Total And Direct Bilirubin Flashcards

1
Q

Most routine clinical procedures for the determination of serum bilirubin are based on

A

Classical diazo reaction of ehrlich

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2
Q

first applied to the estimation of this bile pigment in serum in 1913 by

A

Van den berg and snapper

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3
Q

An excellent review of many bilinubin methodologies is given by

A

Winkelman and his co-worker

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4
Q

solution of bilirubin

A

Sulfanilic acid in dilute hydrochloric acid combined with sodium nitrate

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5
Q

When a solution of sulfanilic acid in dilute hydrochloric acid is combined with one of sodium nitrite it formed

A

Nitrous acid

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6
Q

The latter also termed

A

P-benzenediazonium sulfonate

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7
Q

The latter (also termed “p-benzenediazonium sulfonate*) couples with bilirubin to produce

A

Azobilirubin

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8
Q

The method utilized aqueous solution as calibrator

A

N-1-napthylethylenediamine Dihydrochloride

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9
Q

The method utilized aqueous solution of N-1-napthylethylenediamaine dihydrochloride as calibrator according to

A

Bilissis and speer

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10
Q

color quivalent to the labelled bilirubin level at

A

540nm

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11
Q

Total bilirubin reagent

A

Sulfanilic acid in dilute hydrochloric acid

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12
Q

Direct bilirubin reagent

A

Sulfanilic acid in dilute hydrochloric acid

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13
Q

Bilirubin oxidants

A

Sodium nitrate

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14
Q

Bilirubin calibrator

A

N-1-napthylethylenediamine-dihydrochloride

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15
Q

Total Bilibubin reagent, oxidant and calibrators are

A

stable

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16
Q

when stored at

A

15-30C

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17
Q

Discard oxidant if a ___________ color develop

A

Dark yellow

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18
Q

Specimen of choice

A

Serum or plasma (use of any common anticoagulant)

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19
Q

should be free of hemolysis because

A

It can result falsely decrease

20
Q

bilirubin is highly __________.

A

photolabile

21
Q

Avoid lipemic because

A

It can cause falsely increase

22
Q

Light 30-50% be lost when expose to 1hr because

A

It can falsely decrease

23
Q

Bilirubin is stable in serum or plasma: 4-7 days

24
Q

Bilirubin is stable in serum or plasma: 3months

A

20C (frozen)

25
Cross hemolysis will cause falsely low bilirubin values, due to
inhibition of the diazo reaction by oxyhemoglo- bin
26
Total bilirubin reagent (ml/ul)
1.0mL (1000ul)
27
Total bilirubin oxidant how many drop
1 drop
28
Total bilirubin calibrator (ml/ul)
0.05ml (50uL)
29
Total bilirubin sample (ml or ul)
0.05ml (50ul)
30
Total bilirubin h2o (ml/ul)
0.05ml (50ul)
31
Total bilirubin incubation
Room temp (5mins)
32
Total bilirubin read at
540nm
33
Total bilirubin calculations
Abs of unknown/ abs of std x 10 mg/dl
34
Total bilirubin normal value
1.2 mg/dl
35
Direct bilirubin reagent (ml/ul)
1.0ml (1000ul)
36
Direct bilirubin oxidant how many drops
1 drop
37
Direct bilirubin calibrator (ml/ul)
0.1ml (100ul)
38
Direct bilirubin sample (ml/ul)
0.1ml (100ul)
39
Direct bilirubin h2o (ml/ul)
0.1ml (100ul)
40
Direct bilirubin incubation at
3mins only
41
Read Direct bilirubin
540nm
42
Direct bilirubin calculation
Abs of sample-abs of sb /abs of K x 10mg/dl
43
Direct bilirubin calculation
Abs of samp-abs of sb/ abs of K x 10mg/dl
44
For newborns, usually only __________ is requested.
total bilirubin
45
Total bilirubin normal value for infant
12.0mg/dl
46
Direct bilirubin normal value
0.5 mg/dl