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AVA Certification Exam-AVA Certification Exam
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White Blood Cells - correct answer Leukocytes: Normal= 4.5-10 thousand per microliter Leukocytosis - correct answer Increase in WBC in circulating blood Possible causes- infection, hemorrhage, coronary occlusion, malignancies, pregnancy, toxemia Appropriateness of CVAD with Leukocytosis - correct answer Increased WBC with fever= may want to hold Increased WBC due to leukemia= may need for chemo immediately Platelets - correct answer Normal range in adults 150-140 thousand per mcL Platelet count of 6-37 thousand - correct answer Usual lower limit for safe CVAD insertion into major thoracic vein Platelet count of less than 150 thousand - correct answer More acceptable platelet count for PICC insertion Factors- judgement of clinician, skill of inserter, platelet transfusion needs Creatinine - correct answer Chemical waste molecule generated from muscle metabolism. Transported in the blood to the kidneys and excreted in urine. Serum levels are a measure of kidney function Normal Range of Creatinine - correct answer Male- 0.6-1.2mg/dL Female- 0.5-1.1mg/dL Elevated Creatinine - correct answer Greater than 2mg/dL
Indicates need for comprehensive casular access plan before venipuncture or vascular access device Prothrombin time (PT 11-16seconds) and International normalized ratio (INR up to 2.5 with warfarin) - correct answer Measures of the EXTRINSIC pathway of coagulation. Monitors clotting tendency of blood, warfarin anticoagulation, liver function, Partial Thromboplastin Time (PTT) - correct answer measures INTRINSIC coagulation pathway (used with activated partial thromboplastin time (aPTT))