Phlebotomy

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28 Terms

1
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Light blue

Coagulation studies; sodium citrate

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Red

Chemistry; no anticoagulant

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Red/gray speckle

Chemistry; clot activator + gel separator

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Gold

Chemistry; clot activator + gel separator

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Green

Chemistry; heparin

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Lavender

Hematology/hemoglobin; EDTA

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Gray

Blood alcohol or glucose; potassium oxalate + sodium fluoride

8
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Clear, light blue, red, red/gray speckle, gold, green, lavender, gray

Order of draw

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Allosteric protein

A regulatory protein that can change its shape (and function) when a molecule binds to it at a site other than its active site (ie: hemoglobin, which transports oxygen at the allosteric site)

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Hemoglobin testing

Capillary blood draw

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Panic value

A lab or diagnostic test result that falls significantly outside the normal range and indicates a life-threatening or potentially dangerous condition requiring immediate medical attention

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Polycythmia

When a patient’s bone marrow is producing too many red blood cells, resulting in high hemoglobin

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Hematocrit

Percentage of total blood volume that is many up of red blood cells, measured by capillary blood draw into a very small plastic tube that is centrifuged at very high speeds to separate cell components

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Complete blood count

Measures total red blood cell count, hemoglobin, hematocrit, platelet count, and white blood cell count and ratios via phlebotomy

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WBC differential

A count performed on 100 white blood cells to differentiate the various types seen in that representative sample

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Erythrocyte sedimentation rate (ESR)

The rate at which red blood cells settle in a calibrated tube within an hour; high rate indicative of inflammation

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Glucose testing

A capillary blood test using a handheld meter and reagent strips to monitor blood sugar in diabetic patients

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Glucose tolerance test

Tests the ability to metabolize a glucose load (via capillary blood sample) within a prescribed amount of time; performed on patients with high fasting blood sugar to diagnose diabetes mellitus or gestational diabetes

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Hemoglobin A1C testing

Measures blood glucose levels over a period of 2-3 months via capillary blood sample; glycohemoglobin remains high when blood glucose levels remain high

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Cholesterol testing

A CLIA-waved fasting capillary puncture test that checks blood cholesterol levels in order to monitor and prevent atherosclerosis

21
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Mononucleosis testing

A monotest, a type of immunoassay, that detects the presence of EBV antibodies for diagnosis via capillary puncture

22
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Skin prick allergy testing

An allergy test where the allergen is applied directly to a patient’s skin and scratched or pricked into the epidermis; areas of application are monitored for reddening or itching

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Intradermal injection allergy testing

An allergy test in which a small amount of the allergen is injected between the epidermis and dermis; areas of injection are monitored for a reaction, which usually occurs immediately but can take 24-72 hours

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Skin patch allergy testing

An allergy test in which an allergen-soaked pad is placed on the surface of the skin for 24-72 hours to observe a reaction

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Radioallergosorbent test (RAST)

A blood test that determines the presence of immunoglobulins present in those with allergies; usually used because patient cannot tolerate a skin test

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Enzyme immunoassay (EIA)

The standard screening test for HIV, which is a blood test that takes approximately a week to report results

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PKU testing

A required screening test done with capillary blood from an infant’s heel to test for phenylketonuria

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Phenylketonuria (PKU)

A congenital disease caused by a defect in the metabolism of phenylalanine, causing it to accumulate in the bloodstream and prevent the brain from developing normally, resulting in developmental issues