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Question 1:
1) The clinical importance of drawing 'peak' and 'trough' samples in laboratory analysis.
2) A TDM level was ordered to be drawn at 0400 hours. Only one phlebotomist is on duty and she has to draw several STAT electrolytes in the ER and ICU. By the time she gets the STATS and delivers the specimens to the lab, it is 0500 hours. She hurries to the patient's room for the TDM level, only to find the patient is having a CT scan at 0500 and is not in his room. By the time she is able to draw the patient it is 0600. Not wanting to get reprimanded by her supervisor, she records the time of draw as 0400. What are the implications of her actions? How could the supervisor detect the preanalytical error?
Question 2:
1) What is the purpose of the Allen test?
2) An arterial specimen is collected and 30 minutes later a phlebotomist delivers an arterial specimen to the laboratory for ABG evaluation. The specimen is not on ice, and there is an air space in the syringe. Should the laboratory accept the specimen for testing? Explain .
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