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Clinical Instrumentation - Spec Checks
Clinical Instrumentation - Spec Checks
16
Medical
Undergraduate 2
03/24/2012

Additional Medical Flashcards

 


 

Cards

Term
QC Assumptions
Definition

proper blanking to elminiate extraneous absorbances

 

checking components are within acceptable limits

 

calibrating variables that effect readings

Term
Blanking
Definition

using a blank to "zero out" spectrophotometer

 

final reading indicates light difference that is absrobed between sample and blank

 

Term
Clinical Use of Blanks
Definition

hemolysis

 

lipmeic samples

 

icteric samples

Term
In Vitro Hemolysis
Definition

release of hemoglobin and other intracellular components following damage or disruption

 

 

Term
In Vivo Hemolysis Causes
Definition

autoimmune hemolytic anemia

 

hemoglobinopathies

 

drugs

 

severe infections

Term
In Vistro Hemolysis Causes
Definition

patient's condition and lifestyle

 

phleobotomy skill

 

local environment

Term

Tests Affected by Hemolysis

-Higher Results

Definition

ALT & AST

creatinine

creatinine kinase

iron

LDH

lipase

magnesium

phosphorus

potassium

urea

Term

Tests Affected by Hemolysis

-Lower Results

Definition

albumin

chloride

sodium

GGT

glucose

Term
Lipemia Samples
Definition

milky our cloudy sample

 

caused by fatty substances (lipid)

 

bacteria could also factor

 

generally why a fasting is done

Term
Icteric Samples
Definition

bright yellow serium

 

caused by liver disease

 

hemolytic disorders

Term
Making A Sample Blank - Example
Definition

assay calls for 100ul of sample with 5ml of reagent

1)replace reagent with water and add 100ul sample - note absorbance reading

2)zero out

3)measure sample now with reagent in it

4)substract blank absorbance from measured sample absorance

Term
Lamp Spec Check
Definition

select wavelength where minimal photons are emitted

 

400nm for tungsten-halogen lamp

 

fill cuvette with distilled water, shoud read 100%T or 0 absorbance

Term
Monochomator Spec Check
Definition

making sure that light emitted is same as wavelength as indicated on dial

 

use holmium oxide or didymium filters

 

if observed absorbance doesn't mwatch, dial must be adjusted

Term
Bandpass Spec Check
Definition

use holmium oxide or didymium filter

 

two absorption peaks are chosen that differ in wavelength by 1 bandpass

 

common cause is warping of exit slit or surface of the monochromator

Term
Cuvette Spec Check
Definition

check by reading absorbance of a colored solution

 

clean, unscratched cuvettes should give consistent results

Term
Photodetector Spec Check
Definition

stray light is any light no generated by the light source

 

caused by misplaced cover or cracked chassis

 

neutral density filters used to check linearity response as they have known absorbance

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