Phlebotomy Certification EXAM Graded To Pass

Capillary Puncture - 3rd or 4th finger for adults, heel stick for infants; Lancet cut across ridges; hold the tube horizontal when filling. Don't sqeeze finger too tightly or milk the finger. Wipe off 1st drop. The vein can collapse - If you pull on the plunger of the syringe too hard or too quickly during a draw or you use too strong of a vaccum for the vein, this can happen... Anticoagulant - An agent used to preven blood clotting and to keep the specimen whole blood Red top - NO ADDITIVE --- Clot Forms ----Serum used for Chemistries, Electrolytes, Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid stuidies, CMP, BMP. Tiger top - Aka Red/Gray top: Clot activator additive - Clot Forms - SERUM STUDIES Lavender top - EDTA additive - No Clot - WHOLE BLOOD for: Complete blood count (CBC), Blood smear, Blood banking (ABO/Rh), ESR, HCT, Hmg,Glyco Alc ****Must be filled sufficiently and inverted (gentle rocked) several times**** Gold Top - Clot activator additive - Clot Forms - SERUM Studies Grey top - Sodium Fluoride/Potassium oxalate - Glucose, Alcohol, FBS Light blue top - Sodium citrate additive - No Clot - Used for coagulation studies (PT, PTT) ****Tube must be filled to the proper level and inverted (gentle rocked) several times**** Wipe away the first drop - We do this to remove tissue juices, skin cells, alcohol, contaminates, avoid activating clotting process, avoid producing incorrect results, avoid diluting specimen. The basilic, cephilic, and the median - What veins are in the antecubical area? Hemoconcentration - This is the increase of the cellular/solid elements in direct ratio to plasma This can be caused by "pumping of the fist" and begins after the tourniquet is left on longer than 1 minute. Provodine/iodine - Agent used on the skin to sterilize the area. Tourniquet - Elastic device used ti restrict blood flow to distend veins for phelbotomy. Wing infusion set - Aka butterfly - for small or fragile veins or difficult veins