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Questions and Answers

What is the recommended maximum depth for a skin puncture on an infant?

  • 2.0 mm (correct)
  • 3.0 mm
  • 2.5 mm
  • 3.5 mm

Why is the first drop of blood discarded during a skin puncture?

  • To eliminate excess anticoagulant
  • To prevent hemolysis
  • To remove tissue fluid contamination (correct)
  • To ensure adequate sample volume

What is the most common site for venipuncture?

  • Superficial vein of the antecubital fossa (correct)
  • Saphenous vein
  • Femoral vein
  • Dorsal vein of the hand

What angle should the needle be inserted at during venipuncture?

<p>30 degrees (C)</p> Signup and view all the answers

What is the maximum recommended time for tourniquet application during venipuncture?

<p>1 minute (D)</p> Signup and view all the answers

Prolonged tourniquet application can cause:

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

Which of the following is the first choice vein for venipuncture, according to the 'N' shaped pattern?

<p>Median cubital vein (B)</p> Signup and view all the answers

Which of the following can result from repeatedly pumping the fist during blood collection?

<p>Increased potassium (D)</p> Signup and view all the answers

Which of the following is a cause of specimen hemolysis?

<p>Prolonged tourniquet application (B)</p> Signup and view all the answers

What is the function of sodium fluoride in blood collection tubes?

<p>To inhibit glycolysis (B)</p> Signup and view all the answers

Which of the following additives is commonly found in a 'Hema' tube?

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

What is the mechanism of action of EDTA as an anticoagulant?

<p>Chelates calcium (D)</p> Signup and view all the answers

For what duration should a CBC sample, collected in EDTA, be analyzed if stored at room temperature?

<p>Within 6 hours (B)</p> Signup and view all the answers

Following venipuncture, a patient develops a large bruise at the site. What immediate action should be taken?

<p>Apply direct pressure (D)</p> Signup and view all the answers

A patient feels faint during venipuncture. What is the most appropriate first action?

<p>Lower the patient’s head and loosen any tight clothing. (D)</p> Signup and view all the answers

What is the recommended course of action if a patient experiences a seizure during venipuncture?

<p>Stop the extraction and protect the patient from injury (B)</p> Signup and view all the answers

How does cortisol level fluctuation during the day?

<p>Decrease ACTH, Decrease Cortisol (A)</p> Signup and view all the answers

How does lipemia affect blood test results?

<p>Interfere with certain assays (B)</p> Signup and view all the answers

According to the information, which component is used to operate valves and move the sample through the system in hematology analyzers?

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

What is the most common methodology used in automated cell counting and sizing?

<p>Electrical impedance (C)</p> Signup and view all the answers

In electrical impedance, what does the size (height) of the pulse correlate to?

<p>Volume of cells (C)</p> Signup and view all the answers

Which parameter is NOT directly measured by the electronic cell counting?

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

What is the normal value of the Mean Platelet Volume (MPV)?

<p>6.5 - 12 fL (C)</p> Signup and view all the answers

A WBC count is considered valid in electronic cell counting if the count is at least how many fL?

<p>45 fL (B)</p> Signup and view all the answers

In an RBC histogram generated by an automated cell counter, approximately what range (in fL) corresponds to the normal volume range?

<p>36-360 fL (B)</p> Signup and view all the answers

Which type of specimen nature can be counted falsely elavated WBC?

<p>Abnormal RBC (D)</p> Signup and view all the answers

What is the primary method for identifying different cell populations using flow cytometry?

<p>Monoclonal antibodies (D)</p> Signup and view all the answers

Which lineage is associated with the markers CD34, CD117, and TDT?

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

Which of the following markers is NOT associated with T Lymphocytes?

<p>CD19 (D)</p> Signup and view all the answers

Flashcards

Skin Puncture

Obtaining small quantities of blood via puncturing the skin.

Skin Puncture Devices

Capillary tubes and microcollection tubes are used.

Skin Puncture Depth

Infants: less than 2.0 mm. Adults: 2.0-2.5 mm

Increase Blood Flow

Warm the puncture site 40-42 degrees C for 2-5 minutes.

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Avoid Milking Tissue

To avoid contamination with tissue fluid and hemolysis.

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Discard First Drop

Discarding the initial blood drop to eliminate excess tissue fluid, dead skin cells, and ensure a free flow of blood.

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Venipuncture Site

Puncture site is typically in the antecubital fossa.

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Venipuncture Needle Angle

Maintain an angle less than 30 degrees.

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Tourniquet Application

Apply for less than 1 minute. Prolonged application causes: Hemolysis, Hemoconcentration and Decreases coagulation time.

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Tourniquet Distance

3-4 inches/7.5-10cm

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Venipuncture Needle Size

21-23 gauge, 1 inch length.

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Clot Activators

Quicken clotting

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Anticoagulants

Inhibit clotting

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Antiglycolytic agents

Inhibit glucose

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Thrombi Function

Activates CF I, V, VIII, XIII

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Specimen Hemolysis Cause

Prolonged tourniquet application

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Allergic Reaction Solution

Hypoallergenic tape and latex-free gloves.

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Fainting Solution

Apply pressure and loosen clothes.

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Obesity Puncture Solution

Use a blood pressure cuff instead of a tourniquet.

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Seizure Solution

Stop extraction, apply pressure, avoid injuries, notify first.

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Hemolysis Action

Technical or physiological. Repeat collection.

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Vomit Solution

Provide container and tissue; position head sideward.

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Posture effect

From supine to erect

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Diurnal Rhythm

Decrease ACTH and Cortisol / Increase Eosinophils

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Electronical Impedance

Most common methodology used and cell counting and sizing

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Optical Scatter Detection

Optical scatter systems = Flow cytometers & uses laser or non-laser light

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Flow Cytometry

Physical properties, ability to deflect light

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Instrumental

Technical Error

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Common error - Aperture plugs or Bubbles in the sample , Extranous Electrical Impulses

Positive (+) Error

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Excessive lysing of RBC

Excessive lysing of RBC

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Study Notes

  • Skin puncture yields small quantities of blood

Devices

  • Capillary tubes are used
  • Microcollection tubes are also utilized

Depth

  • For infants, the puncture depth should be less than 2.0 mm
  • For adults, the puncture depth should be between 2.0-2.5 mm

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Description

Skin puncture blood collection uses capillary and microcollection tubes for small blood samples. The puncture depth varies; less than 2.0 mm for infants and 2.0-2.5 mm for adults. This method is an alternative to venipuncture when only small quantities of blood are needed.

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