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Chapters 12 13 14
Chapters 12 13 14 Study Guide
66
Health Care
Undergraduate 1
06/05/2008

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Cards

Term
What is the proper technique to ensure hemostasis after phlebotomy on a neonate?
Definition
Apply Pressure with sterile gauze pad until all bleeding stops
Term
What rule should be followed when a phlebotomists collects blood from a child?
Definition
Consult with lab policy for the maximum amount of blood that can be drawn on the basis of the childs weight
Term
The appropriate method to distend the vein is use of the ________ when using the dorsal hand technique.
Definition
The phlebotomists fore finger and middle finger to encircle the infants wrist.
Term
The optimal depth of a finger stick in a child is ______.
Definition

Less than 2.0mm

Term
What needle gauge is required for scalp vein venipuncture of an infant?
Definition
23g
Term
The angle of the needle for scalp venipuncture of an infant should be _____ degrees
Definition
15 - 60 Degrees
Term
What are complications resulting from multiple deep skin punctures on an infants heel?
Definition
Hepalitis
Term
How long should pressure be applied over the venipuncture site with a dry gauze sponge after a dorsal hand vein blood collection?
Definition
2-3 minutes
Term
What are two preferred methods of restraining a child to immobilize the arm?
Definition
Veritically or Horizontally or Supine.
Term
Children with Spina bifida and those with congential urinary tract abnormalities or neurogenic bladders are sensitive to ______.
Definition
Latex
Term
A _____ml sample taken from a premature or newborn infant is equivalent to 5 to 10 percent of the infants total blood volume.
Definition
10
Term
The ____ is the most desirable site for skin puncture of the infant or neonate.
Definition
heel
Term

True or False

The central area of an infants heel should be used in blood collection

Definition
False
Term
________ is the total amount of blood in an individuals Body.
Definition
Blood Volume
Term
_______ reactions range from skin redness, rash, hives, or itching to respiratory symptoms and, in trances, shock.
Definition
Latex Allergy
Term
______ typically refers to mandatory (required by law) laboratory testing of infants for specified disorders such as PKU and hypothroidism
Definition

Neonatal Screening

Term
A newborn infant; term used during the first 28 days after birth.
Definition
Neonates
Term
What is a Congenital disorder, usually diagnosed at birth that can cause brain damage resulting in severe retardation, often with seizures, and other neurologic abnormalities.
Definition
PKU
Term
Term for an infornt before it is "Full Term"
Definition
Permature Infant
Term
Name of a sucking device for infants and toddlers that is used to pacify or comfort the child.
Definition
Sucrese Nipple
Term
What items are needed to collect a Blood Culture specimen?
Definition
Alcohol Prep, Disposable Gloves, Idodine Scrub Swab stick.
Term
TDM is abbreviated for.
Definition
Theraputic Drug Monitoring
Term
Blood culture specimens are frequently collected in evacuated tubes containing.
Definition
SPS
Term
When does the timing for the 30, 60, 120, and 180 minute gluclose testing begin?
Definition
When the patient finished drinking the gluclose solution.
Term
What is a Fistula?
Definition
Artificial Shunt in which the vein and artery have been fused surgically.
Term
Cleansing the venipuncture site before collection of blood culture specimens involves the use of:
Definition
Chlorohexidinne Gluconate, Isopropyl Alcohol
Term
Which evacuated tube is preferred for the collection of a blood culture specimen?
Definition
yellow topped evacuated tube.
Term
what is a cannula?
Definition
Tubular instrument used to gain access venous blood
Term
_______ is major cause of death in the united states.
Definition
Septicemia
Term
When using a safety syringe for pediatric patients younger than 10 years old, it is recommended to collect ____ ml of blood for each year of life for the blood culture work up.
Definition
1
Term
The safety butterfly set should never be used without a ____ for transfer of the blood to the vials.
Definition
Direct Draw Adapter
Term

True or False

When preparing for the gluclose tolerance test, the patient should not drink any water 12 hours prior to the procedure

Definition
False
Term
______ is located on the thumb side of the wrist.
Definition
Radial Artery
Term
_____ is located in the cubital fossa of the arm.
Definition
Ulnar
Term
____ is the largest artery used in ABG collections.
Definition
Femoral Artery
Term

____ is a tube that can be inserted into a cavity or blood vessel and used as a channel for transporting fluids.

Definition
Cannula
Term
____ is a milk Sugar
Definition
Lactose
Term

_____ is an artificial shunt

Definition
fistula
Term
____ is an analytical test that measures oxygen and carbon dioxide in the blood
Definition
ABG : Arterial Blood gases
Term
A _____ is the test useful for assesing platelet plug formation in the capillaries.
Definition
Bleeding time test
Term
What is the diagnostic test for detecting diabetes.
Definition
Gluclose tolerance test.
Term
Tests that aid in identifying the specific bacterial organism causing infections in the blood are called_____
Definition
Blood Cultures
Term
An Additive typically used in blood culture bottles to prevent clotting is.
Definition
SPS
Term
____ are elements wuch as aluminum or lead that may be present in the blood.
Definition
Trace Metals
Term
A Central venous catheter is also known as
Definition
V.A.D. Vascular Access Device.
Term
Point-of-Care testing for blood gluclose monitoring is used frequently to test for?
Definition
Diabetes
Term
What do PT and APTT monitor in point-of-care testing?
Definition
Blood Gases
Term
Normally, an increased blood gluclose level causes release in which substance?
Definition
Insulin
Term
Sodium is abbreviated as:
Definition
Na+
Term
What condition refers to a reduction below normal in teh number of RBC's?
Definition
Anemia
Term
In point-of-care testing which condtion can cause erroneous results in gluclose testing?
Definition
Not fasting before specimen collection/calibrators are not used/ outdated reagents
Term
Trends in the elderly population indicate that point-of-service testing will increase in:
Definition
Homes and rehabilitation centers
Term
Which abbreviations refers to the term "hemocrit"?
Definition
HcT/Crit
Term
Which blood assay can assist in teh diagnosis and evaluation of anemia?
Definition
H and H
Term
In terms of quality control procedures "SD" stands for?
Definition
Standard Divations
Term
What are some emotional factors that are associated with the aging process?
Definition
Loss of spouse, Depression, Loss of Career
Term
What is Troponin T?
Definition
Protein that is released after a heart attack.
Term
The elderly or geriatric population comprises about __A___ percent of the U.S. population and uses __B__ percent of the nations health care services
Definition

A : 15

B : 31

Term
In the Elderly, skin tissue becomes __A___ thereby making venipuncture __B___
Definition

A : Thinner

B : Difficult

Term
In the elderly the muscles become __A__ so the angle of penetration of a venipuncture needle may need to be more __B__
Definition

A : Smaller

B : Shallow

Term
_______ is a chronic disease in which the pancreas cannot produce enough insulin or cannot use the insulin that it does produce
Definition
Diabetes
Term
____ is a metabolic disease in which carbohydrate utilization is reduced due to a deficiency in insulin and characterized by hyperglycemia, gllycosuria, water and electrolyte loss, keto-acidosis, and in serious condtions, coma.
Definition
Diabetes
Term
______ is the chemical produced by the pancreas that is released into the blood stream to facilitate gluclose absorption form the blood into the tissues where it is used for energy.
Definition
Insulin
Term
The protein released and detected after a myocardial infarction is:
Definition
Troponin T
Term
____ refers to tests and procedures that are actually performed at the patients bedside.
Definition
Point-of-Care testing
Term
_____ provides blood total cholestrol and blood gluclose with a finger stick drop of blood in 3 minutes.
Definition

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