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Phlebotomy
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53 Terms
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1
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What is phlebotomy?
The process of drawing blood
2
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What does blood transport?
oxygen, carbon dioxide, nutrients, hormones, and waste products
3
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What are the steps of phlebotomy?
Gather the equipment, prep the pt, find the vein, disinfect site, draw blood, fill tube, complete procedure,
4
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How do you properly verify a draw order?
Obtain the providers order, verify the order to determine what test will be done, verify the identity of the patient, understand the order.
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What is the first thing a CMA should do prior to performing a venipuncture procedure
Verify compliance
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What type of patients do you use a butterfly needle on?
Pediatric and Geriatric patients
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What does a tourniquet do?
applies pressure, limits blood flow.
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Where is a tourniquet applied?
3-4 inches above the puncture site
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how long should you leave a tourniquet on?
no more than 60 sec
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If the tourniquet is left on longer than a min, what is caused?
hemoconcentration
11
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what is the length of a blood draw needle
1 to 1 1/2
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length for butterfly needle
1/2 to 3/4
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gauge of blood draw needle
21-23 G
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CLSI stands for
Clinical Laboratory Standards Institute
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chemistry blood draw
determines a persons general health status
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hematology
study of the blood and blood diseases
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basic metabolic panel
Provides information about the current state of the kidneys, electrolyte and acid base balance, blood sugar, and calcium levels
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comprehensive metabolic panel
check status of a persons liver and important blood proteins
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electrolyte panel
blood test to measure the amount of sodium, potassium, chloride, and carbon dioxide in the blood
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lipid profile
blood test used to measure the amount and type of lipids in a sample of blood
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liver panel
used to detect disease or damage of liver
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renal panel
evaluates kidney function
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thyroid function panel
evaliates the thyroid gland function and assist in the diagnosis of thyroid disorders
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CBC (complete blood count)
aids in diagnosing anemia cancers of the blood inflammatory diseases and monitors blood loss and infection
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yellow
sterile
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light blue
sodium citrate
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red
clot activator or no additive
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tiger top
SST (serum separation tube)
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green
heparin
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lavender
EDTA (Ethylenediaminetetraacetic acid)
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gray
potassium oxalate
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gray
sodium fluoride
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Common Chemistry Panels
Basic Metabolic Panel
34
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Comprehensive metabolic panel
35
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Renal Panel
36
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Liver panel
37
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Thyroid function panel
38
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Hemoconcentration
pooling of blood which can result in accurate blood test results
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common supplies for phlebotomy
gloves
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tourniquet
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alcohol wipes
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double pointed needle
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blood collection tube
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correct order for a draw...
yellow, light blue, red, tiger top or gold, green, lavender, gray
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Hematology Labs
CBCC , WBC , RBC, Platelet court
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Angle used for needle insertion?
15-30 angle
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Test for Gray
Glucose testing, alcohol levels
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test for red
Serum testing, organ panels, medication levels, and HIV testing
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What are the three prominent veins used for blood draw
median cubital, cephalic, basilic
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Why don't you use your thumb to feel the vein
The thumb has a pulse
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What do you do to stop prolonged bleeding
Apply pressure for at least 5 minutes. If it does not stop, notify the provider
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What causes a collapsed vein
Tourniquet may be too tight
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When does hemolysis occur
When red blood cells have been ruptured
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