**Case Studies and Review

This lesson focuses on applying your phlebotomy medical terminology knowledge through real-world case studies. We will also comprehensively review the key terms and concepts learned throughout the week, solidifying your understanding and preparing you for practical application.

Learning Objectives

  • Analyze patient scenarios using correct medical terminology related to phlebotomy procedures.
  • Identify and differentiate between various hematological disorders and their relevant terminology.
  • Accurately interpret and document phlebotomy-related orders and patient information using correct medical terms.
  • Apply medical terminology knowledge to explain phlebotomy procedures to patients in a clear and concise manner.

Text-to-Speech

Listen to the lesson content

Lesson Content

Review of Key Terminology (Quick Recap)

Let's refresh our memories! We've covered a lot this week. Consider the following categories and their key terms:

  • Anatomy & Physiology: Antecubital fossa, capillaries, erythrocytes, leukocytes, thrombocytes, vena cava, veins, arteries. Example: Explain the difference between arteries and veins and their function in relation to phlebotomy.
  • Blood Components: Plasma, serum, hematocrit, hemoglobin, red blood cells, white blood cells, platelets. Example: What is the difference between plasma and serum, and when might each be used in a blood draw?
  • Phlebotomy Procedures: Venipuncture, capillary puncture, palpation, requisition, tourniquet, hemolysis, hematoma. Example: Explain the correct order of draw, and why it's crucial.
  • Medical Conditions and Disorders: Anemia, polycythemia, leukemia, thrombosis, hemostasis, edema. Example: How might edema affect a blood draw, and what modifications might be necessary?

Case Study Analysis: Scenario 1 - Patient Anxiety

Mr. Jones, a 65-year-old male, presents for a routine CBC (Complete Blood Count). He appears anxious and states he has a "fear of needles." His requisition states he requires a lavender-top tube (for CBC) and a light blue-top tube (for PT/INR).

Medical Terminology Focus: Phobia, hematoma, anxiety, venipuncture, antecubital fossa.

Analysis Points:

  • How should you, as the phlebotomist, address Mr. Jones' anxiety? (Use specific medical terms to explain the situation).
  • What specific anatomical location would be the best site for the venipuncture?
  • What steps should you take if a hematoma develops during the blood draw?
  • What equipment do you need for this procedure?

Case Study Analysis: Scenario 2 - Pediatric Patient

Little Lily, aged 4, requires a blood draw for a glucose test. The order states "capillary puncture." The parent is present and expressing concern.

Medical Terminology Focus: Capillary puncture, edema, palpation, dermal, cyanosis.

Analysis Points:

  • Where is the most appropriate site for a capillary puncture on a child? (Explain using medical terminology.)
  • What are some techniques to minimize pain and anxiety in a child?
  • What signs would indicate that you should NOT perform the capillary puncture at a specific site?
  • What are the steps to follow to collect blood properly?

Case Study Analysis: Scenario 3 - Patient with History of IVs

A 70-year-old female patient is ordered for a comprehensive metabolic panel (CMP). The patient states she has had frequent IVs in the past and her veins are difficult to find. She also states she had a previous hematoma.

Medical Terminology Focus: Veins, antecubital fossa, tourniquet, edema, palpation, hematoma.

Analysis Points:

  • What approach should you use to locate a suitable vein? (Use medical terminology.)
  • What techniques and modifications might be needed because of the patient's history? (Explain using medical terms.)
  • What should you do if the patient experiences pain or other issues during the blood draw?
  • Which tubes and order of draw should you follow?
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