the term jaundice. | The yellowing of the skin cased by excess bilirubin |
| What organ processes bilirubin to keep its level from becoming to high in the blood? | Liver |
| Bilirubin is produced from the breakdown of what? | RBC(hemoglobin) |
| How is identification of a newborn established before collecting specimen? | By hospital wrist band attached to wrist or ankle |
| How are neonatal screening samples usually collected | Heel-stick |
| U.S law states to test for minimum of two inherited conditions. What are the two conditions? | PKU and Hypothyroidism |
| What effect does hemolysis of the specimen have on bilirubin test? | Can falsely decrease bilirubin results |
| Why must neonatal PKU be performed by heel stick rather than venipuncture? | It is capillary blood test and neonatal veins are small |
| Define Hyperglycemia. | High levels of glucose in the bloodstream |
| Time specimen are most likely to be requested for what? | High level of glucose in the bloodstream |
| Timed specimen are most likely to be requested for what? | Therapeutic drug monitoring |
| If a venipuncture is required on a child younger than 2, what is the preferred site for phlebotomist using a butterfly needle to collect the sample? | Dorsal Hand Vein |
| After 12 hours of fasting and abstention from strenuous excercise, the body is said to be in what state? | Basal state |
| A test requisition list the glucose specimen to be collected as a 2 hour postprandial. When should it be collected? | 2 hours after eating |
| What is the test that is used to diagnose hypoglycemia? | OGTT |
| When does the timing of an oral glucose tolerance test begin? | Blood Glucose Test immediatly after patient finishes glucose solution |
| What test is used to diagnose gestational diabetes? | OGTT |
| What specimen sample is used to check the success of vasectomy procedures? | Semen |
| What is 2:30 in military time? | 1430 |
| Which organ of the body creates urine? | Kidney |
| Q&P requires a sample of what? | Poop(Fecal) |
| During an oral GTT what is the patient allowed to consume? | Water |
| What type of fecal testing is used to detect the amoeba Giardia? | O&P (ova and parasite) |
| What is an acceptable specimen for semen analysis? | The entire ejaculate collected by masturbation in a clean container |
Created by:
Kalu.Jayla1
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