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Doctor insights on: Phlebotomy Order Of Draw Chart

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Need help understanding my 3 hour blood glucose readings? What are the maximum normals?

Need help understanding my 3 hour blood glucose readings?  What are the maximum normals?

Up to 139 mg/dL: By 2-hr following the oral glucose challenge, anything 140 mg/dl or more is abnormal. 140-199 mg/dl is impaired glucose tolerance (pre-diabetes). A blood sugar of 200 or more is diabetes. ...Read more

Dr. (Liz)Phuong Tran
160 doctors shared insights

Phlebotomy (Definition)

There is also terapeutic phlebotomy. When someone has too much iron, taking blood will help to bring ...Read more


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What's the purpose of monitoring glycosylated hemoglobin levels in diabetes?

What's the purpose of monitoring glycosylated hemoglobin levels in diabetes?

A Better average: Sugar level fluctuates significantly throughout the 24 hours--dependent on intake and activities level, thus not a reliable measure of control using random testing. Glycosylated hemoglobin (a1c) is a by product of sugar metabolism and higher sugar over time=higher a1c. A1c testing is not dependent on fasting. It is an "average" measurement, thus more reliable. Consult doc. Good luck. ...Read more

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My husband has fasting blood sugar of 11.6 mmol/l. We actually came to do him OGTT. The lab refused to give the sugar sample owing to high FBS.

My husband has fasting blood sugar of 11.6 mmol/l. We actually came to do him OGTT. The lab refused to give the sugar sample owing to high FBS.

He has diabetes: Hello Mrs Bean . Unfortunately he is diabetic . His fasting sugar is very high . He needs to start on diet and excercuse program and see his physician to start treatment . ...Read more

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Blood draw immediately after a flu vaccine (intramuscular) - can this elevate the creatine kinase result? (lab value of 700+)

Blood draw immediately after a flu vaccine (intramuscular) - can this elevate the creatine kinase result? (lab value of 700+)

No: But if you had just exercised in the previous few hours that could do it. It's not a harmful level. If you are having chest pain or difficulty breathing or seeing dark reddish brown urine, you should see your doctor. ...Read more

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Blood test shows ferritin level of 541. Rbc of 3.6 and hg of 12. Being treated for anemia. High ferritin concerns me . Need help to understand .?

Blood test shows ferritin  level of 541.   Rbc of 3.6 and hg of 12.  Being treated for anemia.  High ferritin concerns me .  Need help to understand .?

Blood letting: A high ferritin is bad news because it catalyzes free oxygen radicles. They can be compared to sparks jumping out of a fire in the process known as oxidation, or fuel burning to provide cellular energy. The essential treatment is blood letting until the ferritin gets into the normal range, it is the only use of therapeutic blood letting. ...Read more

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What would be the appropriate blood draw for kidney patient on dialysis ?

What would be the appropriate blood draw for kidney patient on dialysis ?

Multiple tests: Every patient on dialysis in us receives monthly blood tests-mandated by cms.They will get complete blood count and iron studies to check for anemia, few tests to measure dialysis adequacy, calcium phosphorus levels, albumin, parathyroid hormone level, hepatitis b tests. In addition, tests may be ordered depending on the patient condition.All these lab results are reviewed by nephrologist monthly. ...Read more

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My son's complete blood picture shows total leucicytic count of 2800/cmm where the mentioned range is 5000-13000 , is this acceptable or should to do ?

My son's complete blood picture shows total leucicytic count of 2800/cmm where the mentioned range is 5000-13000 , is this acceptable or should to do ?

Not enough informati: Without knowing his history & physical exam, it really is impossible to comment. Many things can cause a low leukocyte count. The most common being a recent viral infection. Your child's physician should be able to answer this question for you. ...Read more

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What's the importance of recording my fasting and postprandial blood glucose results?

What's the importance of recording my fasting and postprandial blood glucose results?

Glucose monitoring: The whole purpose of monitoring your blood sugar levels is to let the doctor know what they are running so that the doctor can adjust your medications. Having good blood sugar control is essential in preventing complications. If the doctor isn't getting those values then i would wonder why you're checking it also. Bring in the averages or ranges of blood sugars when you see your doc. ...Read more

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Is the fasting plasma glucose test the best way to find diabetes of any type?

Is the fasting plasma glucose test the best way to find diabetes of any type?

No: Diabetes is diagnosed based on several criteria. One test is the fasting plasma glucose test, but this should be confirmed with a second elevated fasting glucose test. A glucose challenge test or a hemoglobin A1c test may be substituted as well. ...Read more

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Will the results of liver panel tests point to the presence of hepatitis c?

Will the results of liver panel tests point to the presence of hepatitis c?

Maybe: Abnormal liver chemistries (lfts) can be seen in abunch of disorders. Need a good history. Abnormal lfts generally initiate more testing to check on the cause for them, including viral infections (including hep c), autoimmune, metabolic, toxic, etc. Most patients with hep c don't have much in way of symptoms, tip off may be abnormal lfts. ...Read more

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Are there tests to confirm the doctor's diagnosis of puncture wound of the lip?

Are there tests to confirm the doctor's diagnosis of puncture wound of the lip?

No need for test: A puncture wound of the lip simply means something has pierced the lip. This is usually obvious on physical exam and requires no further testing. ...Read more

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What is the most accurate lab method to measure platelet count (tube type, etc). Last results varied by 30% in 1 hour; prescription is based on lab result.?

What is the most accurate lab method to measure platelet count (tube type, etc). Last results varied by 30% in 1 hour; prescription is based on lab result.?

Draw in citrate: The best method is to count the platelets manually. Look at the platelets under high power, count 10-15 fields, take the average and multiply by 18. Sometimes when blood is drawn in edta, the platelets can clump. Drawing the blood in citrate prevents clumping. Hope this helps. ...Read more

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What r different ways doctors to establish presence of infection through blood test apart from checking ESR level?

What r different ways doctors to establish presence of  infection through blood test apart from checking ESR level?

Lab not the answer: Presence of infection is usually a clinical judgment based on pain, swelling, redness and warmth. Systemic infection is heralded by fever, malaise, tachycardia, tachypnea. At that point many blood and chemistry abnormalities including elevated esr, crp, wbc. The infecting organism can often be cultured from the blood. However, a lesser infection often gives no sign in the labwork. ...Read more

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What rules do blood banks follow to lower the risk of aids?

What rules do blood banks follow to lower the risk of aids?

They are rigorous: Blood banks have become very stringent nowadays. Donors are evaluated for anything that might make their blood unsafe to use. Screening includes HIV and viral hepatitis. The donor must also answer questions about medical history and take a short physical examination to make sure the donation is not hazard. Even today, if your homosexual you can not give blood if thats disclosed. ...Read more

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Why according to a study do more than 50 percent of high school student fail the serial 7 subtraction test?

Why according to a study do more than 50 percent of high school student fail the serial 7 subtraction test?

Symptom, not problem: This is a symptom of a larger issue. The serial 7 test is used routinely during the neurological exam to assess the patient's mental status. Nowadays students use a calculator or computer earlier on, thereby relying on such "peripheral brains" for computation. www.sciencedaily.com/releases/2012/11/121112171430.htm and http://ideas.time.com/2012/11/29/how-to-use-technology-to-make-you-smarter/ ...Read more

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The appropriate concentration and volume of heparin bolus for intravenous injection ?

The appropriate concentration and volume of heparin bolus for intravenous injection ?

Heparin: This depends on the indication and base on the weight. Check this link to answer your question. http://reference.medscape.com/drug/calciparine-monoparin-heparin-342169. ...Read more

Dr. Ted King Dr. King
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Please explain to me order of draw for phlebotomy?

Dr. Ted King Dr. King
1 doctor agreed:

Question not clear: Can you possible rephrase your question? I am not sure what information you are asking for. ...Read more

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What is phlebotomy?

What is phlebotomy?

Taking blood.: Phlebotomy is the process of taking blood from a vein. This can be done for blood testing or even to drain blood in patients who make too much blood. The speciality of Phlebology deals with vein treatment and vein related problems. ...Read more

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What is a therapeutic phlebotomy?

What is a therapeutic phlebotomy?

Reduce Blood Count: In a disorder known as polycytemia vera, the body makes too many red blood cells which can lead to blood literally clogging up especially small blood vessels. A unit of blood will be withdrawn at some interval established by a physician letting the blood count drop/complications to lessen. Unfortunately the blood taken in this disorder has to be disgarded, not used for blood transfusions. ...Read more

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Is phlebotomy a good career choice?

Depends: Phlebology or blood drawing by itself is a way to earn income but I do not know its pay scale. It seems to me that a medical assistant would be a better choice because in addition to phlebology, you would be able to assist a nurse or physician in an office environment . This would give you more options in the work force. ...Read more

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How long do phlebotomy courses last?

How long do phlebotomy courses last?

Check local hospital: Most hospitals or community college districts have phlebotomy courses or check local labs. ...Read more

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Are phlebotomy license state specific?

Yes, check national : There are online courses, non-credit courses, some associated with emt training, and in each state it varies. It would be best to apply with a national organization: www.Nhanow.Com, www.Aspt.Org/phlebotomy.Html. ...Read more

Dr. Ted King Dr. King
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What is the definition or description of: phlebotomy?

Dr. Ted King Dr. King
2 doctors agreed:
What is the definition or description of: phlebotomy?

Drawing blood: There is also terapeutic phlebotomy. When someone has too much iron, taking blood will help to bring their iron level down. ...Read more

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How long does it take to receive a phlebotomy license?

It depends: Some states have no licence for phlebotomy. Some do and require specific training . Check for your state. ...Read more

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Please point me to where i can volunteer or intern for phlebotomy experience in nyc?

Sorry dont know: unfortunately this is not a personal medical question i can answer. I would check with hospital labs and phlebotomy schools. ...Read more

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I had a phlebotomy a week and they took 200ml too much i felt awful ever since how long until i'm feeling better?

Sounds like they: Took about 1.67 units. Should rebound in another week or two. Delay the next procedure until you feel better and HGB is 12 or higher. ...Read more

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Is it usual to feel lightheaded when practicing phlebotomy?

Is it usual to feel lightheaded when practicing phlebotomy?

Not unusual initiall: While this response is not unusual initially, most people quickly acclimate and don't continue to have problems. ...Read more

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Can you advise me if having my phlebotomy license, good idea?

Sure: If you enjoy taking care of patients and contributing to their wellness...sure! There is plenty of need for phlebotomists. ...Read more

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My friend has hemochromatosis. He has never had therapeutic phlebotomy. What should he do?

My friend has hemochromatosis. He has never had therapeutic phlebotomy. What should he do?

Depends: Hi. Hemochromatosis can be a hereditary disease from mutations in the HFE gene, or it can be from transfusion dependency (e.g., for various alpha and beta- thalassemias). You can only treat the hereditary hemochromatosis with phlebotomy...you can't phlebotomize transfusion-dependant patients! Clarify what your friend has, and if he is in fact iron-overloaded. Phlebotomy is easy and very effective ...Read more

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Can dialysis technicians learn phlebotomy too?

Can dialysis technicians learn phlebotomy too?

Do you mean?: Do you mean phlebology, the diagnosis and treatment of vein disease or phlebotomy- vein drawing for lab work? If you mean the second, i'm sure there must be labs that would have that course or send you in the right direction. ...Read more

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How will phlebotomy affect me if I'm on anticoagulants?

How will phlebotomy affect me if I'm on anticoagulants?

More bruising: IF you are anticoagulants you may have more bruising after a blood draw. it may take a bit longer for it to stop bleeding , a few more seconds. However that is basically it .There may not be any difference in your experience with phlebotomy. ...Read more

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Is it true phlebotomy a good treatment for polycythaemia vera?

Is it true phlebotomy a good treatment for polycythaemia vera?

Yes: I am not an expert, but it is my understanding that for many, it is the treatment of choice. I think most patients just go and essentially give blood about once a week and everything works out very well. A hematologist is the type of specialist that one with this condition should see for evaluation and treatment. ...Read more

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How can I acquire a california phlebotomy technician (cpt) certificate?

Visit website: Phlebotomy certification - state of california https://secure.Cps.Ca.Gov/cltreg/pt_certinfo.Aspimportant phlebotomy certification information printable version. California phlebotomy technician certification application. Application ... [. ...Read more

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What is the medical word for the alcohol preparation used to clean skin before routine phlebotomy?

What is the medical word for the alcohol preparation used to clean skin before routine phlebotomy?

Isopropyl alcohol : Isopropyl alcohol (isopropanol). It is also known as rubbing alcohol. It is a wood alcohol so don't drink it will make you blind . [no joke this really can blind you}. ...Read more

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I have hemachromatosis and get phlebotomies. What is this highest level my ferritin should be before getting a phlebotomy?

I have hemachromatosis and get phlebotomies.   What is this highest level my ferritin should be before getting a phlebotomy?

Dont wait : You should have your phlebotomies regularly to keep the iron stores low . If you wait until the ferritin level is increase your there some risk you are still overloading tissue. ...Read more