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Phlebotomy
Phlebotomy Exam Prep
135
Health Care
Undergraduate 1
12/07/2012

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Cards

Term
What section of the lab is the largest?
Definition
Chemistry
Term
Who does biopsies?
Definition
Pathologists
Term
Who does pap smears?
Definition
Cytology
Term
What is it called when blood is drawn to a deadly level
Definition
Exanguination
Term
What is the federal law that regulates the responsibilities of lab personnel?
Definition
CLIA '88
Term
What is it called when we talk about the use of space?
Definition
Proxemics
Term
What area of the lab screens for infectious diseases?
Definition
Serology/immunology
Term
WHat is the charge that can be filed against you if you don't get consent before drawing blood?
Definition
Assault and battery
Term
What are some reasons why specimens may be rejected?
Definition
QNS (quantity not sufficient), clotted, hemolysis, wrong tubes, specimen wasn't transported properly, wrong time of collection
Term
What do you do if you are not familiar with a test that's been ordered?
Definition
Check the manual
Term
What is the best way to control external bleeding?
Definition
Pressure
Term
At what time intervals do you have to get doses of the hepatitis vaccine?
Definition
You get the first, then another one month later, then another one six months after the first.
Term
Why would someone be put in protective isolation?
Definition
Because they are a susceptible host
Term
What is the order of putting on PPE? What is the order of taking it off?
Definition
Gown, mask, glvoes. Gloves gown mask.
Term
What is the main safety principle involved with radiation?
Definition
Shielding, distance, time.
Term
WHat is the definition of a nosocomial infection?
Definition
Hospital contracted infection
Term
WHat is the medical name for a white blood cell?
Definition
Leukocyte
Term
WHat is the medical name for a red blood cell?
Definition
Erythrocyte
Term
What is the name for an immature red blood cell?
Definition
Reticulocyte
Term
What is the structure of our skin that gives rise and fall to finger prints?
Definition
Pappilae
Term
What is the major cause of respiratory distress in infants?
Definition
RSV- respiratory sensitial virus
Term
WHat type of muscle is voluntary?
Definition
skeletal
Term
When you are facing someone in a normal anatomical position it is called?
Definition
Frontal
Term
What is the avascular layer of the skin?
Definition
Epidermis
Term
What cavity holds the brain?
Definition
Dorsal and cranial
Term
What cavity encases the heart?
Definition
Thoracic cavity
Term
What cavity houses the intestines?
Definition
Abdominal and pelvic
Term
Which hormone that is specific to the heart is elevated when too much fluid has built up?
Definition
BNP for congestive heart failure
Term
Which gland is it that is called the master gland?
Definition
pituitary
Term
What is hemostasis?
Definition
the process by which blood clots
Term
What is homeostasis?
Definition
a steady state of equilibrium
Term
What is hemolysis?
Definition
the red blood cells are damaged or broken and hemoglobin escapes into the serum
Term
What is hemoconcentration?
Definition
The big cells are held back and there is a higher concentration of other cells in the area?
Term
Which artery is the easiest to access with low cardiac output?
Definition
femoral
Term
What is the preferred artery?
Definition
radial
Term
And what is the other artery that cna be used?
Definition
brachial
Term
What is the most common needle size for ABGs?
Definition
1 inch, 22 gauge
Term
What anesthetic is most commonly used?
Definition
lidocaine
Term
When an area is supplied with blood from multiple arteries, it is called....
Definition
collateral circulation
Term
When we do a capillary puncture, why do we wipe away the first drop of blood?
Definition
tissue fluid
Term
When we spin specimens in the centrifuge, the centrifuge must be...
Definition
balanced
Term
What type of specimen collection is aspirated through the abdomen into the bladder?
Definition
suprapubic collection
Term
What is the proper angle for an ABG?
Definition
45 degrees
Term
What are the conditions in which blood gets taken form the patient as treatment called?
Definition
Polycythemia and hemcromatosis
Term
What is autologous blood used for?
Definition
It is a donation of your own blood for your own future use
Term
What test needs a 9:1 ratio?
Definition
PT
Term
What is the hormone tha tis detected in a postiive pregnancy test?
Definition
HCG
Term
What is a qualititative test?
Definition
a test with a yes or no answer
Term
What is a quantititaive test?
Definition
a test with an answer of how much
Term
What is a fistula?
Definition
a permanent fusion of an artery and a vein
Term
What is the reference value that is higher with skin punctures?
Definition
glucose
Term
Where does lymph fluid originate form?
Definition
excess tissue fluid
Term
What is the major difference between arteries and veins/.
Definition
veins have valves
Term
What layers of the skin contain blood vessels?
Definition
the dermis and the subcutaneous
Term
What is the skin on the inside that lines the organs?
Definition
epithelial cells
Term
What are some of the reasons why we should leave tubes right side up?
Definition
increased risk of splash or aerosol, it enhances the formation of a clot, the cells wont bang together
Term
What is the maximum time limit for separating plasma or serum?
Definition
two hours
Term
What is the fluid that is collected form the lumbar area of the spine?
Definition
cerebrospnal
Term
What are some of the tests that need to be protected from light?
Definition
bilirubin, amniotic fluid, sometimes urine
Term
What specimens need to be kept cold?
Definition
ammonia, ABGs
Term
WHat specimens need to be kept warm?
Definition
cold agglutinin
Term
What blood specimen must be tested at room temperature?
Definition
potassium
Term
What is the best area of an infant's heel to puncture?
Definition
lateral plantar
Term
what is the heel bone called?
Definition
calcaneous
Term
WHat is the best area of a finger to puncture?
Definition
lateral palmar
Term
What is the maximum depth of a skin puncture?
Definition
2mm
Term
What specimen can result in fatal consequences when mislabeled?
Definition
type and cross match
Term
What is the time interval to touch filter paper to drops of blood
Definition
30 seconds
Term
What is the most important part of a culture?
Definition
skin antisepsis
Term
What does vicarious liability mean?
Definition
the employer takes responsibility
Term
What is respondent superior?
Definition
"let the master respond"
Term
WHat is the maximum time that a tourniquet can be left on?
Definition
one minute
Term
What is the most critical error a phlebotomist can make?
Definition
misidentification
Term
What is the reason to let alcohol dry?
Definition
it will sting if still wet, the evaporation destroys the microbes, it may cause hemolysis
Term
Why is it not a good idea to colect froma screaming infant?
Definition
falsely elevated white blood cells
Term
What is the best tube to collect a blood alcohol specimen in?
Definition
grey top. It preserves alcohol
Term
What additive is in a green top tube?
Definition
heparin
Term
What additivie is in a lavender top tube?
Definition
EDTA
Term
What additivie is in a blue top tube?
Definition
citrate
Term
What additive is in a grey top tube?
Definition
fluoride
Term
Where is the blood initially recieved?
Definition
upper/lower vena cava (or superior and inferior)
Term
What is always the recieiving chamber of the heart?
Definition
the atria
Term
What are the delivering chambers?
Definition
the ventricles
Term
WHat does the left ventricle deliver and to where?
Definition
oxygenated blood to the aorta to the smaller arteries, capillaries and venules throughout the body
Term
What type of blood cell can pass through thte vessels?
Definition
leukocytes (WBCs)
Term
What are some reasons that might make blood in a serum tube take longer to clot than a normal one?
Definition
it may not have a clot activator, if the person is one blood thinners, if the person has a very high white blood cell count, if it is chilled
Term
What is an aliquot?
Definition
part of the specimen that is pipetted into a tube
Term
Whats the most common tube that blood bank would ask for when a cross match is ordered?
Definition
plain red top with clotted blood
Term
What does the lab have its own id band for?
Definition
to identify a person for type and cross-match
Term
What are some tests that can be done point of care?
Definition
urine, glucose, hemoccult test, ABGs
Term
If blood is drawn too fast from a vein with too small of a needle or a tiny vein, what would happen?
Definition
the vein would collapse, and the specimen would hemolyze
Term
When we're collecting specimens by skin puncture in microtainers, what is different about the order of draw?
Definition
first is capillary blood gases, then EDTA, then any other additive, and then plain serum tubes
Term
What is a delta check?
Definition
comparing the same test form the same person at different times of the day
Term
What are MSDS sheets?
Definition
material safety data sheets
Term
What is airborne transmission?
Definition
evaporated droplets that hang in the air that came from a sneeze or cough
Term
What is contact transmission?
Definition
direct or indirect contact with infectious fluids
Term
What is vector transmission?
Definition
from animals or insects
Term
What is vehicle transmission?
Definition
contaminated food, water, drugs, etc.
Term
What are ways that htese things cna get into the body?
Definition
permuscosial, percutaneous, ingestion, perinteral
Term
What is the pneumonic device for fire safety?
Definition
RACE: rescue people that are in danger, activate the alarm, confine the fire by closing doors, extinguish the fire with the nearest suitable fire extinguisher. PASS: pull the pin, aim the nozzle, squeeze the trigger, sweeap at the base of the fire
Term
What is the new name for the patients bill of rights??
Definition
patient care partnership
Term
When we say something is distal...
Definition
it is the farthest point from attachment that you are referring to
Term
What is proximal?
Definition
closer to the poin of attachment
Term
What is lateral?
Definition
to the side
Term
What is posterior?
Definition
to the back
Term
What is anterior?
Definition
to the front
Term
What are the twoo processes of metabolism?
Definition
catabolism and anabolism
Term
What does catabolism mean?
Definition
complex substances broken down into simple substances
Term
What does anabolism mean?
Definition
simple substances being turned into more complex substances
Term
What is an EKG?
Definition
electrocardiogram, it measures the electrical activity of the heart
Term
What are the three layers of the heart?
Definition
endocardium (innermost), epicardium (outermost), myocardium (muscular middle layer
Term
What are some reasons someone might be anemic?
Definition
not enough iron in the blood, iatrogenic when blood is being collected too mahy times, when someone doesnt absorb vitamin b through their stomach very well, excessive bleeding form some place (probably internally)
Term
What specific thing needs to be included in the labeling of non blood specimens (culture swabs)?
Definition
the source of the specimen
Term
what is something special that you need to do with amniotic fluid?
Definition
protect it from light
Term
Where is cerbrospinal fluid collected from?
Definition
between the second and third lumbar
Term
hwo do you handle cerbrospinal fluid?
Definition
keep it at room temperature
Term
When doctors are doing tests for gastric fluids, what are they checking that fluid for?
Definition
acidity of the gastric fluid, they give histamne to test how well he body is producing stomach acids
Term
What is an NP swab?
Definition
nasopharyngeal swab, checkin for influenza, MRSA, whooping cough (pertussis), specific types of ammonias
Term
What are some of the specific things that you need to tell a patient when you are collecting semen?
Definition
it must be kept warm, it has to be analyzed within 30 minutes of the time it was collected
Term
What are the three types of fluid in the body that are considered serous fluids?
Definition
pleural fluid (fluid that surrounds the lungs), pertoneal (abdominal cavity), pericardial (fluid that surrounds the heart)
Term
When a doctor orders a sputum test, what is most typically being checked for?
Definition
TB, sputum is often done for ccultures to check for infection
Term
What is the sweat chloride test done for?
Definition
cystic fibrosis
Term
Where does synovial fluid come from?
Definition
the joints
Term
whats a buccal swab?
Definition
from the cheeck to check for parentage
Term
Whenever doctors collect bone marrow from patients, what is it that they are usually checking for?
Definition
keukemia, cancer of the blood
Term
what can breath tests be done for
Definition
h pylori, and lactose intolerance (hydrogen)
Term
What are some of the things that they would be looking for if a doctor orders a stool sample?
Definition
ova and parasites, CDIF, a culture for things like salmonella, fecal fat
Term
What are the things tht can be checked from hair?
Definition
drugs of abuse, metals
Term
When the lab recieves tissue specimens, what is the tissue put in?
Definition
formalin
Term
What tube is CBC always collected in?
Definition
EDTA
Term
What are PTs and PTTs always collected in?
Definition
blue top
Term
What is the order of draw for vaccutainer tubes?
Definition
STOP (sterile culture)LIGHT (light blue) RED (red) STAY (SSTs) PUT (PSTs) GREEN (green) LIGHT (lavender) GO (grey)
Term
What is different with a butterfly colection if the only tube you have to collect is a blue top tube?
Definition
You need to collect another tube first to get rid of the air (most places want another blue top to be used)
Term
What are standard precautions?
Definition
It is used on all patients to contribute to their care. We dont treat anyone who looks really healthy differently than a person who is really sick. We treat all patients as if they are infectious.
Term
What is the medical term for fainting?
Definition
Syncope and vasovagal response.
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