Phlebotomy Study Guide

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Study Guide from Phlebotomy Workbook 2nd Edition

Phlebotomy

an incision into a vein

cross training

A phlebotomist who is teaching members of the nursing service how to correctly perform phlebotomy is participating in ____________.

hospital

the health-care setting in which most phlebotomists are employed is a/an ___________.

certified

A phlebotomist who is authorized to place the initials PBT(AMT) after his/her name has been what?

using negative body language

A phlebotomist who does not make eye contact with a patient is _________________.

pathologist

The primary liaison between the medical staff and the laboratory staff is a ______________.

pathologist

A specialist in the study of disease of tissues and organs through biopsies is a ______________.

pathologist

A medical technologist may serve as all of the following except: educator, laboratory manager, pathologist, section supervisor

immunohematology

Another name for blood bank is _____________.

fungi

Mycology is the study of _____________.

Microbiology

Parasitology is located in the __________ laboratory section.

plasma contains fibrinogen

The difference between plasma and serum is that _________________.

serology

A VDRL test is performed in ________________.

blood bank

The direct antiglobulin test is performed in ___________.

random

Types of specimens collected for urinalysis include all of the following first-morning, clean-catch and ___________.

inverted right after collection

To prevent blood from clotting the specimen must be collected in a tube containing an anticoagulant and ______________.

blood bank

ABO and Rh typing are performed in the _______________laboratory section.

median cubital

the vein most commonly used for venipuncture is the ________

hematology

the study of blood is known as ____________.

patient identification

the most important step to ensure accuracy in sample collection is __________

sphygmomanometer

the instrument that measures blood pressure is called a __________

pulsating

an artery can be distinguished from a vein because an artery will be __________

third and fourth (middle and ring)

adult capillary punctures most often involve use of the __________ fingers

hand washing

the single most important means of preventing the spread of infection in a hospital is by ______________.

EDTA

lavender top tubes contain _____________.

Sodium Citrate

light blue top tubes contain ___________.

CBC

abbreviation for complete blood count is _______.

15 to 30

the angle of the needle during insertion is ______________degrees.

confidentiality

patient ___________must be protected, and patient information is never discussed with anyone who does not have a professional need to know.

arterial flow

a properly tied tourniquet permits ____________and blocks venous flow.

23

when collecting blood from small, fragile veins the appropriate needle gauge is ______.

preserve glucose

the purpose of sodium fluoride in gray stopper tubes is to _______________.

21

for routine venipuncture you will use a needle that is _____gauge.

heparin

a green stopper tube contains ________.

potassium oxalate

gray stopper tubes contain _____________.

orange

royal blue,red,orange and red/gray are tubes that clot, the quickest one to clot and contains a clot activator thrombin and is _______________.

fragility

palpating veins does not reveal __________.

wash hands

what should phlebotomists do immediately after removing their gloves?

anchored

to prevent "rolling veins" the vein needs to be ___________.

glucose

tests most affected by a nonfasting patient are cholesterol, triglycerides and _________.

NPO

no food or drink for 12 hours

fasting

no food or drink except water for 12 hours

basal state

no food or drink or exercise for 12 hours

dermal puncture

the preferred venipuncture technique for children younger than 2 yrs. old

Hemolysis

the breakdown of red blood cells.

right atrium

chamber of the heart receives blood from the superior and inferior vena cavae?

Capillaries

have walls one cell thick for exchange of substance between blood and tissues

SA node

pacemaker of the heart is also known as

arteries

The blood vessels that carry oxygenated blood away from the heart

serum

blood plasma without fibrinogen or the other clotting factors.

heparin

The preservative used in a green-stoppered vacuum
tube is

atria

upper chambers of the heart that receive blood from lungs and body they are right and left

ventricles

lower chambers of the heart receive blood from atria and force into body

valve

a flap of tissue that prevents blood from flowing backwards

pacemaker

common name for S-A node

aorta

the largest artery of the body

plasma

made mostly of water and carries nutrients, chemical messengers and wastes in it and also contains fibrinogen

red blood cells

pick up oxygen in the lungs and carry it to the cells in the body

hemoglobin

iron-containing protein found in red blood cells that binds chemically to oxygen molecules

white blood cells

the cellular components of blood that fights infection

platelets

Cellular components of blood that forms a plug that's needed to stop bleeding

Rh factor

a marker on Red blood cells that determine whether a person is Rh positive or Rh negative

septum

separates right and left sides of heart

blood vessels

hollow tubes that transport blood through the body

pericardium

layer that encloses the heart

epicardium

layer that protects the heart by reducing friction

myocardium

thick middle layer of the wall of the heart; composed of smooth, cardiac muscle

endocardium

inner layer of the heart wall consisting of epithelium and connective tissue as well as some specialized muscle tissue

tricuspid valve

between right atrium and ventricle

pulmonary valve

link between right ventricle and artery extending from it

bicuspid valve

between left atrium and ventricle

semilunar valves

pulmonary valve and aortic valve

coronary arteries

first two branches of the aorta; feed the heart

systole

contraction of heart muscle

diastole

relaxation of heart muscle

SST (Serum Separator Tube)

tube would you use to collect a serum specimen

hematology tests

Lavender stopper or closure tubes are most commonly used to collect:

sodium hypochlorite

disinfectant that is preferred for use on surfaces and instruments

10 minutes

After a blood spill, a disinfectant is applied and have at least________minutes of contact time for cleanup to be effective.

preservatives

Plastic red top tubes used to collect blood specimens contain

creatine kinase

What test might be affected by carryover from an EDTA tube?

isopropyl alcohol

solution used to clean the site before routine venipuncture

inhibiting thrombin

Heparin prevents blood from clotting by:

1 minute

Tourniquets may be left on the patient for

Mode of transportation

not a component that makes up the chain of infection

hematoma

A large bruised area at the puncture site, caused by blood leaking into the tissue surrounding the vein

Gray

test tube would be used for "Fasting Blood Sugar" or Glucose Tolerance Test"

PPE

Personal Protective Equipment abbreviation

Allergic reaction

Latex sensitivity is a type of

Hemoconcentration

increase of the cellular/solid elements in direct ratio to plasma This can be caused by "pumping of the fist" and begins after the tourniquet is left on longer than 1 minute.

Serum

The liquid potion of the blood after all of the cells and clotting elements have settled and formed a clot contains NO fibrinogen.

3-4 inches above

Where the tourniquet be placed in regards to the draw site

Coagulation

Prothrombin time (PT) and Partial thromboplastin time (PTT) are considered this kind of test...

Soap and water

When cleaning a site for a veinpuncture for alcohol test, use:

Pulmonary Veins

veins that return oxygenated blood from the lungs to the left atrium of the heart.

great saphenous

The longest vein in the body

leukocyte

white blood cell

erythrocyte

mature red blood cells formed in the bone marrow

RACE

NFPA Code word for the order of action in the event of fire.rescue,alarm,confine,extinguish

vector

transmission of an infectious agent by an insect, arthropod, or animal.

susceptible host

an individual who has little resistance to an infectious agent

means of transmission

airborne,contact,droplet,vector,vehicle:know the different means of transmission in the chain of infection

Phagocytosis

The process by which white blood cells engulf bacteria and debris

fibrinolysis

The action that causes the fibrin clot to be removed

Agranulocyte

WBC that does not contain granules in the cytoplasm

Basophil

WBC, granulocyte, with multi-lobed nucleus and granules that contain Histamine

Eosinophil

WBC associated with defence against allergens or parasitic infections

Granulocyte

WBC that contains granules in the cytoplasm

Leukocyte

WBC Body's main defense against microorganisms

Neutrophil

Most numerous WBC. Granules in cytoplasm and multi-lobed nucleus

Yellow

first in order of draw

glass red

second in order of draw

Light blue

third in order of draw and contains Sodium citrate

plastic red

fourth in order of draw

CBC

WBC count, RBC count,Hemoglobin, Hematocrit, Platelet count 5 elements identified in a :

cephalic vein

Large vein on the outermost side of the upper arm

basilic vein

large vein on the inner side of the upper arm

coumadin

A blood thinning agent. Pt taking it are monitored by a prothrombin time blood test

median cubital vein

The major vein of the antecubital fossa most commonly used for venipuncture (middle)

nosocomial

hospital acquired infections

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