ccma

when perferming venpuncture, the bevel should be facing

upwards

when drawing from the arm, what is the angle of insertion?

15-30 degrees

when drawing from the hand, what is the angle of insertion?

10-15 degrees

how should the skin be held when performing venipuncture on the arm?

taut, 2-3 inches below draw site

medical reconciliation

comparing the patient’s medical records to medication list to prevent any adverse reactions

normal bmi range

18.5-24.9

overweight bmi range

25-29.9

if patient’s arm is lowered to the side, systolic blood pressure will be…

raised

if patient’s arm is above the heart, systolic blood pressure will be…

lower

if patient’s legs are crossed, systolic blood pressure will be…

higher

if BP cuff is too large, patient’s BP will be…

low

if BP cuff is too small, patient’s BP will be…

high

orthostatic hypotension

severe drop in blood pressure and increase in pulse after positional changes

pulse oximetry measures…

percentage of oxygen saturation in the blood

what shold be removed for a pulse oximetry moniter to be properly work on the finger?

nail polish and fake nails

normal pulse oximetry (sp02) range?

95-100%

alternate site for pulse ox?

earlobe

first color tube in order of draw?

yellow

order of draw: what comes after yellow?

light blue

order of draw: what comes after light blue?

red

order of draw: what comes after red?

red/gray marble

order of draw: what comes after red/gray marble?

green

order of draw: what comes after green?

green/gray marble

order of draw: what comes after green/gray marble?

lavender

order of draw: what comes after lavender?

gray

light blue laboratory use?

coagulation testing

lavender laboratory use?

hematology

green laboratory use?

chemistry test

radial pulse

pulse site located on thumb side of wrist

radial pulse is most commonly used in…

adults

brachial pulse

pulse site located in the inner, upper arm (1-2 inches above elbow crease)

brachial pulse is most commonly used in…

children

carotid pulse

pulse site on the neck just below the jawbone

carotid pulse is most commonly used in…

emergency settings

temporal artery pulse location

side of forehead

femoral artery pulse location

inner groin

popliteal artery pulse location

behind the knee

dorsalis pedis artery pulse location

on top of foot

posterior tibial artery pulse location

behind ankle

apical pulse

listening to the apex of heart with stethescope for 1 minute

apical pulse is mostly used on…

children, infants, and adults with irregular heartbeats

normal respiratory rate for newborns?

30-50/min

normal respiratory rate for adults?

12-20/min

pyrexia is the medical term for

fever

the MA does not have to document when the ______ temperature site is used

oral

typanic temperature site abbreviation

T

aural temperature site abbreviation

AU

axillary temperature site abbreviation

AX

rectal temperature site abbreviation

R

temporal artery temperature site abbreviation

TA

axillary temperature is about 1 degree _______ than oral temperature

lower

typanic, rectal, and temporal artery temperature readings are often 1 degree ________ than oral temp readings

higher

hyperventilation

rapid/fast breathing

hyperpnea

excessive deep breathing

dyspnea

difficulty/painful breathing

orthopnea

difficulty breathing unless in the upright position

normal infant hreartrate range

100-180

normal adult heart rate range

60-100

F to C formula:

F = (C x 1.8) + 32

mastecotomy

surgical removal of one or both breasts to treat or prevent breast cance

when taking blood pressure for someone with a one sided mastectomy, use…

the arm on opposite side

normal adult bp range

less than 120/80

elevated adult bp

130/80

High Blood Pressure (Hypertension) Stage 1

140/90

High Blood Pressure (Hypertension) Stage 2

140+/90+

Hypertension Crisis (Emergency care needed)

180+/120+

which vein has the least chance of rolling?

median cubital vein

preferred vein for venipucture?

median cubital vein

Veins that are highly visible but do not have ______ to them should be avoided, as a successful draw is unlikely.

bounce

A tourniquet should be applied to the patient’s arm about _____ inches above the draw site to make the vein easier to palpate and more readily accessible for the blood draw.

3-4

An increase of formed elements of the blood and a decrease of fluid content.

hemoconcentration

Leaving the tourniquet on longer than 1 min can cause ____________ and alter test results.

hemoconcentration

Blood collection tubes should be labeled immediately ____ the procedure is completed—before the tubes are moved away from the area where the procedure takes place.

after

However, blood specimens should not be allowed to stand for longer than ___ hour.

1

serum & clotted blood must stand upright at room temperature for ____ min

30-45

____________ errors can occur prior, during, or immediately after performing the venipuncture procedures.

preanalytical

_________ errors can occur after the specimen has been processed

postanalytical

failure in reporting results, improper data entry, or misinterpretation of results are all examples of ________ errors

postanalytical

mislabeling of specimens, errors in patient identification, mislabeling of specimen tubes, sample collection errors, insufficient quantity for testing, and incorrect handling or transporting processes are all examples of ________ errors

postanalytical

Blood alcohol levels and drug screening require _____ __ _______ documentation

chain of custody

Chain of custody requires…

documented signatures of every individual that has any contact with the specimen from the time of collection to the time results are reported

ekg: The paper should run at the normal speed of ___ mm/second.

25

ekg: normal amplitude is ___ mm or 1mv

10

Poor-quality or expired electrodes or gel can result in an ______ and interfere with the ability to produce a clean and accurate tracing

artifact

lead 1 records impulses from the…

right arm to left arm

lead 2 records impulses from the…

right arm to left leg

lead 3 records impulses from the…

left arm to left leg

universal lead wire color for right arm?

white

universal lead wire color for right leg?

green

universal lead wire color for left arm?

black

universal lead wire color for left leg?

red

right side of sternum, 4th intercostal space

v1 placement

left side of sternum, 4th intercostal space

v2 placement

left side of chest. misclavicular line, 5th intercostal space

v4 placement

left side of chest, betweem v2 and v4

v3 placement

left side of chest, 5th intercostal space, anterior axillary line

v5 placement

left side of chest, 5th intercostal space, midaxillary line

v6

The R wave on lead I should have a ______ deflection

positive

Heavy breathing or sighing can cause a ______ __________ artifact.

wandering baseline

A wandering baseline results from…

movement associated with breathing or poor electrode connection