Midterm Hematology

Terms	Definitions
Yellow, Light Blue, Red, SST, Green, Lavender, Gray	give the tubes in the order of draw
SPS	additive in the yellow tube
Sodium Citrate	additive in the light blue tube
None	additive in the red tube
Thixotropic Gel	additive in the SST tube
Sodium Heparin	additive in the green tube
EDTA	additive in the lavender tube
Sodium Fluoride and Potassium Oxalate	additive in the gray tube
Sodium Polyanetholesulfonate	SPS
Rubber Stopper, Vacuum Tube, Bevel, Shaft, Hub, Rubber Sleeve, Needle, Holder, Flange
Butterfly Assembly, Tubing, Adapter, Holder, Vacuum Tube
Cephalic Vein, Median Cephalic Vein, Supplementary Cephalic Vein, Basilic Vein, Median Basilic Vein
Tourniquet	restricts venous flow out of the site causing veins to bulge, makes veins easier to locate and puncture
70% Isopropyl Alcohol	most commonly used antiseptic during venipuncture
10	the red top tube contains how many mL
40 to 50	how many red top tubes containing 10mL would you have to draw to equal a pint
A Pint	473 mL is equal to...
Serum Separator Tube	most commonly used tube that has red and black top
Yellow, Light Blue, Lavender and Gray	4 tubes are anticoagulant tubes what colors?
Red	what color "waste" tube may be filled if routine coagulation testing has been ordered
Clot Activator	promotes clotting of blood
30 to 60 minutes	without a clot activator blood will clot in how many minutes after which it must be centrifuged
Thixotropic Gel	forms a barrier between RBCs and plasma when centrifuged; less dense than RBCs more dense than serum
Yellow	tube used for blood or body fluid cultures
Light Blue	tube used for coagulation studies
Red	tube used for chemistry studies and blood bank
Serum Separator Tube	tube used for serum studies
Green	tube used for chemistry
Lavender	tube used for hematology testing
Gray	tube used for glucose and alcohol levels
21	the most common gauge needle used for adult venipuncture is...
23 to 25	the most common gauge needle used for small and fragile veins, pediatrics or on hands
Smaller	the higher the gauge the lumen is?
Larger	the smaller the gauge the lumen is?
Syringes	used when there's concern the strong vacuum in stoppered tube might collapse a fragile vein
Winged Infusion Sets	butterfly needles aka...
Butterfly Needles	used on small veins such as those in hand or in pediatric patients
1/4	how far after the bevel does the needle go into patient
SESIPS	self sheathing safety devices, retractable safety and needle blunting safety mechanisms are types of?
10	if accidental needle stick occurs wash site with antimicrobial soap for how many minutes
2	if you remove tourniquet after locating vein how many minutes must you wait to put it back on?
15	what angle is used for venipunture
8 to 10	gently invert tubes in figure 8 how many times
Red	what color tube would you not invert with
Patients Name, Doctors Name, MA Initials, Patients DOB, Date of Test and Type of Test	what information goes on tube label remember 3, 2, 1
Hematoma	can be caused by excessive probing, failure to insert needle far enough in vein, penetration of needle through a vein
30 to 60 minutes	how long do you let an SST tube sit to let coagulation happen
Hemolysis	major cause of specimen rejection
Specimen Recollection	using small needle in large vein, excessive pulling back when using syringe method and using large vacuum tube for small vein are reasons for this
Great Finger and Ring Finger	lateral sides of what 2 fingers should be used during capillary punture
Heels	lateral sides of what should be used on infants for capillary puncture
70 to 100 mg/dL	normal value range for capillary testing fasting
150 mg/dL or below	non fasting results for capillary testing should be
Capillary Puncture	pediatric patients, patients with burns or scars, glucose monitoring would be reasons to use what puncture
Guthrie Card	used to test neonates for certain metabolic disorders such as phenylketonuria (PKU)
Hemoglobin AH1c	test done every 3 months on diabetic patients
Plasma	clear yellow liquid portion that contains acting clotting agents and is 55% of blood volume
Formed Cellular Elements	erythrocytes (RBCs), leukocytes (WBCs) and thrombocytes (Platelets) make up this and is 45% of blood volume
Erythrocytes	have a 120 day life span
Granular Leukocytes	neutrophils, eosinophils and basophils are the...
Hemophilia	one in 4,000 males born with this inherited from mother, rare but possible for female to have it
Serum	when plasma proteins and other components are used up during clotting process, remaining liquid is called?
Hematocrit	measurement of the percentage of packed RBCs in a volume of blood; can indicate anemia or hemorrhage
Hemoglobin	measurement of the oxygen-carrying capacity of blood; individual test or part of CBC panel
RBC Count	this is increased in people with dehydration, polycythemia vera (disorder in bone marrow), sever burns and people who live in high altitudes
WBC Count	average adult range is between 4,000 to 11,000 cells/mm3; higher in newborns and decreases throughout life
Mean Corpuscular Volume	measures the size of RBCs and is most important for classifying anemias as macrocytic or microcytic
Mean Corpuscular Hemoglobin	calculated to give the average weight of hemoglobin in an individual RBC
Erythrocyte Sedimentation Rate	increases found in chronic infection, RA, TB, hepatitis, cancer, multiple myeloma, rheumatic fever and lupus
Prothrombin Time	test performed in lab or PO with handheld instrument to monitor anticoagulant therapy; collected in light blue tube; aka protime
Immunohematology	prevents problems caused by incompatibility
Coumadin	pt taking this should be 1.5 to 2.5 times normal value and INR values 2 to 3
Type O	blood type with no antigens, anti A and B antibodies; universal donor
Hemoglobin A1c	provides info about the average blood glucose level during the past 2 or 3 months
HDL Cholesterol	high level protects against heart attack, carries cholesterol away from arteries back to liver for excretion