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Special Collections
Special Collections and Point-of-care testing
| Question | Answer |
|---|---|
| ACT | test used to monitor heparin therapy |
| aerobic | with air |
| agglutination | clumping, as in clumping of red blood cells in a transfusion reaction |
| analyte | substance being measured or detected by analysis |
| antimicrobial therapy | treatment with antibiotics |
| autologous | term used to describe blood donated for one's own use |
| BT | test platelet plug formation in the capillaries |
| chain of custody | special protocol for collecting, handling, and testing legal specimens |
| compatibility | suitability to mixed together with favorable results |
| ex vivo | outside the body |
| FUO | fever for which the cause is unknown |
| GTT | detects carbohydrate metabolism problems |
| HMT | high-dose heparin monitoring test |
| lookback | program that requires notification of recipients of blood products from donors that test positive for a transmissible disease. |
| peak level | highest serum concentration of a drug |
| POCT | bedside testing |
| PP | after a meal |
| septicemia | pathogenic bacteria in the blood |
| TDM | procedure used to manage individual patient drug treatment |
| trough level | lowest serum concentration of a drug |
| WBG | glucose measured in whole blood |
| what are the eligibility for donating blood? | age 17-66 years, 110 lb or more |
| identify the condition in which a unit of blood is withdrawn from a patient as a treatment | hemochromatosis |
| which specimen requires especially strict identification and labeling procedures? | blood type and crossmatch |
| before blood salvage during surgery can be reinfused in the patient it must be tested for? | residual free hemoglobin (high level indicates to many red blood cells have been destroyed) |
| donor units of blood are typically collected by using what gauge of needles? | 16-18 gauge |
| a typical unit of donated blood contains approximately? | 450 ML |
| Which type of tube can be used to collect blood for a type and screen? | lavendar to EDTA, nonadditive red top, and pin top EDTA |
| what test is collected using special skin decontamination procedures? | blood cultures |
| which type of test is performed to determine the probability that a specific individual was the father of a particular child? | paternity |
| why would blood cultures be collected with an antimicrobial adsorbing resin? | the patient is taking a broad-spectrum antibiotic |
| which speciman tubes must contain a 9:1 ratio of blood to anticoagulant to be accepted for testing? | coagulation |
| which blood culture container is inoculated first when the speciman has been collected by syring? | anaerobic (without air) |
| the most critical aspect of blood culture collection is? | skin antisepsis |
| a blood culture collection site is typically cleaned using? | chlorhexidine gluconate |
| what additive is sometimes used to collect blood culture specimen? | SPS |
| which type of specimen may require collection of a discard tube before the test specimen is collected? | coagulation |
| the abbreviation for a test that assesses platelet plug formation in capillaries is? | BT (factor assay) |
| which test is used as a screening test for glucose metabolism problems? | glucose tolerence test (GTT) |
| which of the following activities can affect glucose tolerance test results? | chewing sugarless gum, dringing tea without sugar, and smoking low-tar cigarettes |
| when does the timing of specimen collection begin during glucose tolerance test (GTT)? | after patient finishes the glucose beverage |
| a phlebotomist arrives to collect a 2 hour postprandial glucose specimen on an inpatient and discovers that 2 hours have not elapsed since the patient's meal. What should the phlebotomist do? | ask the patient's nurse to verify the correct time to draw the spicmen |
| a patient undergoing a glucose tolerence test vomits within 30 minutes of drinking the glucose beverage. What action shold the phlebotomist take? | notify the patient's nurse or physician immediately to determine if the test should be continued or rescheduled |
| increased blood glucose is called? | hyperglycemia |
| blood sugar (glucose) levels in normal individuals typically peak within what amount of time after glucose ingestion? | 30-60 minutes |
| Glucose tolerance test specimens can be collected by which means | can be skin puncture or venipunture but must be consistent for all specimens taken |
| patient preparation before a glucose tolerance test involves? | eating balance meals containing 150 g of carbohydrate for 3 day before the test, fasting for at least 12 hours before the test, and no smoking or chewing gum before or during the test |
| what is used to clean a site before blood alcohol specimen collection? | benzalkonium chloride |
| when is the "chain of custody" documentation used? | drug screen |
| purpose of therapeutic drug monitoring is to? | determine and maintain a beneficial drug dosage for a patient |
| drugs that are subjected to therapeutic monitoring are? | digoxin, gentamicin, and theophylline |
| a peak drug level has been ordered for 0900 hours (9 am). You draw the specimen 10 minutes late because of unavoidable circumstances. What additional action does this necessitate? | establish the last dosage time, notify the patients nurse, and record the time change when verifying the specimen |
| a trough level is collected? | immediately before administration of the next scheduled drug dose |
| which test requires the collection of multiple specimen? | glucose tolerance test |
| timing of collection is most critical for drugs with short half-lives, what are the drug? | digoxin, gentamicin, and phenobarbital |
| a bleeding time (BT) test assesses the functioning of this cellular element? | thrombocytes |
| the most common reason for glucose monitoring through point-of-care testing is? | monitor glucose levels in patients with diabetes |
| a trace-element-free tube is best choice for collecting a specmen for? | copper, lead, and zinc |
| Sources of error in point-of-care testing for blood glucose are? | dehydrated patient, elevated bilirubing count, and hematocrit sample size |
| which test typically has the shortest turnaround time? | whole blood glucose (WBG) |
| what is the name of a point-of-care testing ananlyzer? | coaguchek, hemochron jr., and I-Stat |
| monitoring blood coagulation through point-of-care testing my be performed during the following? | cardiac therapy, coumadin therapy, and heparin therapy (cannot be performed during lithium therapy) |
| what is the most common bedside or point-of-care testing test? | whole blood glucose |
| test used to monitor heparin therapy is? | ACT (activated clotting time) |
| what equipment is needed for a bleeding time test? | butterfly bandage, standarized incision device, and stopwatch |
| at what intervals is the blood blotted during a bleeding time test? | 30 seconds |
| which of the following will prolong a bleeding time test? | abnormally low platelet count, recent ingestion of aspirin, and touching the incision site with the filter paper |
| this test can determine if an individual has developed antibodies to a particular anitgen. | skin test |
| ionized calcuim plays a critical role in? | blood clotting, cardiac function, and muscular contraction |
| below normal blood pH is referred to as? | acidosis |
| what protein is specific to heart muscle? | troponin T |
| B-type natriuretic peptide (BNP) is a | cardiac hormone |
| this test is used to evaluate long-term effectiveness of diabetes therapy | hemoglobin A1c |
| this test is also referred to as packed cell volume | hematocrit (HCT) |
| this test detects occult blood | guaiac |
| which of the following is a skin test for tuberculosis exposure | PPD (purified protein derivative) |
| the abbreviation for thehormone detected in urine pregnancy testing is? | HCG (human chorionic gonadotropin) |
| which point-of-care blood glucose analyzer uses a microcuvette instead of a test strip? | HemoCue |
| an uncorrected imbalance of this analyte in a patient can quickly lead to death? | potassium |
| what type of specimen is needed for a guaiac test? | feces |
| how much antigen is injected when performing a purified protein derivate (PPD) test? | 0.1 mL |
| erythema means? | redness |
| when reading a patients tuberculosis test, there is an area of induration and erythema that mearsures 7 mm in diameter. The results of the test is? | doubtful |
| point-of-care detection of Group A strep normally requires? | throat swab |
| what can be detected in urine by color reactions that occur on a special reagent strip that is dipped in the urine specimen and then compared visually against color codes on the reagent strip container? | bilirubin, glucose, and leukocytes |
| new noninvasive technology can be used to measure? | bilirubin, glucose, and oxygen saturation |