Specimen Collection and Processing

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Questions and Answers

Which of the following is NOT typically used for diagnostic purposes?

  • Urine sample
  • Hair sample (correct)
  • Arterial blood sample
  • Semen sample

What is the MOST frequent body fluid used for analytical purposes?

  • Urine
  • Blood (correct)
  • Saliva
  • Cerebrospinal Fluid (CSF)

Which of the following is a general procedure for obtaining blood?

  • Thoracentesis
  • Skin puncture (correct)
  • Paracentesis
  • Lumbar puncture

What is the primary source of specimens for clinical laboratory analysis?

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

Before performing a venous puncture, what must the technician ensure to gain from the patient?

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

What information from the blood request from should be recorded on specimen labels?

<p>Patient's full name and age (D)</p> Signup and view all the answers

What is the most common vein used for venipuncture?

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

What is the first choice artery for arterial puncture?

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

For which patient group is the heel commonly used as a site for skin puncture?

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

Which of the following is a common use for skin puncture?

<p>Evaluating thyroid function in newborns (A)</p> Signup and view all the answers

Which of the following tubes contains Na citrate to prevent coagulation in the sample?

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

What does the blood glucose tube contain to prevent glucose consumption?

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

What additive is found in tubes used for Arterial Blood Gases (ABG)?

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

Which tube type is used to accelerate blood coagulation for serum samples in emergency situations?

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

What is the purpose of using pre-heparinized syringes in arterial puncture?

<p>To prevent blood clotting (D)</p> Signup and view all the answers

A patient is required to fast for 13 hours before blood collection. Which test is MOST likely being performed?

<p>Lipid profile test (B)</p> Signup and view all the answers

What is the MOST critical step immediately after inserting the needle during venipuncture, but before withdrawing blood?

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

Which of the following sample types would be MOST appropriate for diagnosing a protozoal infection?

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

If a patient has a suspected central nervous system (CNS) disease, which type of fluid sample is MOST likely to be collected?

<p>Cerebrospinal Fluid (CSF) (A)</p> Signup and view all the answers

Why are tubes for coagulation studies filled first?

<p>To minimize additive carryover (A)</p> Signup and view all the answers

What type of sample is MOST suitable when investigating wound infections?

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

What is the MAIN purpose of the dermis puncture in sample collection?

<p>To access capillary beds (B)</p> Signup and view all the answers

Which of these factors has the LEAST influence on the choice of antiseptic used for cleaning the venipuncture site?

<p>The laboratory's budget for supplies (B)</p> Signup and view all the answers

Before arterial puncture, it is critical to perform an Allen's test. What does Allen's test assess?

<p>The adequacy of ulnar collateral circulation (D)</p> Signup and view all the answers

What is the rationale behind using a tourniquet during venipuncture?

<p>To distend veins for easier access. (C)</p> Signup and view all the answers

What's the MOST LIKELY consequence of repeatedly probing when trying to locate a vein during venipuncture?

<p>Increased risk of hematoma (A)</p> Signup and view all the answers

After centrifuging a blood sample, you notice that the serum is hemolyzed (pink/reddish). Which parameter is MOST affected by this condition?

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

A phlebotomist accidentally pierces through a patient's vein during venipuncture, causing significant bleeding into the surrounding tissue. Which immediate action is MOST appropriate?

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

A phlebotomist is having trouble collecting blood from a patient with small, fragile veins. Despite several attempts, only a tiny amount of blood is obtained, barely enough for the required tests. Which of the following is the LEAST appropriate course of action?

<p>Forcefully aspirate the remaining blood to get enough sample. (A)</p> Signup and view all the answers

Flashcards

Human Samples

Samples taken from patients to aid diagnosis

Types of human samples?

Blood, urine, semen, CSF

Blood

Blood is the most frequent body fluid for analytical purposes.

Blood Sample Procedures

Skin puncture, Venous puncture, Arterial puncture

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Venous Puncture

Primary source of specimen for clinical laboratory.

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Fasting Time for Blood Glucose?

6-8 hours

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Fasting Time for Lipid Profile?

12-14 hours

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Venous Puncture

Gain confidence of the patient .

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Most common vein for blood draw?

Median cubital vein

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Sodium Citrate

Used to prevent coagulation in the sample.

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Fluoride

Prevents glucose consumption.

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EDTA

Prevents blood coagulation.

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Plain tube

It allows coagulation

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Arterial puncture

Pre-heparinized syringes

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Arterial puncture

radial artery

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Skin

Finger or heel

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Study Notes

  • The lecture covers specimen collection and processing, including types of human samples, blood sample types and collection techniques, and blood collection tubes.
  • Taking samples are based on diagnosis.

Types of Human Samples

  • Blood samples are taken.
  • Urine samples are taken, specifically in cases of urinary tract infections (UTI).
  • Semen samples are collected in sterility cases.
  • Fluid samples, such as cerebrospinal fluid (CSF), are taken in cases of central nervous system (CNS) diseases.
  • Swabs are used for wound infections.
  • Stool samples are used for protozoal diagnosis.

Blood Samples

  • Blood is frequently used for analytical purposes.
  • The three general procedures for obtaining blood include skin puncture, venous puncture, and arterial puncture.

Venous Puncture

  • Venous puncture is the primary source of specimens for clinical laboratories.

Technique for Venous Puncture

  • The first step is equipment preparation.
  • The second step is patient condition; patients are asked to fast for certain analyses.
  • Patients must fast 6-8 hours for a blood glucose test.
  • Patients must fast 12-14 hours for a lipid profile test.
  • The technician must gain the patient's confidence and reassure them that the venipuncture will be slightly painful and of short duration.
  • The technician needs to record information
  • Information given on the blood request form should be recorded on the specimen labels,.
  • Essential items must include the patients' full name, age, and tests to be done.
  • Identify which vein to use, the most common vein is the median cubital vein

Arterial Puncture

  • Pre-heparinized syringes are used.
  • The radial artery is the first choice due to its small size.

Skin Puncture

  • Skin puncture sites are the finger for adults and the heel for infants.
  • Puncturing the dermis layer gives access to the capillary beds.
  • Skin punctures check blood sugar.
  • Skin punctures evaluate thyroid function in newborns.

Tubes Used in Blood Collection

  • Tubes containing Na citrate prevent coagulation in samples for coagulation profiles.
  • Plain tubes with no chemical additives allow coagulation and separation of blood cells from plasma used for the estimation of urea and uric acid in serum.
  • CBC tubes contain EDTA to prevent blood coagulation and preserve the shape of blood cells.
  • Blood glucose tubes contain fluoride, which prevents glucose consumption by inhibiting enolase enzyme action.
  • Heparin tubes are used for arterial blood gas (ABG) tests.
  • Gel tubes accelerate blood coagulation for serum samples in emergencies.

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