Phleb Study Guide
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Phlebotomist job opportunities can be in | show 🗑
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Function of the circulatory system | show 🗑
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More circulatory function | show 🗑
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Heart has how many pumps | show 🗑
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What are the two heart circulations | show 🗑
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Function of Pulmonary circulation | show 🗑
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Oxygenation of blood occurs in: | show 🗑
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show | Carries oxygenated blood from the left ventricle throughout the body
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What are the chambers of the heart? | show 🗑
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What the valves of the right heart? | show 🗑
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show | Atrioventricular valve
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What kind is the Pulmonic valve | show 🗑
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What is the location of the Tricuspid | show 🗑
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What is the location of the Pulmonic | show 🗑
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show | Mitral (Bicuspid) and Aortic valves
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show | Atrioventricular
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show | Semilunar
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show | Between the left atrium and left ventricle
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show | Between the left ventricle and the Aorta
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show | Three
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What are the three layers of the heart? | show 🗑
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show | Endothelial inner layer lining of the heart
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show | Muscular middle layer. Contractile element of the heart
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Epicardium? | show 🗑
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show | Aorta, arteries, arterioles, capillaries, venules, veins, superior & inferior vena cavae
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Except the capillaries, blood vessels are composed of three layers | show 🗑
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What vessels carry oxygenated blood from the heart? | show 🗑
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show | Venules, veins and the Superior & Inferior vena cavae
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Capillaries are composed of: | show 🗑
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show | Capillaries
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show | Arterial and venous blood
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Average adult has how many liters of blood? | show 🗑
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What is the liquid portion of blood? | show 🗑
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What is the cellular portion of blood? | show 🗑
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show | Blood, proteins, amino acids, gases, electrolytes, sugars, hormones, minerals vitamin and 92% water and urea
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show | Erythrocytes, leukocytes, and thrombocytes
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show | Stem cells in the bone marrow
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Erythrocytes contain? | show 🗑
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show | An immature erythrocyte
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show | 4.2 - 6.2 million
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show | 120 days
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show | White blood cells
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show | Protects body from infection
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show | 5 - 10 thousand
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show | An increase in WBCs in cases of infection
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show | Decrease of WBCs in cases of viral infection of chemo
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How many types of WBCs are there? | show 🗑
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show | Neutrophils, Lymphocytes, Monocytes, Eosinophils, and Basophils.
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Function of Neutrophils? | show 🗑
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show | Fights Immunity. Second most numerous. Increase in cases of viral infection
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show | Fight intracellar infections. Largest WBCs. Monocytes in blood, but macrophages in tissues and become phagocytes. Increase with infections and tuberculosis
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Eosinophils | show 🗑
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Basophils | show 🗑
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show | Are platelets - small irregularly shaped packets of cytoplasm formed in the bone marrow. Essential for blood coagulation. Average number 140 - 440 thousand microliter.
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show | 9 - 12 days
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show | Process by which blood vessels are repaired after an injury.
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show | Four
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Name the four stages of Hemostasis | show 🗑
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show | Injury to a blood vessel causes it to constrict slowing the flow of blood
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show | Forms a temporary platelet plug to an injury
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What is aggregation? | show 🗑
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show | Vascular and Platelet phases
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Coagulation phase? | show 🗑
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What is the intrinsic pathway? | show 🗑
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show | the mechanism that produces fibrin following tissue injury, beginning with formation of an activated complex between tissue factor and factor VII and leading to activation of factor X, inducing the reactions of coagulation.
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show | Test used to evaluate the intrinsic pathway. Monitors heparin therapy
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Prothrombin time (PT) | show 🗑
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Fibrinolysis | show 🗑
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Fibrin degradation products (FDPs) | show 🗑
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show | Antecubital fossa of upper extremities
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Name major veins in the antecubital area: | show 🗑
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show | Vein of choice. Large and does not move when needle is inserted
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Cephalic vein | show 🗑
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show | Third choice. Least firmly anchored. Located near brachial artery. Usually painful.
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show | Sclerosed, Thrombotic & Tortuous veins
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70% Isopropyl alcohol pads | show 🗑
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Winged infusion (butterfly) sets are used: | show 🗑
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show | 10-20ml syringe is when the vacutainer method cannot be used
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show | Is 23gauge, 1/2 to 3/4 inch long
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Needle sizes differ in: | show 🗑
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What is a gauge? | show 🗑
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The smaller the gauge? | show 🗑
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The larger the bore? | show 🗑
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show | They can cause hemolysis
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show | Breakdown or destruction of RBCs
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Hematoma | show 🗑
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Hemoconcentration | show 🗑
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Phlebitis | show 🗑
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show | Tiny non-raised red spots on skin from rupturing of capillaries due to tourniquet left too long or too tight
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Thrombus | show 🗑
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show | Inflammation of a vein with clot formation
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Septicemia | show 🗑
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Trauma | show 🗑
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Factors to consider before performing venipuncture | show 🗑
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Fasting | show 🗑
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show | Accumulation of fluid in the tissues
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show | Permanent surgical connection between an artery and a vein. Used for dialysis procedures
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Analytical errors before collection | show 🗑
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show | Extended tourniquet time, Hemolysis, Wrong order of draw, Failure to invert tubes, Faulty technique, under filling tubes
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Analytical errors after collection | show 🗑
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Fasting speciments | show 🗑
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Timed specimens | show 🗑
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show | Used to evaluate diabetes mellitus. Compared with the level 2hrs after eating
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show | Used to diagnose diabetes and evaluate pts with frequest low blood sugar.
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3-hour OGTT | show 🗑
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5-hour OGTT | show 🗑
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Therapeutic Drug Monitoring | show 🗑
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show | Blood collected 30min before scheduled dose for therapeutic drug monitoring
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Peak (highest blood level) | show 🗑
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Blood Cultures (BC) | show 🗑
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show | Ordered for infants to detect phenylketonuria.
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Cold Agglutinins | show 🗑
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show | Require chilled immediately after collection in crushed ice or ice and water mixture.
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show | Arterial blood gases, ammonia, lactic acid, pyruvate, ACTH, gastrin, and parathyroid hormone
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Light-sensitive specimens | show 🗑
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Dermal punctures | show 🗑
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show | Dermal punctures which delivers a depth of from 0.85mm for infants and 3.0 for adults
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Infants dermal puncture site | show 🗑
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show | Distal segment of the third or fourth finger of non-dominant hand.
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show | a) Lavender tube
b)Tubes with other additives
c) Tubes without additives
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Order of draw for all other specimens | show 🗑
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show | Contains ethylenediaminetetraacetic Acid (EDTA)
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EDTA anticoagulant | show 🗑
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Common tests: CBC | show 🗑
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Light-Blue top tube | show 🗑
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Common Tests: Coagulation Studies | show 🗑
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APTT | show 🗑
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show | Evaluates the extrinsic system of coagulation cascade and monitors Coumadin therapy
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show | Contain anticoagulant Heparin combined with sodium, lithium or ammonium ion.
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Heparin | show 🗑
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Common Tests: Chemistry tests | show 🗑
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Gray top tube | show 🗑
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show | Fasting blood sugar (FBS); Glucose tolerance Test (GTT); Blood alcohol levels; Lactic acid measurement
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Red/Gray (speckled) top tube | show 🗑
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show | Most chemistry tests
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show | Also known as plain vacuum tube and contains no additive or anticoagulant. Collected blood clots by normal coagulation process in 30min.
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Red top Common tests | show 🗑
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Yellow top tube (Sterile) | show 🗑
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