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Phlebotomy National Exam (Nha)

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PHLEBOTOMY NATIONAL EXAM (NHA)

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PHLEBOTOMY NATIONAL EXAM (NHA)

bCharacteristics imperative to a phlebotomist - Dependability, honesty, integrity, empathy and
compassion, professional appearance, interpersonal skills

Circulatory system function - deliver oxygen, nutrients, hormones, & enzymes to cells and transport
cellular waste (CO2) to organs where they can be expelled

The two circulations - Pulmonary & Systemic

Pulmonary circulation - carries deoxygenated blood from the right ventricle to the lungs and returns
oxygenated blood from lungs to left atrium

Where does oxygenation take place in the lungs? - alveoli

Systemic circulation - carries oxygenated blood from left ventricle throughout the body

Upper chambers of the heart - right and left atria

lower chambers of the heart - right and left ventricle

tricuspid valve - atrioventricular valve, situated between right atrium and right ventricle

**to remember this valve is on the right side of the heart-- people TRY to be RIGHT

pulmonic valve - semi-lunar valve situated between the right ventricle and the pulmonary artery

Mitral valve (or bicuspid) - atrioventricular valve located between the left atrium and left ventricle

aortic valve - semi lunar valve situated between the left ventricle and aorta

Flow of blood through the heart - Superior and Inferior Vena Cavae< Right atrium< tricuspid valve< right
ventricle< pulmonic valve< pulmonary artery< lungs< pulmonary vein< left atrium< mitral (bicuspid)
valve< left ventricle< aorta< rest of body

Three layers of the heart - Endocardium, myocardium, epicardium

Blood vessels - arteries, arterioles, capillaries, venules, veins, superior & inferior vena cavae

aorta, arteries, and arterioles carry_____ blood _______ the heart - oxygenated & away from

venules, veins, and superior and inferior vena cave carry _____ blood ________ the heart -
deoxygenated & back to

The average adult has ______ liters of blood - 5-6

Plasma comprises how much of circulating blood? - 55%

Plasma contains.... - proteins, amino acids, gases, electrolytes, sugars, hormones, minerals, vitamins, and
water

, What percent of plasma is water? - 92%

Formed elements comprise what percent of circulating blood? - 45%

another name for red blood cells... - Erythrocytes

What makes up the formed elements? - Red blood cells, White blood cells, and platelets

Another name for white blood cells... - leukocytes

another name for platelets... - thrombocytes

What comprises 99% of the formed elements? - red blood cells (erythrocytes)

Where do blood cells originate? - stem cells in bone marrow

How many RBCs are in a microliter of blood? - 4.2 to 6.2 million

Normal life span of an RBS is... - 120 days

Function of a leukocyte - provide the body protection against infection

Amount of WBCs per microliter of blood - 5,000-10,000

leukocytosis - increase in WBCs

leukocytosis is seen when? - cases of infection and leukemia

leukopenia - decrease in WBCs

leukopenia is seen when? - viral infections or chemotherapy

Five types of WBCs - neutrophils, lymphocytes, monocytes, eosinophils, basophils

Average number of platelets per microliter of blood - 140,000-440,000

Hemostasis - process by which blood vessels are repaired after injury

Stage 1 of Hemostasis - Vascular phase

Vascular phase - blood vessel constricts slowing blood flow

Stage 2 of Hemostasis - platelet phase

Platelet phase - platelets adhere to inner lining of vessel to form a platelet plug

Stage 3 of Hemostasis - Coagulation phase

Coagulation phase - converts platelet plug to a stable fibrin clot

Stage 4 of Hemostasis - Fibrinolysis

Fibrinolysis - breakdown and removal of the clot

Preferred site for venipuncture - antecubital fossa

Three major veins located in antecubital fossa - Median cubital vein, cephalic vein, basilic vein

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