Blood Collection Tubes: Colors and Uses

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Questions and Answers

Which type of blood collection tube is used to obtain serum by separating it from blood via centrifugation and coagulation?

  • Gray top tube
  • Red top tube (correct)
  • Lavender top tube
  • Green top tube

Which of the following blood collection tubes contains lithium heparin and is primarily used to collect plasma for biochemical tests?

  • Yellow top tube
  • Blue top tube
  • Green top tube (correct)
  • Red top tube

Which blood collection tube contains K2 or K3 EDTA and is used in hematology for complete blood counts (CBC)?

  • Red top tube
  • Blue top tube
  • Lavender top tube (correct)
  • Green top tube

What is the primary use of blood collection tubes containing sodium citrate?

<p>Coagulation tests (C)</p> Signup and view all the answers

Which of the following assays typically requires a blood collection tube that is specially manufactured not to contain trace metals?

<p>Trace element analysis (C)</p> Signup and view all the answers

Which of the following blood collection tubes maintains glucose stability for up to 5 days due to the presence of antiglycolytic agents?

<p>Gray top tube (A)</p> Signup and view all the answers

Which blood collection tube is used for immediate coagulation of blood samples, especially when there is an urgent need for serum in biochemical analysis?

<p>Orange top tube (C)</p> Signup and view all the answers

Which of the following blood collection tubes is most suitable for hormone, microbiology, and biochemistry analyses?

<p>Red top tube (A)</p> Signup and view all the answers

What is the significance of inverting a blood collection tube containing EDTA (like a lavender top tube) immediately after collection?

<p>To ensure proper mixing of the additive with the blood (C)</p> Signup and view all the answers

For which type of laboratory analysis would it be most important to avoid any additives in the blood collection tube that could introduce metallic contaminants?

<p>Trace metal analysis (C)</p> Signup and view all the answers

If a phlebotomist needs to collect blood for both a CBC and coagulation tests, which tubes should be drawn, and in what order, according to CLSI guidelines?

<p>Blue then lavender (D)</p> Signup and view all the answers

When should a phlebotomist be particularly mindful of the fill volume when using a grey top tube?

<p>When testing for glucose (A)</p> Signup and view all the answers

A doctor orders a test that requires serum but time is of the essence. Which tube should a phlebotomist use?

<p>Orange top (B)</p> Signup and view all the answers

Which of these tests would yellow top tubes be inappropriate for?

<p>Coagulation tests (A)</p> Signup and view all the answers

Which tube is most appropriate for cross match analysis?

<p>Red top (D)</p> Signup and view all the answers

What specific additive found in green top tubes enables the separation of plasma, and what is the mechanism of action?

<p>Lithium Heparin inhibits thrombin formation (A)</p> Signup and view all the answers

In which scenario would the use of serum separated from a red top tube sample be MOST appropriate?

<p>Assessing electrolyte balance (B)</p> Signup and view all the answers

What is a possible patient-related consequence of not filling to the indicated volume when using an open gray tube?

<p>Falsely elevated glucose levels due to inadequate glycolysis inhibition (C)</p> Signup and view all the answers

Which laboratory department most frequently uses blood samples collected in the green top tubes?

<p>Clinical Chemistry (D)</p> Signup and view all the answers

What additional step is critical when using a lavender top tube to ensure the accuracy of hematological tests?

<p>Appropriate inversion to mix blood with EDTA (D)</p> Signup and view all the answers

Flashcards

Red-topped tubes

Used to clot blood and obtain serum via centrifugation. Commonly used for hormone, microbiology, biochemistry, and cross-match analyses.

Yellow-topped tubes

Separates serum from blood using a special gel formulation. Commonly used for hormone, biochemistry, and microbiology analyses.

Green-topped tubes

Separates plasma from blood using lithium heparin. Commonly used in biochemistry laboratories.

Purple-topped tubes

Contain K2 or K3 EDTA and are used for Hematology (CBC) and Cross Match analyses; invert gently after blood collection to prevent clotting.

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Blue-topped tubes

They contain sodium citrate, used for coagulation tests (prothrombin time).

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Dark blue-topped tubes

They contain sodium EDTA, manufactured to be free of trace metals to avoid contamination. Usually used for trace element testing (copper, mercury, lead, zinc) and toxicology tests.

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Light grey-topped tubes

They contain sodium fluoride and potassium oxalate, which preserves glucose for up to 5 days with antiglycolytic agents. Used for glucose tests; must fill tube adequately to avoid hemolysis.

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Orange-topped tubes

Contain thrombin to rapidly clot the blood. Commonly used when immediate serum chemistry is required.

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Study Notes

  • Vacuum blood collection tubes are commonly used for various tests in laboratories
  • Tubes have different universal color codes and serve different purposes

Tube Colors and Their Uses

  • Red-topped tubes: Used to clot blood and obtain serum through centrifugation
  • Generally used for hormone, microbiology, biochemistry, and cross-match analyses
  • Yellow-topped tubes: Separate serum from blood with a special gel formulation, allowing serum to be obtained more easily
  • Generally used for hormone, biochemistry, and microbiology analyses
  • Green-topped tubes: separate blood and plasma using lithium heparin to obtain plasma
  • Generally used in biochemistry labs
  • Purple-topped tubes: Contain K2 or K3 EDTA and are used in hematology (CBC) and cross-match analyses
  • Tubes should be inverted gently after blood is drawn to prevent clotting
  • Blue-topped tubes: Contain sodium citrate and are used for coagulation tests (prothrombin time)
  • Dark blue-topped tubes: Contain sodium EDTA and are manufactured to be free of contaminating metals
  • Generally used for trace element tests (copper, mercury, lead, zinc) and toxicology tests
  • Light gray-topped tubes: Contain sodium fluoride and potassium oxalate, preserving glucose for up to 5 days with antiglycolytic agents
  • Used for glucose tests; the blood tube should be filled adequately to avoid hemolysis
  • Orange-topped tubes: Contain thrombin, causing the blood to clot quickly
  • Generally used when emergency serum chemistry is needed

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