(P) Lec 3: Basic Principles and Practices in CC (Part 1) Flashcards
The Greek work “kline” means what?
Bed
This is the science that deals with the elements, their compounds, and the chemical structure and interaction of matter
Chemistry
This is a science that deals with the analysis of the chemical constituents of the blood (electrolytes, glucose, protein, lipids, enzymes, etc.) as well as other body fluids to facilitate diagnosis of diseases related to their increase or decrease
Clinical Chemistry
TOF: CC has expanded to include studies that monitor the effects of treatment and measuring drug levels
True
Who was the father of Clinical Chemsitry?
Johann Heller (hallaur?)
History of Clinical Chemsitry
Who was the main pointperson back in 300 BC?
Hippocrates
History of Clinical Chemsitry
In 1600, this test was discovered for the determination of protein contents in urine
Acid Precipitation
History of Clinical Chemsitry
In 1700, the study of this common disease was done using yeast
Diabetes Mellitus
History of Clinical Chemsitry
In 1850s-1890s, the use of what kind of medicine was developed?
Laboratory Medicine
History of Clinical Chemsitry
In 1918-1920, tests were developed for 5 analytes, what are those?
- Epinephrine
- Uric Acid
- Ammonia
- Non-protein nitrogens (NPN)
- Proteins (CHON)
History of Clinical Chemsitry
In 1930, tests for what were developed?
Enzymatic tests (e.g. lipase and acid phosphatase)
History of Clinical Chemsitry
In 1940, this technique was developed to measure the quantitative analytes in a sample, what is this technique?
Photoelectric Colorimetry
History of Clinical Chemsitry
In 1950, this chart was developed to determine the acceptability of a test (for quality control)
L-J and Shewart Chart (Levi-Jennings and Shewart)
History of Clinical Chemsitry
In 1960, atomic absorption spectrophotometry was used for what 2 analytes?
Calcium and Magnesium
History of Clinical Chemsitry
In 1952, what organization was formed?
International Association of Clinical Biochemists (IACB)
History of Clinical Chemsitry
In 1953, the International Association of Clinical Biochemists (IACB) changed its name to what?
International Federation of Clinical Chemsitry (IFCC)
Units of Measure
Do we deal with quantitative or qualitative results? Or both?
Quantitative
Units of Measurement
In reporting quantitative laboratory results, the first value represents what?
The actual test value
e.g. in 10mL, 10 is the first value
Units of Measurement
In reporting quantitative laboratory results, the second value represents what?
The label (represents the unit)
e.g. in 10mL, mL is the second value
Units of Measurement
This is preferred in scientific literatures and clinical labs and is the ONLY system used in many countries (as it standardizes results)
Systeme International d’ Unites (SI)
Units of Measurement
Determine if the ff. are SI units, selected derived units, or selected accepted but non-SI units:
Length, Mass, Time, Current, Temperature, Amount of Substance, Luminous Intensity
SI units
Units of Measurement
Determine if the ff. are SI units, selected derived units, or selected accepted non-SI units:
Frequency, Force, Celsius Temperature, and Catalytic Activity
Selected Derived Units
Units of Measurement
Determine if the ff. are SI units, selected derived units, or selected accepted non-SI units:
Minutes, Hours, Day, Liter, and Angstrom
Selected Accepted Non-SI
Units of Measurement
To convert between units, what do you need to look at in order to determine how many times you’ll need to move the decimal?
The exponent correspondent to the prefix
Units of Measurement
When moving from a larger unit to a smaller one, in which direction will the decimal move to?
Right
Units of Measurement
When moving from a smaller unit to a larger one, in which direction will the decimal move to?
Left
Units of Measurement
Convert 1L to uL
1,000,000 uL (move decimal 6 places to the right)
Units of Measurement
Convert 5mL to uL
5000 uL (move decimal 3 places to the right)
Units of Measurement
Convert 5.3mL to dL
0.053 dL (move decimal 2 places to the left)
Units of Measurement
Reporting of lab results is often expressed in terms of what rather than in SI units?
Substance Concentration (moles) or Mass (mg/dL, g/dL, etc.)
Units of Measurement
What factor converts conventional units to SI units and vice versa?
Conversion Factor (multiply or divide)
This is a substance that is used to test for the presence of another substance by causing a reaction with it
Reagent
This is any substance employed to produce a chemical reaction by adding a specimen to it
Reagent
Reagents
This is a substance that can occur naturally or man-made through a chemical process
Chemicals
Reagents
TOF: Despite the technological advancements, there is still a high demand for reagent preparation
False (manufacturers of lab instruments already prepare reagents in a ready-to-use/kit form to reduce the risk of reagent preparation hazards)
Reagents
Wet chemistry uses what kind of reagents?
Liquid
Reagents
Dry chemistry uses what kind of reagents?
Chips or cartridges
Reagents
The 6 general chemicals differ in their varying grades of what?
Purity
General Chemicals
This is aka reagent grade; it meets the purity requirements of most procedures in the lab hence why it is suitable (used for trace metal analysis and preparation of standard solutions)
Analytical Reagent Grade
General Chemicals
Analytical Reagent Grades (ARGs) are certified by what origanization?
American Chemical Society (they establish specifications for ARG chemicals)
General Chemicals
Labels on Analytical Reagent Grade chemicals will state the maximum allowable percentage of what?
Impurities
General Chemicals
These have undergone additional purification steps hence it is used for special needs and procedures (e.g. HPLC, chromatography, immunoassays, atomic absorptions, standardizations, etc.)
Ultrapure chemicals
General Chemicals
These are used to manufacture drugs as they are for human consumption
United States Pharmacopoeia and National Formulary
General Chemicals
TOF: Ultrapure chemicals have higher purities than analytical reagent grade chemicals
True
General Chemicals
TOF: United States Pharmacopoeia and National Formulary chemicals are harmful to humans
False (they are used for human consumption)
General Chemicals
TOF: The United States Pharmacopoeia and National Formulary chemicals are pure enough for most chemical procedures
True
General Chemicals
TOF: The United States Pharmacopoeia and National Formulary chemicals are based on reagent needs of a laboratory (they are tailor-made for each lab)
False (may or may not meet your lab’s requirements)
General Chemicals
The preparation of these chemicals are not uniform because the purities are specified by the manufacturers
Chemically Pure Chemicals
General Chemicals
What 2 types of analysis are used to determine the purity range of chemicals?
Melting Point and Boiling Point Analysis
General Chemicals
TOF: Chemically pure chemicals are recommended for reagent preparation
False (you need to purify further)
General Chemicals
The disadvantage of chemically pure chemicals is that it fails to reveal what?
Tolerance limit (to impurities); hence it cannot be used for research and anachem purposes
General Chemicals
These are used primarily in manufacturing and should never be used in the clinical lab (the least desirable)
Technical/Commercial Grade Reagents
General Chemicals
What chemical has the lowest purity among the classes of reagents?
Technical/Commercial Grade Reagents
General Chemicals
These organic solvents are:
1. Able to obtain a 99% purity reading
2. Spectrally pure
Note: There are 2 answers for each number but are combined into one classification
Chromatographic (1) and Spectroscopic (2) Grades
These are materials with compositions established for use in calibration, assignment of values, or method selection and verification
Reference Materials
These are aka “standards” and may be classified as primary, secondary, or ceritifed
Reference Materials
Standard Solutions (Reference Materials)
These are chemicals with the highest purity and can be directly measured to produce a substance of exact known concentration
Primary Standard
Standard Solutions (Reference Materials)
The International Union of Pure and Applied Chemistry (IUPAC) requires:
- The primary standard to have what purity percentage?
- The working standard to have what purity percentage?
99.98% (1) and 99.95% (2)
Standard Solutions (Reference Materials)
The National Institute of Science and Technology’s (NIST) purified materials are also known as?
Standard Reference Materials (SRM); used as primary standards in the lab; an alternative
Standard Solutions (Reference Materials)
TOF: The primary standards are easy to prepare
False (one of the disadvantages aside from being expensive)
Standard Solutions (Reference Materials)
Because most biological constituents are unavaible within the tolerance limitation, what does this mean for knowing the exact composition/concentration of body fluids?
It is impossible to know the exact composition of biological constituents (e.g. serum, plasma, etc.)
Standard Solutions (Reference Materials)
What is the error range for the Standard Reference Materials (SRM)?
(+ or -) 0.002
Standard Solutions (Reference Materials)
These are substances of lower purity whose concentration is determined by comparison to another standard using repeated analysis
Secondary Standard
Standard Solutions (Reference Materials)
Between primary and secondary standards, which is easy to prepare?
Secondary
Standard Solutions (Reference Materials)
These are certified by a technically valid procedure and was developed for use in clinical labs
Certified/Standard Reference Materials (CRM/SRM)
This is the most frequently used reagent in the lab especially when you are reconstituting or dissolving substances
Purified Water
Water should be what kind of grade?
Reagent-grade
Types of Reagent Grade Water (RGW)
This is used for test methods requiring minimum interference such as trace metal, iron, and enzyme analyses
Type 1 Reagent Grade Water (RGW)
Types of Reagent Grade Water
Type 1 Reagent Grade Water (RGW) is stored for only how long?
A short-period of time (use upon starting the procedure)
Types of Reagent Grade Water
This is used for procedures that require maximum water purity, for preparation of standard solutions, ultramicro chemical analyses, and the measurement of nanogram or subnanogram-concentrations and tissue or cell culture
Type 1 Reagent Grade Water (RGW)
Types of Reagent Grade Water
This is the cleanest type of water
Type 1 Reagent Grade Water (RGW)
Types of Reagent Grade Water
This is mostly used in lab determination in chemistry, hematology, microbiolgy, immunology, and other chemical lab areas
Type 2 Reagent Grade Water (RGW)
Types of Reagent Grade Water
These are acceptable for most analytic requirements including reagent, quality control, and standard preparation
Type 2 Reagent Grade Water (RGW)
Types of Reagent Grade Water
Is used most in qualitative measurements/examples like in procedures for urinalysis, parasitology and histology, washing glasswares, and procedures not requiring the other 2 types
Type 3 Reagent Grade Water (RGW)
Types of Reagent Grade Water
TOF: Type 3 Reagent Grade Water (RGW) is suitable for analysis and reagent preparation; aka autoclave wash waters
False
Types of Reagent Grade Water
This is obtained by boiling type 2 water as this is also used when CO2, ammonia, and oxygen may affect analysis
Type 3 Reagent Grade Water (Carbon Dioxide-free Water)
Types of Reagent Grade Water (1, 2, or 3)
The pH is not specified
Types 1 and 2
Types of Reagent Grade Water (1, 2, or 3)
The pH is 5-8
Type 3
Types of Reagent Grade Water (1, 2, or 3)
A bacterial colony count of less than 10 CFU/mL
Type 1
Types of Reagent Grade Water (1, 2, or 3)
A bacterial colony count of less than 1000 CFU/mL
Type 2
Types of Reagent Grade Water (1, 2, or 3)
A bacterial colony count that is not specified
Type 3
Types of Reagent Grade Water (1, 2, or 3)
Has a silicate contamination of less than 0.05 mg/L
Type 1
Types of Reagent Grade Water (1, 2, or 3)
Has a silicate contamination of less than 0.1 mg/L
Type 2
Types of Reagent Grade Water (1, 2, or 3)
Has a silicate contamination of less than 1.0 mg/L
Type 3
Types of Reagent Grade Water (1, 2, or 3)
Has a resistivity of atleast 10 megaOhms/cm
Type 1
Types of Reagent Grade Water (1, 2, or 3)
Has a resistivity of atleast 1.0 megaOhms/cm
Type 2
Types of Reagent Grade Water (1, 2, or 3)
Has a resistivity of atleast 0.1 megaOhms/cm
Type 3
Types of Reagent Grade Water
TOF: The less coliforms (CFUs), the purer the water
True
Types of Reagent Grade Water
This is the second most abundant element on Earth after oxygen
Silicon/Silica (a hard glass-like mineral found dissolved in water)
Types of Reagent Grade Water
Silicate salts are commonly present in water which causes what effect?
Increased turbidity
Types of Reagent Grade Water
TOF: The less silicate, the more water is resistant (less conductive but higher purity)
True (and vice versa)
The more silicate, the less pure the water is
Types of Reagent Grade Water
Electric current is directly related to the amount of dissolved what in water?
Salts (less salts, purer substance)
Types of Reagent Grade Water
Water samples with a lot of salt in it have higher or lower resistivity to electrical currents?
Lower resistivity (+ and higher conductivity)
Types of Reagent Grade Water
What is the relationship between a sample’s salt content and conductivity?
Linear/Direct (acc. to ma’am)
> More salt = less purity
Less purity = higher conductivity
More salt = higher conductivity
Just know that salt increases water’s conductivity (imagine you’d be electrocuted more harshly in the ocean than with pure water)
Types of Reagent Grade Water
What is the relationship between a sample’s purity and bacteria and silicate concentration?
Indirectly proportional
(less bacteria and silicon = more pure)
Methods of Water Purification
TOF: Most procedures use tap water
False (distilled or deionized)
Methods of Water Purification
Water is boiled, then vaporized, and collected once it has undegone condensation
Distillation
Methods of Water Purification
TOF: Water cannot be distilled more than once
False (each distillation cycle will remove impurities)
Methods of Water Purification
Uses an anion (+) or cation (-) exchange resin followed by replacement of removed particles with [OH] or [H] ions respectively
Deionized Water
Methods of Water Purification
From which water sample is deionized water produced from?
Distilled Water
Methods of Water Purification
TOF: In deionized water, although ions are removed, organic materials are still present so it is neither pure nor sterile
True
Methods of Water Purification
This uses pressure to force water through a semipermeable membrane; can be used as a pre-treatment before subjecting it to other methods
Reverse Osmosis
Methods of Water Purification
TOF: Reverse osmosis does not remove dissolved gases
True
Methods of Water Purification
Uses cartridges made of glass, cotton, or activated charcoal which removes organic materials, chlorine, and submicron filters
Filtration
Methods of Water Purification
What is the most effective filtration size?
Less than 0.22um (average bacteria size is between 0.2 and 2um)
Methods of Water Purification
This removes trace organic materials
UVL Treatment
Methods of Water Purification
Uses specific wavelengths
Sterilization