Capillary Puncture - ANSWER 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 - ANSWER 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 - ANSWER An agent used to preven blood clotting and to keep the
specimen whole blood
Red top - ANSWER NO ADDITIVE --- Clot Forms ----Serum used for Chemistries,
Electrolytes, Thyroids (TSH, T4), Hormone, Liver, Kidney, Lipid stuidies, CMP, BMP.
Tiger top - ANSWER Aka Red/Gray top: Clot activator additive - Clot Forms - SERUM
STUDIES
Lavender top - ANSWER 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 - ANSWER Clot activator additive - Clot Forms - SERUM Studies
Grey top - ANSWER Sodium Fluoride/Potassium oxalate - Glucose, Alcohol, FBS
Light blue top - ANSWER 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 - ANSWER 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 - ANSWER What veins are in the antecubical area?
Hemoconcentration - ANSWER 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 - ANSWER Agent used on the skin to sterilize the area.
Tourniquet - ANSWER Elastic device used ti restrict blood flow to distend veins for
phelbotomy.
Wing infusion set - ANSWER Aka butterfly - for small or fragile veins or difficult veins
Erythrocytes, leukocytes, and Thrombocytes (Platelets) - ANSWER The solid portion of
blood contains:
Plasma - ANSWER The liquid portion of whole blood; contains all clotting factor
Serum - ANSWER The liquid portion of clotted blood; contains NO clotting factors.
3-4 inches abouve the puncture site. 1 minute. - ANSWER Where should the tourniquet be