M1: INTRODUCTION TO CLINICAL CHEMISTRY Flashcards
Clinical comes from the word “kline” which means?
bed
branch of science that deals with
elements and compound
chemistry
area of pathology that is
generally concerned with analysis of body fluids.
Clinical Chemistry
What are the scope of clinical chemistry
- Instrumentation, Automation, Point-of-care testing
(POCT), Quality Assurance, Laboratory Safety - Analytic Procedures (Carbohydrates, Lipids, Proteins, Nonprotein nitrogen (NPNs), Electrolytes,
Blood Gases) - Enzymology, Endocrinology, Pharmacology,
Therapeutic Drug Monitoring, Toxicology, Tumor
Markers
What are the uses of testing in the Clinical Laboratory
- Confirming a clinical diagnosis
- Excluding a diagnosis
- Assisting in selection, optimization, and monitoring of
treatment - Providing a prognosis
- Screening of disease in the absence of clinical signs
or symptoms
o E.g., HIV, Hepatitis B (Window period) - Establishing and monitoring the severity of a
physiological disturbance
Importance of Clinical Laboratory
- Aid in patient diagnosis and treatment
- Involved in the analysis of biochemical byproducts
- Plays an importance role through periodic
measurements of HbA1c (glycosylated hemoglobin),
microalbumin and other analytes
Role of Medical Technologist in Clinical Chemistry
Phlebotomist
Sample Processing
Quality Control of a Laboratory
the amount of light that is absorbed
by analyte in a solution; absorbance is directly
proportional to the concentration of analyte.
absorbance
state of decrease of basic (alkali)
compounds and an accumulation of acid compounds
in the blood causing a decrease in pH.
Acidosis
ability of a test to obtain the known target
value for a sample; an accurate test exhibits minimal
bias and imprecision.
Accuracy
attractive force between substances or
particles that causes them to enter into and remain in chemical combination, for example; the binding of
antibody to antigen.
Affinity
a measured portion of a sample
Aliquot
state of excess of basic (alkali)
compounds or loss of acidic compounds in the blood
causing an increase in pH.
Alkalosis
organic acid that is the building block
for proteins
Amino acid
substance that is being measured (e.g.,
glucose, sodium, cholesterol).
- Analyte
all procedures related to the
testing of a sample for an analyte.
Analytical phase
– a spectrophotometric method
in which the analyte is an element (e.g., Ca), and it
absorbs light at a specific wavelength. Decreases in
light intensity hitting a photodetector corresponds to
increased analyte concentrations.
Atomic absorption
– average affinity of a mixture of antibody to
their corresponding antigen.
Avidity
a laboratory grade water and other reagents
are set up and tested as though it was another
sample. This checks for background interference
from reagents and allows for correction.
Blank
– a liquid that resists change in pH when an
acid or base is added. A buffer consists of a weak
acid and its conjugate base. An example of a buffer
is acetic acid and sodium acetate
Buffer
the process of using calibrators
(samples with known analyte concentration) to
construct a calibration curve used to quantitate
analyte concentration in unknown (patient)
specimens.
- Calibration
substance that accelerates a chemical
reaction, such as an enzyme in the body
Catalyst
an ion carrying a positive charge.
Cation
electrode which gains electrons or is
reduced. In other words, it is where reduction occurs
in an electrochemical cell.
Cathode
is a process used to separate or
concentrate materials suspended in a liquid medium
by use of the centrifugal force.
Centrifugation
amount of analyte measured in a
sample expressed quantitatively (e.g., mg/dL,
mmol/L).
Concentration
a serum-based material with assigned
target values and acceptable ranges to evaluate the
accuracy and reproducibility of a diagnostic assay
Control
a reaction vessel (similar to a tube) used
in photometric analyzers
Cuvette
a drying agent or substance capable of
absorbing moisture
Desiccant
a sealed chamber in which samples
can be dried in the presence of a desiccant.
Desiccator
– is the movement of particles from an area
of higher concentration to one of lower concentration.
Diffusion
when a solvent is added to a solution,
making it less concentrated.
Dilution
is when a chemical reaction breaks a
compound into two or more parts. For example, NaCl
dissociates into Na+ and Cl- in water
Dissociation
is when a gas moves through an opening
into a low-pressure container (e.g., is drawn by a
vacuum). Effusion occurs more quickly than diffus
Effusion
an ionic compound that dissolves in
water to produce ions, which can conduct electricity.
Strong electrolytes completely dissociate in water,
while weak electrolytes only partially dissociate or
break apart in water.
Electrolyte
– protein in the body that acts as a catalyst
and converts substrate to product
Enzyme
a measure of the amount of
enzyme catalytic activity found in a sample; enzyme
concentration is often expressed in terms of activity
instead of quantitative units.
Enzymatic activity
occurs in reversible reactions when
the forward rate of the reaction is the same as the
reverse rate of the reaction.
Equilibrium