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Finals flashcards
Little of everything
| Question | Answer |
|---|---|
| What is a type I latex allergy? | contact dermititis; skin irritation |
| What is a type IV latex allergy? | Can lead to anaphylactic shock |
| What is catabolism? | complex to simpler substances |
| What is anabolism? | using simple substances to build structures |
| Why is a blood culture collected? | Patient is suspected of having a bacterial infection of the bloodstream. MUST be sterile! |
| Where is a skin puncture collected from a child under 1 year? | heel or middle finger |
| Which blood collection tube does NOT bind the calcium? | Green (heparin) tube |
| Do arteries or veins leave the heart? | arteries; blood is oxygen rich |
| What is HIPAA? | health insurance portability and accountability act |
| What does HIPAA do? | original intentwas to protect health insurance coverage for workers/families if they changed or lost their jobs (COBRA) |
| How does HIPAA relate to phlebotomist? | a phlebotomist can't talk about patients and should only access info needed for their job |
| What is PHI? | protected health information |
| What is the Civil Monetary Penalties Law? | cannot claim a service that was not provided |
| What is the False Claims Act? | cannot present false claim to government or change a billing code to increase reinbursement |
| What is the Stark Law? | No self referral to their own business |
| What is the Antikickback Law? | prohibits knowingly and willingly offering anything of value in return for inducing or referring service to a lab |
| What is the Whistleblower Provision? | sue on behalf of the government when false claims are submitted; "turn someone else in and get part of the claim" |
| What is type I diabetes? | deficiency in insulin production (sudden onset in kids) |
| What is type 2 diabetes? | Most common. Lack of insulin activity. Mostly in adults |
| What is prediabetes? | Patients blood glucose is higher than normal. |
| What is the normal range for a blood glucose? | 90mg/dl |
| A semen collection must be kept at what temperature? | body temp (37 degrees c.) |
| How soon does a semen sample need to be transported? | STAT: within 30 min of collection |
| When is gestational diabetes testing done? The level cannot be greater than what? | testing at 24-28 weeks. Level not greater than 140 |
| What can occar of the tourniquet is left on too long? What levels are affected? | hemostasis can occur. potassium levels are affected |
| What are erythrocytes and what do they do? | RBC (red blood cells). Transport oxygen. Needs iron to function |
| What are Leukocytes? | WBC (white blood cells)fight disease |
| What are Thrombocytes? | platelets. clotting |
| What is PPE? | personal protective equipment. Masks, goggles, gown, gloves |
| What is NPO? | nothing by mouth |
| What is the rule when drawing blood from a resistant patient? | if you or the patient can be hurt, draw later |
| List 2 facts about obese patients | veins are deeper; no butterfly in arm. Fat deposits mimic veins |
| Can a patient refuse a blood draw? | yes |
| Which blood cells does excessive crying affect? | WBC. Elevated up to 1 hour |
| How much whole blood is needed to yeild 1 ml of plasma? | 2 ml |
| What is the fluid portion of blood called? | plasma |
| Lavendar top tube is also know as ? what common test? Department? | EDTA. CBC with or without diff. Goes to hematology |
| Light blue top tube also know as ? Common tests? Department? Ratio? | sodium citrate. Protime or PTT. Coagulation dept. 1:9 ratio. No microcollection device |
| Gray tube top also know as ? common test? Dept? | oxalate. tests glucose/ glycolytic inhibitor. Chemistry dept. |
| Blood consists of _____% formed elements and ____% fluid. | 45% and 55% |
| What is interstitial fluid? | fluid that has accumulated between cells and tissue |
| What is the total blood volume? | 5 liters |
| Where is lymph fluid found? | between the blood in the capillaries and the tissue |
| What causes a hemolyzed serum? | needle too small, temp extremes, pulling too forcibly on plunger. (serum is red) |
| What causes a lipemic serum? | patient condition: not fasting, too many lipids from medications. (serum is thick, creamy white) |
| What causes a icteric serum? | patient condition: medications, jaundice. (serum is orange) |
| Who governs the PHI? | medical records dept |
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