Phlebotomy Notes

Three main blood cells are

erythrocytes, leukocytes, & thrombocytes

Erythrocytes

are RBC's that transport O2 & CO2

Leukocytes

are WBC's that defend

Thrombocytes

are platelets that prevent clotting

Plasma

is the liquid portion of blood (unclotted or anticoagulant) which is whole blood

Hemolysis

is a rupture of RBC's or a collapsed vein

The most common vein used for venipuncture

is the median cubital

Syncope

is the sudden loss of conciousness caused by lack of oxygen also known as fainting

The gauge

is the size of the needle. The smaller the # the larger the gauge

The shaft

is the length of the needle

The lumen

is the opening of the needle

The bevel

is the slant at the tip of the needle

A winged-fusion set

is a butterfly needle, also called a blood collection set.

A tourniquet

cannot be left on longer than 1 minute

The ring finger

is the most common site used for capillary puncture in adults & infants

The most common size needle used for a routine venipuncture

is 21-22 gauge

Never tell a patient the procedure WON'T hurt.

...

Order of collection is

yellow lightblue red or red gray green lavender gray

The yellow tube contains

SPS

The light blue tube contains

trisodium citrate

The red or red gray tube contains

no additives or thixotropic gel

The green tube contains

sodium & lithium heparin

The lavender tube contains

EDTA

The gray tube contains

potassium oxalate

An evacuated tube

is a blood collection tube that has no air (vaccum) so blood could be withdrawn.

Venipuncture complications includes

anemia cardiac arrest hemorrhage & damage to tissues or nerves

The most common complication of venipuncture

is hematomas

A lancet

is a sharp apparatus which is used to puncture the skin in capillary blood specimen

The purpose of inverting the tube

is to mix the specimen with the additive as soon as specimen is withdrawn

The angle of venipuncture

is 15-30 degree

Hemoconcentration

is increased RBC's caused by the tourniquet being on for more than 1 minute

Serum

contains essentially the same chemical constituents as plasma but clotting factors (after specimen has clotted)

Anticoagulant

is a substance that prevents the specimen from clotting

Collapsed veins

occur when specimen is withdrawn too quickly or forcefully during venipuncture

Hematomas

occurs as a result of blood leakage during venipuncture