Exam Review Flashcards
(60 cards)
What happens to the levels of chemicals in circulating blood fluid in a disease state?
The amount of these chemicals is altered
How soon should chemistry testing be completed after blood collection?
Within one hour
What is the advantage of a fasted blood sample?
More accurate due to less lipemia in the sample
What are the pros of using serum for chemistry testing?
- No additives to alter results
- Easier to separate from cells
What are the cons of using serum for chemistry testing?
- Must wait 20 minutes before separating the sample
What are the pros of using whole blood for chemistry testing?
- No need to wait for blood to clot or centrifuge
What are the cons of using whole blood for chemistry testing?
- Not all machines can accept whole blood samples
- Results can be altered by dehydration and anticoagulant dilution
What are the pros of using plasma for chemistry testing?
- No need to wait for blood to clot
- Some analyzers can calibrate for anticoagulant
What are the cons of using plasma for chemistry testing?
- Anticoagulant may alter results
- More difficult to separate without taking cells
What happens if plasma/serum is left on top of RBCs?
RBCs will metabolize glucose, altering serum electrolytes and enzymes
What is the procedure to obtain plasma?
- Fill green top vacutainer with whole blood
- Centrifuge on high for 10 minutes
- Remove plasma carefully
What is the procedure to obtain serum?
- Fill red top vacutainer with whole blood
- Allow to sit for 20 minutes
- Centrifuge on high for 10 minutes
- Remove serum from top
Why is chemistry testing important before surgery?
Shows affected organs and severity in disease states; aids in diagnosis and prognosis
What produces plasma proteins?
Liver and immune system
What percentage of total plasma protein does albumin make up?
35-50%
How are globulins estimated?
Total protein - Albumin = Globulins
What are the four enzymes released when hepatocytes are damaged?
- Alanine transaminase (ALT)
- Aspartate Transaminase (AST)
- Sorbitol Dehydrogenase (SDH)
- Glutamate Dehydrogenase (GLDH)
What does alkaline phosphatase (ALKP) indicate?
Bile duct obstruction
What are the two main hepatocyte function tests?
- Bilirubin
- Bile acids
What is Blood Urea Nitrogen (BUN) used to evaluate?
Kidney function
What is creatinine a by-product of?
Metabolic breakdown of creatine in skeletal muscle
What does a urine protein/creatinine (UPC) ratio greater than 5 indicate?
Renal disease
What is the primary function of the pancreas?
Produces digestive enzymes and hormones
What are the digestive enzymes produced by the pancreas?
- Trypsin
- Amylase
- Lipase