Principles of Chemistry Instrumentation Flashcards

(40 cards)

1
Q

Benefits of Instrumentation

A
  • shortened analysis time
  • shortened turnaround time
  • higher productivity
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2
Q

shortened turnaround time(TAT)

A

the time elapsed between ordering a lab test and the physician receiving the result

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3
Q

When Choosing an instrument it is important to consider…

A
  • quality of test results
  • test volume
  • cost per test
  • ease of operation
  • maintenance costs
  • preventative measurements
  • comparison of methods
  • integration into LIS
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4
Q

Types of hazards in the lab

A

biological hazards, physical hazards, chemical hazards

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5
Q

Quality assessment programs used on instruments

A
  • document personnel training
  • maintenance and repair logs
  • calibrators and controls
  • use manufacturer’s protocol
  • instrument checks
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6
Q

Instrumentation Principles

A
  • Photometry/spectrophotometry
  • reflectance photometry
  • nephelometry/turbidity
  • ion-selective electrodes
  • electrochemical technology
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7
Q

photometer

A

an instrument that measures the light reflected from a colored reaction product. Use filter. measures the intensity of light.

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8
Q

spectrophotometer

A

an instrument that measures intensities of light at selected wavelengths. use prism

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9
Q

monochromator

A

a device that isolates a narrow portion of the light

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10
Q

Light Transmitted (%T)

A

the percentage of light that passes through a solution reflectance

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11
Q

Light absorbed (%A)

A

a logarithmic expression of the amount of light absorbed by a substance containing colored molecule; optical density (O.D.)

note* the more concentrated the solution, more is absorbed and less is transmitted

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12
Q

Beer’s law

A

a mathematical relationship that demonstrates the linear relationship of concentration to absorbance and that forms the basis for spectrophotometric analysis

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13
Q

main difference between photometers and spectrophotometers?

A

photometers use filters and spectrophotometers uses prism.

note- spectrophotometer is more accurate than the use of filters

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14
Q

Reflectance photometry

A

measure reflected light; light reflected by colored product.

note* used for hemoglobin

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15
Q

solid-phase chemistry

A

an analytical method in which the sample is added to a strip or slide containing all reagents for the procedure in dried form

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16
Q

nephelometry/turbidity

A
  • light scatter

- particles in suspension

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17
Q

ion-selective electrodes

A

an electrode manufactured to detect a specify ion and measure its concentration

  • analyzers use two electrodes
  • measure electrical potential across membrane
  • two electrodes used one known and one unknown

note*- sodium chloride, potassium, bicarbonate

18
Q

amperometry

A

the technology that uses electrodes and electrode potential to measure electron generation

  • measure generation of electrons
  • electrochemical technology
  • Accu-chek can be used for sugar, HBAIC, HDL, total cholesterol
19
Q

Point-of-care testing

A
  • bring test to patient
  • small, portable analyzers
  • home glucose meters first POC tests
  • over-the-counter pregnancy tests
  • used everywhere
20
Q

Where do we use POCT?

A

in the hospital, bedside in patient room, emergency department, critical care units, surgery

nonhospital sites, screening programs, health fairs, nursing homes, POLs

21
Q

Components of POCT program

A
  • compliance with regulations
  • safety program
  • quality assessment
  • personnel training and assessment
  • technical support
  • data management
22
Q

Advantages of POCT

A
  • rapid results
  • patient participation
  • less trauma
  • reduced errors
  • multiskilled personnel
  • improved communication
23
Q

disadvantages of POCT

A
  • increased costs
  • risk of:
  • personnel training deficiencies
  • inadequate quality assessment procedures
  • inadequate supervision
24
Q

Glucose

A

major carbohydrate in blood, also the major source of energy for the body’s cells

-blood glucose is the most frequently performed clinical test

25
diabetes mellitus
a disease in which the blood glucose is elevated because of lack of insulin regulation
26
hyperglycemia
elevated blood glucose
27
4 major organs that are affected by diabetes?
retinal (eyes), heart, kidneys and the nerve system
28
our body regulates glucose by?
hormonal control. insulin helps reduce the sugar consumed
29
insulin
the pancreatic hormone essential for proper metabolism of blood glucose and maintenance of blood glucose levels -insulin allows uptake of glucose by cells
30
glycogen
the storage form of glucose found in high concentration the the liver
31
Diabetes type I
can not secrete or produce insulin, therefore sugar can not be used by cells, and increases in the blood streams treatment-inject artificial insulin
32
glycogenesis
conversion of glucose to glycogen
33
glycogenolysis
the conversion of glycogen to glucose
34
glycolysis
energy production as a result of the metabolic breakdown of glucose; the breakdown of glucose to pyruvic acid or lactic acid accompanied by the release of energy in the form of ATP
35
glucagon and insulin
glucagon increases blood sugar, inulin decreases blood sugar to help maintain homeostasis
36
Which physician treats diabetes patients?
endocrinologists
37
diagnostic tests for diabetes
- fasting plasma glucose(8 hr fast) - oral glucose tolerance test (OGTT) (3 hr fast - 2 hour plasma (postprandial) - random plasma glucose greater than 200 mg/dL - Hemoglobin A1C note* all tests collected using gray tube except for hemoglobin A1C which is collected using the lavender tube
38
3 hour oral glucose tolerance test (OGTT)
-patient fasts, then blood and urine collected, patient consumes 50-75 g of sugar, then blood and urine collected after 30 min, 1 hour, 2 hours and 3 hours.
39
Hemoglobin A1C
hemoglobin modified by the binding of glucose to the beta globin chains of hemoglobin aka glycated or glycosylated hemoglobin
40
What are the best diagnostic test for diabetes?
fasting plasma glucose and hemoglobin A1C