Phlebotomy Certification EXAM

Phlebotomy Certification EXAM 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 Erythrocytes, leukocytes, and Thrombocytes (Platelets) The solid portion of blood contains: Plasma