Labs 1 & 2 Flashcards

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1
Q

Calibration

A

the act of ensuring that a scientific process or instrument will produce accurate results every time

This is done by testing standards (calibrators) of known concentrations to verify the ability of the instrument to produce results

Establishes linearity
Performed as needed
Pure substance testing specific to 1 analyte

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2
Q

Standard

A

A highly purified chemical that has an exact known concentration and purity

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3
Q

Different number of calibrators ran based on:

A

Test type
Range of results
Manufacturers

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4
Q

Single Point Calibration

A

Not routinely done on advanced chemistry analyzers

Mainly seen on point of care (POC) analyzers and scales

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5
Q

Two Point Calibration

A

Mainly performed on qualitative assays like drugs of abuse

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6
Q

Multi-Point Calibration

A

Used on most assays performed on advanced analyzers

Strengthens linearity for assays with a wider range and in analytes were knowing the exact result is imperative

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7
Q

QC

A

The process of monitoring and assessing the analytical phase of testing using materials to assess all testing parameters (i.e. reagents, calibrations, temperature, etc.)

Common practice is to run multiple levels of QC for an assay

Verifies all testing parameters
Performed with at least each run of patients or daily
Not analyte specifc

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8
Q

Number of levels and frequency of QC runs depends on

A

How often the assay is ran on patients

Quantitative v.s Qualitative Assays

Manufacturer specifications

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9
Q

Levey-Jennings Charts

A

Graphical representation of observed values of a quality control material over time in the context of the upper and lower control limits

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10
Q

Accuracy

A

How close a measured value is to it’s true value

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11
Q

Precision

A

Dispersion of repeated measurements about the mean

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12
Q

Random Error

A

Error resulting from a variation in technique, a one off

Running wrong QC material

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13
Q

Systemic Error

A

Constant error that occur due to issues with instrumentation such as procedures, standards, reagents, etc.
Bad calibration

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14
Q

Shift

A

an abrupt change in the analytic process

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15
Q

Trend

A

A gradual change in the analytic process

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16
Q

Glucose

A

Glucose Oxidase Reaction

Measure Serum or plasma

Sodium fluoride (inhibits glycolytic enzymes) for samples with delayed analysis

Falsely decreased by increased bilirubin, uric acid, and ascorbic acid. Also samples not centrifuged immediately (within 1 Hour)

Strong oxidizing agents like bleach cause falsely high results. Also hemolyzed samples

Fasting samples should be an overnight 8-10 hr fast, no more than 16 hrs

2 Hour Glucose Testing
- Fasting glucose is taken
- Patient consumes 75 g glucose drink
- Glucose is retested 2 hr later, every hour for pregnant women

Glycosylated Hemoglobin/ HbA1c uses EDTA whole blood

17
Q

BE SURE TO REVIEW ACTUAL LAB SHEETS

A
18
Q

What does a Lipid panel consist of?

A

Total Cholesterol
HDL- Cholesterol
LDL- Cholesterol
Triglycerides

19
Q

Cholesterol

A

Measure Serum or plasma from a 12 hour fast

Gas chromatography- mass spectrometry is the reference method

Reducing agents like vitamin C and bilirubin can cause interference

HDL & LDL measured based off their cholesterol content

20
Q

Triglyceride

A

Used to help estimate LDL

Significantly increases after a meal

Glycerol can cause interference

Gas chromatography- mass spectrometry is the reference method

21
Q

HDL

A

Modern methods use homogenous assays (does not require a physical separation of the free and bound labeled analyte)

Known to lack specificity in unusual patients like patients with kidney/liver diseases

22
Q

LDL

A

Method combines ultracentrifugation with precipitation

Most labs rather use Friedewald calculation to estimate LDL

LDL = total cholesterol - HDL - Trig/5

23
Q

BE SURE TO REVIEW HOMEWORK AND REVIEW QUESTIONS

A
24
Q

Why do we do QC if calibration verifies the testing abilities of the instrument?

A

QC verifies calibration or linearity