Phlebotomy 4 Analytical Errors, Complications, Special Venipuncture Flashcards

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27 cards   |   Total Attempts: 209
  

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Front Back
Analytical errors that occur before collection (name 9)
- Patient misidentification- Improper time of collection- Wrong tube- Inadequate test- exercise- Patient posture- Medication interference- Improper site preparation- Poor coordination with other treatments
Analytical errors during collection
- extended tourniquet time- Hemolysis- Wrong order of draw- Failure to invert tubes- Faulty technique- Under filling tubes
Analytical errors after collection
- Failure to separate serum from cells- Improper use of serum separator- Processing delays- Exposure to light- Improper storage conditions- Rimming clots
Hematoma
Most common complication of phlebotomy procedure. This indicates that blood has accumulated in the tissue surrounding the vein.
Hemoconcentration
The increase in proportion of formed elements to plasma caused by the tourniquet being left on too long.
Phlebitis
Inflammation off a vein as a result of repeated venipuncture on that vein. 
Petechiae
Tiny non-raised red spots that appear on the skin from the rupture of capillaries due to the tourniquet being left on too long
Thrombus
 A blood clot that is usually a consequence of insufficient pressure applied after the withdrawal of the needle.
Thrombophlebitis
Inflammation of vein with a formation of a clot
Septicemia
Systemic infection associated with the presence of pathogenic organism introduced during a venipuncture
Trauma
Injury to underlying tissues caused by probing of the needle.
Fainting
Do not allow the patient to fall and get injured. 
Latex sensitivity
Individual with a known sensitivity to latex should wear a medical alert bracelet.
Special Venipunctures (name 8)
Fasting specimens, timed specimens, postprandial test, Oral glucose Tolerance test (OGTT), Therapeutic Drug Monitoring, Blood Cultures (BC), Aterial Blood Gas (ABG), PKU, Dermal Punctures
Fasting specimens
Requires patient to be in the basal state, that is, the patient has fasted and refrained from strenuous exercise for 12 hours prior to the drawing. It is the phebotomist's responsiblity to verify if the patient indeed has been fasting for the required time.