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Hematology Internship Section 3
Coagulation/Hemostasis Technical Tips Page 103 & 104
14
Biology
Undergraduate 4
10/14/2015

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Cards

Term
What happens to a Patient's Platelet count if they are on Methotrexate (chemotherapy agent but also used to treat other conditions such as rheumatoid arthritis)?
Definition
Platelet count is reduced
Term
Which factor level can distinguish Liver Disease from DIC?
Definition
Factor VIII
Term
Would Factor VIII be Low or High in DIC? Why?
Definition
LOW
It is consumed in the clot
Term
Would Factor VIII be Low or High in Liver Disease? Why?
Definition
NORMAL Or ELEVATED
It is the only factor produced by vascular endothelial cells instead of the liver and is also an acute phase reactant.
Term
A short draw will ________ coagulation tests because some of the citrate remains and it combines with the calcium in the test system.
Definition
Prolong
Term
When patient's hematocrit is >______, the sample must be redrawn with less anticoagulant.
Definition
55%
Term
When patient's hematocrit is >55%, the sample must be redrawn with _____ anticoagulant.
Definition
LESS
Term
When patient's hematocrit is >55%, the sample must be redrawn with LESS ______.
Definition
Anticoagulatn
Term
True or False:
Tubes for coagulation should be drawn FIRST or after a Non-additive Tube
Definition
True
Term
True or False:
Tubes for coagulation should NOT follow an additive tube
Definition
True
Term
Why will the PTT be shortened if the blue top for a patient on heparin is allowed to sit on the cells at room temperature for more than 1 hour?
Definition
Platelet neutralization of heparin
Term
If all routine Coagulation tests are normal and the patient has POOR WOUND HEALING, what deficiency should be considered and how would you confirm it?
Definition
Factor XIII Deficiency
Urea Solubility Test
Term
If 1 control is OUT for BOTH PT & PTT, but the other Control is in, what should you do?
Definition
Repeat Test with a new reconstituted bottle of the control that was out of range.
Term
If BOTH controls are out of range (high) for BOTH PT & PTT and if normal patients are HIGH for BOTH PT & PTT, what should be suspected?
Definition
Instrument malfunction
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