Part 1 Flashcards
Measures reduction in light transmission by PARTICLES IN SUSPENSION
Turbidimetry
Similar to turbidimetry, but light is measured AT AN ANGLE FROM LIGHT SOURCE
Nephelometry
Chemical rxn produces colored subs that absorbs light of a specific wL
Amt of light absorbed = analyte concen’n
SPECTROPHOTOMETRY
Measures light absorbed by GROUND STATE ATOMS
AAS
Atomic absorption spectrophotometry
Atoms absorb light of SPECIFIC wL and emit light of longer wL (lower energy)
Fluorometry
Chemical rxn that produces light
Involves oxidation of (3)
Chemiluminiscence;
- Luminol.
- Acridinium esters
- Dioxetanes
Critical component of all spectrophotometers
Device use to select the appropriate wL
Monochromator/wL selector
Types of wavelength selector (4)
- Filter
- Prism
- Grating monochromator
- Holographic gratings
Atoms absorb energy at a particular wL
Excitation
In fluorescence, electrons release energy as they return to ground state by:
EMITTING LIGHT ENERGY OF A LONGER WAVELENGTH AND LOWER ENERGY THAN THE EXCITING WL
(⬆️ Wavelength = ⬇️ energy)
Fasting samples (5) At least 8hours
FLIGhT Fbs Lipid panel Insulin Gastrin TAG
Tests that needs CHILLING
-slurry of crushed ice and water - ice cubes alone will lyse RBC
A3 G2 L P2 R ACTH, ammonia, Acetone Gastrin, Glucagon Lactic acid Pyruvate, PTH Renin
TestS that need WARMING (2)
37’ heat block
Heel warmer
Hold in hand
Cryoglobulins
Cold agglutinins
Protection from light (5)
- aluminum foil
BCEV2
Bilirubin
Carotene
Erythrocyte protoporphyrin
Vit A, Vit B12
Requires CHAIN OF CUSTODY (3)
- lockbox may be required
Blood alcohol
Drug screens
DNA analysis
Increased upon PUMPING FIST DURING VENIPUNCTURE
PLaCK ⬆️
Phosphorus
LActic acid
Calcium
K+
DECREASED upon PUMPING FIST DURING VENIPUNCTURE
⬇️ pH (acidic)
TOURNIQUET > 1 min (⬆️)
K+
Lactic acid
Total proteins
Hemolysis causes ⬆️ in (7)
KLAMP I K+ LD Ammonia, Ast Mg Phosphorus Iron
Tube for LEAD DETERMINATIONS
Tan top (EDTA)
Tan Hemogard closure tubes
inversions: 8 times
Lead content of Tan Top tube
Less than 0.1 ug/mL lead
K2 EDTA
Measured every 3-6 months to monitor glycemic control
Hba1c
Decreased GLYCOSYLATED HB (HBA1C)
- Shortened RBC survival
- Lower mean RBC age:
- hemolysis, recovery fr. acute blood loss, transfusions or splenectomy
Used to assess short-term (3-6weeks) glycemic control
Fructosamine
- average half life of proteins is 2-3weeks
Most common method of urea assay couples urease with:
GLDH
glutamate dehydrogenase
Rate of disappearance of nicotinamide adenine dinucleotide (reduced, NADH) at __nm
340 nm
Anticoagulant that will interfere with mtds using urease
fluoride (gray top)
- it inhibits the urease rxn
Effect of cephalosporins when Jaffe rxn is used
Falsely increased
- jaffe mtd is subj to interference by a-keto acids and cephalosporin
Used to determine prognosis
Blood ammonia
- correlation between HEPATIC ENCEPHALOPATHY & Plasma ammonia is not always consistent
Better than blood ammonia as indicator of the severity of disease
Arterial ammonia
Gold standard for Acute Coronary Syndrome (MI)
Cardiac troponins (cTNI, cTNT)
Proteolytic fragments of collagen I formed during bone resorption (turnover)
Cross linked C-Telopeptide (CTXS)