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AMCA Phlebotomy Exam
Test Tubes, Additives and Tests
Question | Answer |
---|---|
What are YELLOW tubes used for? | Blood culture and sterile specimens ACD solution |
What are BLUE tubes used for? | Commonly used for coagulation tests (PT, PTT, fibrinogen) |
What are RED tubes used for? | Commonly used for serum determinations in chemistry testing and blood bank testing. |
What are GREEN tubes used for? | Commonly used for routine chemistry testing |
What are LAVENDER tubes used for? | Commonly used for hematology testing (CBC, reticulocyte count, erythrocyte sedimentation). |
What are GRAY tubes used for? | Commonly used for glucose tolerance and lactic acid measurement. |
What are ROYAL BLUE and TAN tubes used for? | Used to collect samples for nutritional studies, therapeutic drug monitoring and toxicology. Also used for testing aluminum, copper, arsenic, calcium, etc. Tan topped is used for lead testing. |
What is the additive in Yellow stopper tubes? | Sodium Polyanetholesulfonate |
What is the additive in Blue stopper tubes? | Sodium Citrate |
Which additive prevents coagulation by binding calcium? | Sodium Citrate |
Which color tube stopper does not require an additive? | Red |
What additive *can* (not required) be added to RED stopper tubes? | Thixotropic gel can be added (this is an inert (nonreacting) synthetic substance contained in or near the bottom of certain blood collection tubes. |
What is the additive in GREEN stopper tubes? | Sodium heparin and lithium heparin - natural anticoagulants that inhibits thrombin. |
What is the additive in LAVENDER stopper tubes? | Ethylenediaminetetraacetic Acid (EDTA) |
What does the additive Ethylenediaminetetraacetic Acid (EDTA) do? | Binds the calcium needed for clot formation. |
What is the additive in GRAY stopper tubes? | Sodium fluoride- a preservative that inhibits glycolic action AND Potassium Oxalate - an anticoagulant that binds calcium. |
What is the additive in TAN stopper tubes? | EDTA - Ethylenediaminetetraacetic Acid |
What is the correct order of draw when performing a venipuncture? | 1. Blood Cultures 2. Light Blue top-tubes 3. Red or Speckled tubes 4. Green top tubes 5. Lavender top tubes 6. Gray top tubes |