CHOLESTEROL DETERMINATION Flashcards
In the principle of the test of cholesterol determination, what does cholesterol esterase do?
It hydrolyzes esters to free cholesterol and fatty acids.
After the free cholesterol is produced, the cholesterol oxidase will ______ it to form products ________ and _______
OXIDIZED; Cholest-4-en-3-en-one and Hydrogen Peroxide (H2O2)
What is produced when phenol is oxidatively coupled with 4-aminophenazone?
A quinoneimine chromo gene / Quinoneimine dye
To form a quinoneimine dye, what is the enzyme and substrate needed besides the color developers?
Enzyme: POD - Peroxidase, Substrate: H2O2
What is the secondary reaction for cholesterol determination?
Cholesterol + O2 –COD–> Cholest-4-en-3-en-one + H2O2
What is the tertiary reaction for cholesterol determination?
H2O2 + 4-aminophenazone + Phenol –POD–> O-quinoneimine dye + H2O
What is the color of the end product quinoneimine dye and its’ absorption maxima?
Red ; 500 nm
The blood sample should be collected following how many hours of fasting?
12
The anticoagulant for sample collection is?
EDTA
What should be avoided when collecting samples for cholesterol detrmination?
Hemolysis - as it can interfere with the result.
In specimen stability of cholesterol determination, at what temperature should the samples be kept?
2-8C / 35.6F-46.4F
The specimen stability should be kept for how many days?
4 days
In extended stability, the total cholesterol should be kept for how many days, and at what temperature?
3 months for -20C/-4F
In extended stability, the HDL should be kept for how many days, and at what temperature?
7-14 days at -20C/-4F
What are the two interfering substances that could result to false low values?
Sodium fluoride and oxalate
What is the standard for hemoglobin and bilirubin to avoid interfering the test?
Hemoglobin: 200 mg/dL, bilirubin: 10 md/dL
Enumerate the manual procedure for cholesterol determination.
- Pipette 1.0 mL (1000uL) of reagent in 3 tubes (S, U, RB)
- Incubate for 37C/99F/310.15K all cuvets for 5 minutes.
- Add 10 uL (0.01ml) of sample and reagent
- Incubate all cuvettes at 37c for 5 minutes.
- Read S and U vs RB at 500 NM for 60 MINUTES.
The cholesterol reagent should be stored at what temperature?
2-8C/35.6F-46.4F
Before using the cholesterol reagent, keep it aat room temperature which converted as?
22C/71.6F/273.15K
Once reagent is opened, the consumption of the product should last for?
1 week
What is the cholesterol standard?
200 mg/dL
What is the normal result for newborn?
53-135 mg/dL
What is the normal result for infant?
70-175 mg/dL
What is the normal result for children?
120-200 mg/dL
What is the normal result for adolescent?
120-210 mg/dL
What is the normal result for adult?
140-310 mg/dl
What is the desirable result for adults?
140-200 mg/dL
What is the equation for serum cholesterol?
Au/As x 200
What is the molecular formula of phenol?
C6H5OH
What is the molecular formula of 4-aminophenazone?
C13H17N3O