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MSLP2 Lec
Pre-Analytical Consideration In Phlebotomy
Physiologic Variables
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Cards (36)
RBC and WBC values are
HIGHER
in
NEWBORNS
than
ADULTS.
When the person is subjected to STRESS, what values increases?
WBCs
Mother passes what through the umbilical cord to the newborn?
RBCs
Newborns have lower concentration of what?
Oxygen
What 3 values are HIGHER in MALES than FEMALES?
RBC
,
Hematocrit
, and
Hemoglobin
RBC, hematocrit, and hemoglobin are higher in males than females because males produces WHAT?
Androgen
and
testosterone
Androgen and testosterone induces what?
Erythropoiesis
What count are ELEVATED at HIGHER ALTITUDES?
RBC
RBC count are elevated at higher altitudes because of what?
Lower oxygen content
Hemoconcentration
: blood components become concentrated in the SMALLER PLASMA VOLUME
Hemoconcentration happens when the patient is what?
Dehydrated
Diet variable is only what?
Temporary
Diet depends on the amount of what?
intake
Urea
: non-protein nitrogen
What is ELEVATED after HIGH-PROTEIN DIET?
Urea
What is ELEVATED after CARBOHYDRATE-RICH MEALS?
Glucose
Lipids may cause what kind of samples?
lipemic
Lipemic samples are characterized as what?
Turbid
or
milky
Lipemic samples are produced by what type of patients?
Non-fasting
patients
Lipemic samples produces what?
Chylomicrons
VIOLET:
lipemic plasma
RED:
lipemic serum
What cells DECREASES due to chemotherapy drugs?
BLOOD CELLS
What blood cells are only SOMETIMES affected by drug therapy?
Platelets
What INCREASES during exercise?
Lactic acid
,
potassium
, and
skeletal muscle enzymes
Give 3 skeletal muscle enzymes?
Lactate dehydrogenase
(LDH),
Creatine kinase
, and
Aspartate transferase
(AST)
What condition is characterized by an INCREASE BILIRUBIN in the blood?
Jaundice
What color is bilirubin?
yellow
Jaundice causes what type of sample?
Icteric
What color are icteric samples?
Yellow
or
dark yellow
There will be a
DECREASE
in
PLASMA VOLUME
from
SUPINE
to sitting up to standing up.
The patient must be seated how many minutes prior to blood collection?
15 minutes
SMOKING prior to collection increases what? (3)
cholesterol
,
glucose
, and
triglycerides
level
Chronic smoking increases levels of what?
cholesterol
,
glucose
,
triglycerides
, and
RBCs
During emotional stress such as anxiety, fear, or trauma what is TRANSIENTLY ELEVATED?
WBC
When the patient is stress, calm the patient then collect after how long?
1 hour