order of draw

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Last updated 1:35 PM on 6/5/26
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10 Terms

1
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Acronym for order of draw

Big Lions Run Greatly Growling Loudly Galloping

2
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Order of draw?

Blood culture

light blue

Red

Green/Gold

Lavender

Gray

3
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Yellow (SPS)/ Blood culture bottle

Additive is sodium polyanethol sulfonate

Type: anticoagulant (prevent change of blood) preservative

Can be preserved in tube for 2-4 hours but then back to blood culture bottle

Must be full

8-10 inversions
Tests: AFB culture- checks for mycobacterium

Fungal and blood cultures tests too

4
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Light blue

Additive: sodium citrate

Type: reversible anticoagulant

Used for: coagulation testing, plasma. Binds calcium to prevent clotting

3-4 inversions

Tests: PT/INR-evaluates extrinsic clotting pathway-used for warfarin monitoring

PTT/aPTT-intrinsic pathway-heparin monitoring

D-dimer-detects clot breakdown and used to rule out DVT/PE

Fibrinogen- measures fibrinogen levels, low levels indicate bleeding risk

<p>Additive: sodium citrate</p><p>Type: reversible anticoagulant</p><p>Used for: coagulation testing, plasma. Binds calcium to prevent clotting</p><p>3-4 inversions</p><p>Tests: PT/INR-evaluates extrinsic clotting pathway-used for warfarin monitoring</p><p>PTT/aPTT-intrinsic pathway-heparin monitoring</p><p>D-dimer-detects clot breakdown and used to rule out DVT/PE</p><p>Fibrinogen- measures fibrinogen levels, low levels indicate bleeding risk</p>
5
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Red

Additive: If GLASS-none. if PLASTIC-clot activator

Purpose: Produce serum

5 inversions for plastic

Tests: Monitors therapeutic drug concentrations

Antibody titers: immunity or autoimmunity activity

Hormone levels- endocrine

serum chemistry: basic metabolic tests

<p>Additive: If GLASS-none. if PLASTIC-clot activator</p><p>Purpose: Produce serum</p><p>5 inversions for plastic</p><p>Tests: Monitors therapeutic drug concentrations</p><p>Antibody titers: immunity or autoimmunity activity</p><p>Hormone levels- endocrine</p><p>serum chemistry: basic metabolic tests</p>
6
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Gold/Tiger top

Serum seperator-clot activator and gel

Tests: electrolyte tests, kidney, liver, glucose

BMP: basic electrolytes and kidney function

Lipid panel-cholesterol

Liver panel: AST, ALT, bilirubin

Thyroid tests: TSH, T3,T4

5 inversions

<p>Serum seperator-clot activator and gel</p><p>Tests: electrolyte tests, kidney, liver, glucose</p><p>BMP: basic electrolytes and kidney function</p><p>Lipid panel-cholesterol</p><p>Liver panel: AST, ALT, bilirubin</p><p>Thyroid tests: TSH, T3,T4</p><p>5 inversions</p>
7
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Green

Lithium (light green) or sodium (dark green) heparin

Note: Lithium heparin can’t test for lithium levels

8-10 inversion

STAT chemistry- quick tests

Troponin tests, ammonia-elevated in liver failure, electrolytes, lactate-evaluates tissue hypoxia(shock)

<p>Lithium (light green) or sodium (dark green) heparin</p><p>Note: Lithium heparin can’t test for lithium levels</p><p>8-10 inversion</p><p>STAT chemistry- quick tests</p><p>Troponin tests, ammonia-elevated in liver failure, electrolytes, lactate-evaluates tissue hypoxia(shock)</p>
8
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Lavender/Purple

EDTA(K+ based)

8-10 inversions

Tests: CBC- tests WBC RBC and platelets

A1C-3 month average blood glucose

ESR-checks for inflammation

Reticulolyte- measures immature RBC

Blood bank testing-pink EDTA

<p>EDTA(K+ based)</p><p>8-10 inversions</p><p>Tests: CBC- tests WBC RBC and platelets</p><p>A1C-3 month average blood glucose</p><p>ESR-checks for inflammation</p><p>Reticulolyte- measures immature RBC</p><p>Blood bank testing-pink EDTA</p>
9
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Gray

Sodium Fluoride (preserves glucose)/potassium oxalate (anticoagulant

Tests for Glucose and lactic acid and alcohol level

<p> Sodium Fluoride (preserves glucose)/potassium oxalate (anticoagulant</p><p>Tests for Glucose and lactic acid and alcohol level</p>
10
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Serum vs plasma

Plasma is before clotting and serum is after clotting

Plasma before, serum after