HARTMANS PHLEBOTOMY LATEST EXAMS
SCRIPT QUESTIONS AND ANSWERS SURE A+
(
✔✔CBC (complete blood count) - ✔✔a set of tests that include all WBC, RBC and
platelet measurements.
✔✔ESR (erythrocyte sedimentation rate) - ✔✔The rate in which it takes for RBC's to
settle off in an unclotted tube. Normal rate is 1 ml in 5 min.
✔✔what do blood cultures detect? - ✔✔bacterial or fungal infections in patients blood
✔✔Electrolytes are - ✔✔substances that affect the flow of nutrients and the removal or
waste products in blood
✔✔name examples of analytes? - ✔✔electrolytes, enzymes, proteins, antibodies,
vitamins and minerals
✔✔test panel is a group of test that either - ✔✔1- related to analytes ex electrolyte
panel or lipid panel
2- related to a unifying condition ex hepatic panel (liver function test)
✔✔renal panel - ✔✔kidney function test
,✔✔hepatic panel - ✔✔liver function test
✔✔basic metabolic panel - ✔✔group of eight specific blood tests that provide important
information about the current status of the patient's kidneys, electrolyte balance, blood
sugar, and calcium levels
✔✔what tube for basic metabolic panel - ✔✔SST or heparin tube
fasting sometimes requested
✔✔what's specifically tested for in BMP? - ✔✔Glucose
calcium
sodium
potassium
carbon dioxide
chloride
blood urea
creatinine
✔✔BUN - ✔✔blood urea nitrogen
waste product related to kidney function
✔✔Creatinine - ✔✔waste product of muscle metabolism, filtered out of the blood by the
kidneys, and excreted in urine
✔✔examples of panel tests - ✔✔1- basic metabolic panel
2- comprehensive metabolic panel
3-lipid panel
4- CBC
✔✔comprehensive metabolic panel (CMP) - ✔✔tests in addition to basic metabolic
panel for expanded screening purposes: albumin, bilirubin, alkaline phosphatase,
protein, ALT, and AST
✔✔what tubes for CMP? - ✔✔SST, heparin(may be stat), sometimes fasting
✔✔lipid panel - ✔✔series of blood tests (total cholesterol, high-density lipoprotein, low-
density lipoprotein, and triglycerides) used to assess risk factors of ischemic heart
disease
✔✔what tube for lipid panel? - ✔✔SST, heparin(may be stat), usually fasting
✔✔complete bood count - ✔✔common blood test to determine number of RBC, WBC
and platelets in blood
, ✔✔CBC with differential - ✔✔number of RBC and WBC and platelets and specific
number of each type of WBC
✔✔what tube for CBC? - ✔✔EDTA
be gentle
✔✔why use a tourniquet ? - ✔✔to aid in locating the best site for venipuncture
✔✔where to use tourniquet? - ✔✔3-4 inches above puncture site
✔✔when using a BP cuff as tourniquet how much do you inflate? - ✔✔just below
diastolic or no higher than 40 hg
✔✔why place tourniquet over clothing or on top of gauze? - ✔✔to protect thin or fragile
skin
✔✔Antecubital - ✔✔anterior surface of elbow where blood is usually drawn
✔✔how long can you leave tourniquet on? - ✔✔no longer than 1 min bc it will cause
pain or mess up test
✔✔Hemoconcentration - ✔✔a build up of blood cells (solid)relative to the liquid
components of blood
✔✔what causes hemoconcentration? - ✔✔leaving tourniquet on too long and it falsely
elevates the blood cell count ....changes blood count
✔✔hemolysis - ✔✔destruction of red blood cells
✔✔what causes hemolysis? - ✔✔leaving tourniquet on too long
✔✔what if you leave tourniquet on over 1 min? - ✔✔must wait 2 min b4 trying again
✔✔order of the end of a blood draw? - ✔✔remove
1- tourniquet
2- tube (inversions)
3- needle
✔✔tourniquet makes blood pool and ............. - ✔✔makes veins easier to see
✔✔lactate is so sensitive to tourniquet use....... - ✔✔some facilities dictate not using one
when specimen tested for lactate
✔✔antecubital fossa - ✔✔inside of elbow
SCRIPT QUESTIONS AND ANSWERS SURE A+
(
✔✔CBC (complete blood count) - ✔✔a set of tests that include all WBC, RBC and
platelet measurements.
✔✔ESR (erythrocyte sedimentation rate) - ✔✔The rate in which it takes for RBC's to
settle off in an unclotted tube. Normal rate is 1 ml in 5 min.
✔✔what do blood cultures detect? - ✔✔bacterial or fungal infections in patients blood
✔✔Electrolytes are - ✔✔substances that affect the flow of nutrients and the removal or
waste products in blood
✔✔name examples of analytes? - ✔✔electrolytes, enzymes, proteins, antibodies,
vitamins and minerals
✔✔test panel is a group of test that either - ✔✔1- related to analytes ex electrolyte
panel or lipid panel
2- related to a unifying condition ex hepatic panel (liver function test)
✔✔renal panel - ✔✔kidney function test
,✔✔hepatic panel - ✔✔liver function test
✔✔basic metabolic panel - ✔✔group of eight specific blood tests that provide important
information about the current status of the patient's kidneys, electrolyte balance, blood
sugar, and calcium levels
✔✔what tube for basic metabolic panel - ✔✔SST or heparin tube
fasting sometimes requested
✔✔what's specifically tested for in BMP? - ✔✔Glucose
calcium
sodium
potassium
carbon dioxide
chloride
blood urea
creatinine
✔✔BUN - ✔✔blood urea nitrogen
waste product related to kidney function
✔✔Creatinine - ✔✔waste product of muscle metabolism, filtered out of the blood by the
kidneys, and excreted in urine
✔✔examples of panel tests - ✔✔1- basic metabolic panel
2- comprehensive metabolic panel
3-lipid panel
4- CBC
✔✔comprehensive metabolic panel (CMP) - ✔✔tests in addition to basic metabolic
panel for expanded screening purposes: albumin, bilirubin, alkaline phosphatase,
protein, ALT, and AST
✔✔what tubes for CMP? - ✔✔SST, heparin(may be stat), sometimes fasting
✔✔lipid panel - ✔✔series of blood tests (total cholesterol, high-density lipoprotein, low-
density lipoprotein, and triglycerides) used to assess risk factors of ischemic heart
disease
✔✔what tube for lipid panel? - ✔✔SST, heparin(may be stat), usually fasting
✔✔complete bood count - ✔✔common blood test to determine number of RBC, WBC
and platelets in blood
, ✔✔CBC with differential - ✔✔number of RBC and WBC and platelets and specific
number of each type of WBC
✔✔what tube for CBC? - ✔✔EDTA
be gentle
✔✔why use a tourniquet ? - ✔✔to aid in locating the best site for venipuncture
✔✔where to use tourniquet? - ✔✔3-4 inches above puncture site
✔✔when using a BP cuff as tourniquet how much do you inflate? - ✔✔just below
diastolic or no higher than 40 hg
✔✔why place tourniquet over clothing or on top of gauze? - ✔✔to protect thin or fragile
skin
✔✔Antecubital - ✔✔anterior surface of elbow where blood is usually drawn
✔✔how long can you leave tourniquet on? - ✔✔no longer than 1 min bc it will cause
pain or mess up test
✔✔Hemoconcentration - ✔✔a build up of blood cells (solid)relative to the liquid
components of blood
✔✔what causes hemoconcentration? - ✔✔leaving tourniquet on too long and it falsely
elevates the blood cell count ....changes blood count
✔✔hemolysis - ✔✔destruction of red blood cells
✔✔what causes hemolysis? - ✔✔leaving tourniquet on too long
✔✔what if you leave tourniquet on over 1 min? - ✔✔must wait 2 min b4 trying again
✔✔order of the end of a blood draw? - ✔✔remove
1- tourniquet
2- tube (inversions)
3- needle
✔✔tourniquet makes blood pool and ............. - ✔✔makes veins easier to see
✔✔lactate is so sensitive to tourniquet use....... - ✔✔some facilities dictate not using one
when specimen tested for lactate
✔✔antecubital fossa - ✔✔inside of elbow
