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Lab Tests
Question | Answer |
---|---|
what four things are looked at in an arterial blood gas test | pH, CO2, O2, and bicarbonate |
what is ETOH? | ethanol blood test |
what is aPTT? | activated partial thromboplastin time |
what is the difference between PTT and aPTT? | aPTT contains an activator that speeds up clotting time |
what tube is aPTT drawn in? | light blue |
culture and sensitivity would go to which lab? | microbiology |
who usually draws for an ABG test? | nurse, physician, or respiratory therapist |
what is a group of tests called? | profiles or panels |
what is an H. Pylori test? | 48 hour breath test |
which test has priority? | STAT |
Which test does not require fasting? | CBC |
Septicemia can be detected by what type of test? | Blood culture tests will indicate the presence of septicemia. |
D-dimer tests are used to assess | blood clotting issues. |
HbA1c is used to diagnose and monitor | diabetic patients |
kidney function tests assess | how effectively kidney function is |
Which test requires the collection of both blood and urine at specific intervals? | Glucose tolerance testing requires the collection of both blood and urine at defined intervals |
which of the following is a test used to monitor heparin levels? | ACT |
Which of the following test can be conducted using either serum or plasma specimens? | mono-test |
This substance can interfere with coagulation tests by activating the extrinsic coagulation pathway: | tissue thromboplastin |
Which of the following is used as an anticoagulant for ABG specimens? | Heparin |
One of the reasons that serum is more often used for testing than plasma is that | serum contains more antigens |
What color tube does an electrolyte panel go in? | Green |
What tube contains Thrombin for STAT serum testing? | Orange or Grey/Yellow Tiger Top |
ESR tests in what color tube? | lavender tube |
what color tube would a test for uric acid go in and where would it be sent? | uric acid would be drawn in a SST and sent to the chemistry lab |
what color tube would a test for A1C go in and where would it be sent? | A1C (hemoglobin A1C) is drawn in a lavender top tube and sent to the chemistry lab |
What test is used to evaluate extrinsic pathway? | PT/INR |
pt/inr | monitors anticoagulant therapy (Coumadin, Warfarin, and Heparin) |
what test is used to evaluate intrinsic pathway? | PTT |
Lipid panel should be drawn in what tube when a patient is fasting? | SST tube |
What is the trough? | Lowest chemical blood level |
What is the peak? | Highest chemical blood level |
What common test is drawn without stasis? | Lactic acid |
Septicemia is detected in what? | Blood cultures |
Blood culture is ordered as two | Anaerobic and aerobic |
Tests for light blue top | PT, PTT, AND aPTT |
Tests for red top | Clear the line, clotting (30-60 min), serum pregnancy test |
Tests for gold/tiger (*SST) | BMP, CMP, serum pregnancy test, and c reactive protein test |
Tests for light green (*PST) | LYTES and hCG |
Tests for dark green | ammonia |
Tests for lavender | C reactive protein, ESR (full tube required), CBC, sickle cell screening |
Tests for royal blue w red lavender stripe | Lead poisoning, heavy metal toxicology |
Tests for pink | Molecular diagnostics, testing of viral loads, type and screen ratio, and cross match |
Tests for grey | Ethanol levels, lactic acid, OGTT |
what is step 1 for an H. pylori test? | Up to 2 weeks before test, Pt needs to stop taking antibiotics, bismuth medicines & proton pump inhibitors (PPIs) |
what is step 2 for an H. pylori test? | During the test, Pt will swallow a special substance that has urea. (Urea is a waste product that the body produces as it breaks down protein. Urea used in the test has been made harmlessly radioactive. |
what is step 3 for an H. pylori test? | If H. Pylori are present, bacteria convert the urea into carbon dioxide >detected & recorded in Pts exhaled breath after 10 minutes |
what is step 4 for an H. pylori test? | Pts should not talk or consume anything (i.e. eat or drink) after/between the baseline breath test & final breath test. |
what is the purpose of the H. pylori test? | This test can identify almost all people who have H. Pylori - can also be used to check that the infection has been fully treated |
What tests are chain of custody? | All drug tests, blood alcohol, or any other tests that have medicolegal significance should be accompanied by a chain-of-custody. |
What does a PKU test test for? | |
Common urine tests: | routine urinalysis c&s, cytology, drug screening, pregnancy test |