unit 5d Flashcards

1
Q

what is chemistry testing?

A

measure substances found in the human body for the purpose of diagnosing, treating, and monitoring of disease and metabolic conditions

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2
Q

what can be tested in chemistry testing?

A

blood

  • plasma
  • serum

body fluids

  • urine
  • pleural fluid
  • peritoneal fluid
  • cerebral spinal fluid
  • amniotic fluid
  • synovial fluid
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3
Q

what can be tested FOR in chemistry testing?

A

enzymes
electrolytes
trace metals
drug metabolites

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4
Q

Blood Specimens -Plasma

List 3 details

A

blood collected with anticoagulant

spun down to separate cellular components

CONTAINS CLOTTING FACTORS

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5
Q

What tube color is associated with plasma?

A

green

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6
Q

what are two anticoagulants used for plasma ?

A

sodium heparin

lithium heparin

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7
Q

Blood specimens - serum

list 3 details

A

Blood collected with NO anticoagulant or with clot activator

spun down to separate cellular components

DOES NOT CONTAIN CLOTTING FACTORS

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8
Q

What tube colors are associated with serum?

A

Red
Yellow
Tiger

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9
Q

what are the anticoagulants in serum tubes?

A

none there is a clot activator

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10
Q

what are the four chemistry testing principles (methodology)?

A

colorimetric

Kinetic reaction

spectrophotometry

electrochemical

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11
Q

what is colorimetric?

A

• End-point reaction
• Color develops to the greatest extend
of the reaction, then ceases

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12
Q

what is kinetic reaction?

A

Measures speed and degree of

change in a set time

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13
Q

what is spectrophotometry?

A

Reaction is measured by amount of

light transmitted or absorbed

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14
Q

what is electrochemical?

A

• Chemical reactions that measure

amount of electrons transferred

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15
Q

Name 3 examples of tests indicating health of organs.

A

heart
-troponin (trop 1)

Liver

  • alanine aminotransferase (ALT)
  • Alkaline phosphatase (ALP)

Kidney

  • Blood Urea Nitrogen (BUN)
  • Creatinine (CREA)
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16
Q

Name 2 tests that measure drugs and other toxic substances.

A

Therapeutic Drugs

  • Dilantin (phenytoin)
  • valproic acid
  • vancomycin

Drugs of Abuse

  • cocaine
  • marijuana
  • amphetamine
17
Q

what are two factors that can affect patient tests results?

A

time of collection
-early morning vs evening

Eating

  • glucose
  • Low density lipoproteins
  • high density lipoproteins
  • triglycerides
18
Q

Name 4 types of testing interferences?

A

lipemic

hemolysis

icteric

diluted/contaminate samples

19
Q

what is lipemic?

A

elevated lipids
non-fasting
genetic

20
Q

what is hemolysis?

A

RBCs are lysed during collection

potassium and cardiac enzymes are affected