NHA CPT studyguide – Flashcards

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Order of Draw: Blood Culture
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1st, YELLOW , Sodium polyethenal sulfonate, 8 inversions, Microbiology
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Order of Draw: Coagulation
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2nd, LIGHT BLUE, Sodium citrate , 3-4 inversions, Chemistry, Common tests: PT, PTT, APTT, and INR
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Serum
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3rd, RED, no additives, no inversions, Chemistry, common tests: CMP, BMP, Hepatitis panel, therapeutic drug level
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Plasma
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4th, GREEN, heparin, 8 inversions, STAT Chemistry, Common tests: Amonia, plasma, stat whole blood, BMP-Basic Metabolic Panel, CMP-Comprehensive metabolic panel, troponin
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Whole Blood (hematology cell counting)
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5th, LAVENDER, EDTA, 8 inversions, Hematology, Common Tests: CBC, lead, ESR, Retic
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Glucose
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6th, GREY, Sodium fluoride/ Potassium oxalate, 8 inversions, Chemistry, Common tests: glucose, alcohol, latic acid
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The THREE phases of Hemostasis
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1. Vasoconstriction 2. Platelet formation 3. Clotting
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Blood Thinners
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Warfarin (coumadin) , Asparin
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Pulmonary System
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Blood is oxygenated and returned to the heart to be sent to systemic system. (note: pulmonary arteries)
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Arteries
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Oxygenated blood from Left side of the heart to body muscular walls, and to the nerve supply
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Systemic system
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Blood through whole body to deliver and remove oxygen and waste
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Platelets
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membrane- bound packets of cytoplasm (*note: no dna, or nucleus)
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Thixotropic Gel
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Inert, synthetic substance makes a barrier between plasma and formed elements
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Capillaries
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Tiny blood vessels (smallest) thin pourus walls, carries oxygen to tissues
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Veins
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Thin walls, Deoxygenated blood to the right side of the heart, lack of nerve supply
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Blood Pressure
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Normal BP= 120/80 mm/hg, High BP= greater than or equal to 140/90 mm/Hg, Low BP= < 120/80 mm/Hg
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Tube Sizes
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Adult: 3-10mL, Pediatric: 2-4mL
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Blood Smears
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Feathered Edge
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Number of Leukocytes (white blood cells)
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5 Types
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Formed Elements
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Cellular elements such as RBC. 45% of a blood sample is formed elements
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Heparin
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Inactivates thrombin and thromboplastin
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Whole Blood
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Blood collected with an anticoagulant used for hematology tests
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EDTA
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Binds Calcium
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Order of Cappilary Draw
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L.G.G.R/SST
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Hemochromatosis
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Excess of iron in the blood
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Hemolysis
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Destruction of Red Blood Cells (RBCs)
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Hemostasis
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Process by which the body stops blood flow from a leaking wound
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Chain of Infection
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1. Causitive agent 2. Resevoir 3. Portal of opening 4. Mode of transmission 5. Portal of entry 6. Succeptable host
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Sodium fluoride and Potassium oxalate
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Binds Calcium
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Baby Lancet Size/ Depth
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0.65mm per 1kg
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Plasma
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Fluid portion of blood with anticoagulants 55%
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Serum
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Fluid portion of blood with out clotting factors
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Chilled Specimen
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ABG- Aterial Blood Gases
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Sodium Citrate
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Binds Calcium
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Hematoma
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Bruise, clotted blood underneath the skin
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Hematocrit
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% of blood volume in the body that is RBC
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Hemoconcentration
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Increased ratio of formed elements (such as RBC) to plasma
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Light Sensitive
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Bilirubin
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Chain of Custody
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*purpose and procedure explained to pt *pt consent form *pt picture identification
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Bilirubin, Vitamins C, K, and E
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Protect from light
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STAT
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Immediately 1 hour to report
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ASAP
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2-4 hours to report
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Polymer gel/ clot activator
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SST
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Arteries
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Carry blood that is high in oxygen
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Blood Borne Pathogens
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Pathogenic microorganisms that are present in the blood
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Sharps
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Objects that can penetrate the skin such as needles, scalpels, broken glass, broken capillary tubes, or lancets.
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Plasma
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The yellow fluid component of blood
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Leukocyte
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White blood cell
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Hemoglobin
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Iron containing protien pigment present in red blood cells, it functions primarily to transport oxygen from the lungs to the tissue of the body
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Thrombocyte
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Platelet
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Erytrhocyte
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Red Blood Cell
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Pathogens
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Disease producing agents
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Coagulation
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Cessation of bleeding , formation of a clot (hemostasis)
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Sharps Container
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Fill only 80% of capacity to prevent accidental needle puncture
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Housekeeping rule of thumb (Cheapest)
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One cup of Bleach = 10 cups of water
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Antiseptic
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70% alcohol
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Gloves
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Standard precautions policy states that if there is a possibility of coming into contact with a patient's blood, GLOVES ARE NECESSARY
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Gauge of needle
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The size of the needle at smallest is 27 and 16 at the largest
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Tourniquet is placed
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3-4 inches above the skin and should never be left on longer than one minute
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A properly labeled tube has
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Patient's complete name,. id, number date and time sample obtained with initials
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Limit of Sticks on a patient
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If you miss twice trying for a blood draw you may not try again
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Arterial Puncture
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Done by physician only
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Capillary Puncture
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Puncture skin by lancet
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Venipuncture
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Puncture to vein with the purpose of obtaining blood
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