study guide 2 (1)

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studysuccess
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100437
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study guide 2 (1)
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2011-09-17 14:26:43
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lyn's study guide (1)
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  1. What tube should chemistry STAT testing be done with
    PST tube unless serum is requested
  2. electrolyte panels are drawn using ____ tube
    specimen of choice is heparinized plasma (drawn in lithium heparin tube)
  3. what minerals does the electrolyte panel test for
    sodium (Na), potassium (K), chloride (Cl, and Co2
  4. BMP stands for
    basic metabolic panel
  5. what does the BMP include?
    everything in the Lytes (electrolyte panel), and BUN (blood, urea, nitrogen) calcium, creatine, glucose.
  6. what does BUN stand for
    blood urea nitrogen
  7. CMP stands for
    comprehensive metabolic panel
  8. CMP tests for
    everything in the BMP and 12 more analytes
  9. is TSH ever done STAT
    no
  10. TIBC stands for
    total iron binding capacity
  11. trace elements are
    arsenic, iron, lead, zinc are drawn into trace element free tubes royal blue)
  12. how do you know whats in the blue tube
    • the label color
    • additive depends on the testing method used
  13. explain a creatinine clearance test
    • it's a kidney function test with 2 parts:
    • 24 hour urine w/brown jug
    • and must have (SST) serum/plasma (PST) drawn at the end
  14. TDM stands for
    therapeutic Drug monitoring
  15. what kind of tests do TDM's require?
    timed tests
  16. list 5 therapeutic drug monitored for
    • digoxin
    • phenobarbitol
    • lithium
    • theophylline
  17. lithium is an
    anti-psychotic
  18. digoxin is a
    cardiac drug
  19. phenobarbitol is an
    anti-convulsant
  20. phenytoin is a
    dilantin
  21. theophylline is an
    anti-psychotic
  22. LD stands for
    last dose
  23. what information is needed for therapeutic drug monitoring
    last dose, date and initials on collection tube
  24. peak for oral meds
    2 hours after LD
  25. peak for IV
    15 min after IV LD
  26. trough levels are taken
    just before the next dose
  27. baseline levels are
    before medication is started (level should be 0)
  28. GTT stands for
    glucose tolerance test
  29. test 1 GTT (Maternal)
    • 50 mg glucola nonfasting, drawn 30 minutes after finishing dose.
    • -no further testing if Dr. determins levels are within limits
  30. if levels for test 1 GTT are not within limits we do
    • screening test is performed
    • 3 hour GTT
    • 100mg glucola, fasting test, wait 30 minutes before blood draw.
    • Cut off:greater than 200mg/dl is diabetic. drawn every hour for 3 hours
  31. fasting means
    no water, no gum, no smoking, remain calm and still,
  32. non-maternal GTT
    • No screening test
    • 75g glucola,
    • cut off diabetic is 170mg/dl
    • drawn 30 min then Dr. decids how many hours (2-5) is typical
  33. what sorts of events would interfere w/chemistry tests?
    hemolysis
  34. hemolysis is
    breaking of blood cells with release of hemoglobin
  35. lipemia is
    fat in blood: triglycerides may be removed by ultrafuge
  36. what is ultrafuge?
    very fast centrifuge very small sample
  37. icterus is
    yellow or orange blood caused by liver issues
  38. what does the coagulation department do
    test how effectively the body is clotting.
  39. what is the tube for coagulation
    sodium citrate (light blue)
  40. what is the ratio for light blue tubes
    9 parts blood to 1 part sodium is VERY IMPORTANT
  41. what specimen goes to coagulation
    plasma
  42. Hemoglobin A1C (tests for, tube, department)
    diabetic control, EDTA tube, to chemistry over 3 month period time
  43. list coagulation tests
    • PT/INR)
    • PTT
    • bleeding time

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