32. Which of the following can possibly cause a hematoma to form? * 1- Consistent probing Il - The needle bevel did not reach the lumen of the vein. III - The needle went through the vein. 9 This is a required question 33. Red-top tubes are most used for: * O 1-Cholesterol determination Il -Electrolyte levels O II -Coagulation tests
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Answer #32 & 33
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- A patient has been suffering for 2 months with a chronic, watery diarrhea. A blood test is likely to reveal ________. a hematocrit below 30 percent hypoxemia anemia polycythemia2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin? 3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected. Explain the expected results of PT on the following coagulopathies: 3.1 Disseminated Intravascular Coagulation 3.2 Liver Disease SERUM PROTHROMBIN TIME 3.3 Vitamin K Deficiency 4. Illustrate and label the different steps of Serum Prothrombin Time.A 65-year-old m a n with a 5-year history of alcoholic cirrhosis comes to the physician for a follow-up examination. Physical examination shows palmar erythema, gynecomastia and moderate ascites. Laboratory studies show an increased prothrombin time. Replacement of which of the following coagulation factors is most likely to improve this patient’s prothrombin time ?A) Factor VII (proconvertin)B) Factor VIII (antihemophilic factor)C) Factor IX (plasma thromboplastin component) D) Factor X (Stuart factor)E) Factor XI (plasma thromboplastin antecedent) F) Factor XII (Hageman factor)
- The practitioner ordered an IV anticoagulation bolus of 5,000 units IV folllowed by a continuous drip of the same IV anticoagulation at 1,000 units per hour. The standardard mixture of this medication is 25,000 units/ 500 ml of D5W. At what rate in milliliters per hour should the infusion pump be set?A 77-year-old man seeks medical attention because of shortness of breath onminimal exertion. His chest X-ray reveals a right-sided pleural effusion. Theaspirated fluid is straw colored and clear. The protein concentration is low, andthe specific gravity is 1.011(low). Which of the following is the most likely causeof the effusion.A- TuberculosisB- Left ventricular heart failureC- lung cancerD- Pneumonia1. Which among the analytes may falsely decrease when serum tubes are not centrifuged within the required time? I. Potassium II. Glucose III. Calcium IV. Carbon dioxide V. Lactate dehydrogenase A. I, II, III, & IV only B. Il & IV only C. Ill & IV only D. Il, III, & IV only E. IV & V only 2. What is the result of platelet count using liquid EDTA? A. Higher platelet count B. Lower platelet count C. Slightly higher platelet count D. Normal platelet count 3. I - More blood will fill into the evacuated tube when the needle position is bevel down. II - In contrast, less blood or no blood will fill into the tube when the bevel of the needle is in upward position. A. The FIRST statement is CORRECT, and the SECOND is WRONG. B. The FIRST statement is WRONG, and the SECOND is CORRECT. C. BOTH statements are CORRECT. D. BOTH statements are WRONG.
- 1. A hospital pharmacy has available 2-mL prefilled syringes containing 80 mg of tobramycinand 1.5-mL prefilled syringes containing 60 mg of tobramycin. The syringes are calibratedin 0.25-mL units. Explain how you would prepare a medication order calling for 110 mgof tobramycin to be added to 100 mL of D5W for intravenous infusion. 2. A physician prescribes a 5-mcg/kg/min IV drip of dopamine for a 175-lb. patient, and thepharmacist adds an ampul of dopamine (200 mg/5 mL) to a 250-mL bottle of D5W. Whatdrip rate should be run, in drops per minute, using a minidrip set that delivers 60 drops/mL? 3. A physician orders an intravenous solution to contain 10,000 units of heparin in 1 literof 5% w/v dextrose solution to be infused at such a rate that the patient will receive500units per hour. If the intravenous set delivers 10 drops/mL, how many drops per minuteshould be infused to deliver the desired dose?1. I - Prolonged storage of the specimen for arterial blood gas analysis may have falsely elevated carbon dioxide content II- Prolonged storage of the specimen for arterial blood gas analysis may have falsely elevated oxygen content A. The FIRST statement is CORRECT, and the SECOND is WRONG. B. The FIRST statement is WRONG, and the SECOND is CORRECT. C. BOTH statements are CORRECT. D. BOTH statements are WRONG 2. I- Four fresh peripheral blood smears are usually required for the leukocyte alkaline phosphatase (LAP) stain or score. II - Within 4 hours, blood smears prepared from EDTA specimens should be made. The FIRST statement is CORRECT, and the SECOND is WRONG. The FIRST statement is WRONG, and the SECOND is CORRECT. BOTH statements are CORRECT. BOTH statements are WRONG. 3. I - A patient who has fainted must stay in the area for at least 15 minutes after regaining consciousness II - The phlebotomist should try to insert something into the patient's mouth if he or she has a…5. A nurse is caring for a client with end-stage renal disease (ESRD) who is receiving hemodialysis. Which medication should the nurse expect to administer intravenously during dialysis to prevent clot formation in the dialysis machine? A) Heparin B) Warfarin (Coumadin) C) Clopidogrel (Plavix) D) Enoxaparin (Lovenox)
- How do you administer a direct IV or IV bolus? Is direct IV and IV bolus the same? And when you administer via direct IV, does the solution of the direct IV (i.e. ceftazidime, meropenem, etc.) affects the continuous infusion (i.e. Lactated ringer, KCl, NaCl)13. A patient is rushed to the emergency room and has suffered severe blood loss. Patient is type AB but is in short supply. The medical personnel commenced the transfusion. Which of the following reasons is correct to support the action? a. any blood type can be collected and transfused to the patient b. a blood from a pig donor will suffice c. they paid a donor with type AB millions of pesos d. all the choices are incorrectYour client is a known case of Anemia who was admitted to medical ward for blood transfusion. The physician ordered 1 unit of packed red blood cells (PROC) for him. After 2 hours of commencing the transfusion, Mr. H vomited twice and reported having diarrhea. His vital signs were checked; Temp: 38.9 degree Celsius and BP 98/50 mm of Hg. What might be the possible cause of the transfusion reaction your client has developed?
