Unit 1 - Redone Flashcards

1
Q

Material with known value of analyte and unknowns compared to it

A

Calibrator

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2
Q

This has traceability
What is traceability?

A

Calibrators
Able to trace back a secondary and working standard back to the primary calibrator used

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3
Q

What do we assume about calibrators?

A

That they’re perfect

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4
Q

Material with known value of analyte and unknowns not compared to it

A

Controls

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5
Q

This material tests if a test system is working properly

A

Control

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6
Q

This should have commutability; what is that?

A

Controls
Controls aren’t made from organic material like specimens, but has to be close enough

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7
Q

T/F: Controls identify problems with individual specimens?

A

False

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8
Q

What percentage of healthy people fall outside of the Gaussian distribution?

A

5%

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9
Q

There is _____ that diseased people will fall outside the reference interval

A

no guarantee

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10
Q

What is required when reporting critical values?

A

1) Verbal communication
2) Read back
3) Documentation

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11
Q

Critical action value vs Critical decision limit

A

CAV - something needs to be done now
CDL - value results in treatment

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12
Q

This urine specimen avoids short-term variations

A

Timed

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13
Q

This urine specimen is to detect UTI/bacterial infections

A

Midstream

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14
Q

This urine specimen is usually the most concentrated

A

Learn, early morning, fasting

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15
Q

This specimen requires no preservatives

A

Fecal

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16
Q

fasting

A

no food or drinks, only water 8-12 hours before

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17
Q

post prandial

A

after a meal

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18
Q

First
Second
Third choices for specimen from an IV

A

1st: arm w/o IV
2nd: more than 4 inches below iV
3rd: turn off at least 2 minutes, draw above IV

19
Q

blood volume changes when patient goes from lying down to standing up

A

BV decreases by 9% for up to 30 minutes

20
Q

What does premature separation do to blood

A

continued clotting after separation

21
Q

Evaporation can cause analytes to be falsely __

22
Q

Evaporation can cause volatile analyses to be falsely ___

23
Q

Hemolysis absorbance peak

24
Q

Icterous/bilirubin absorbance peak

25
Lipemia absorbance peak
700 nm
26
Persistent hemolysis can indicate what?
Intravascular hemolysis
27
3 strategies for handling HIL interferences
Report Cancel Dilute
28
If you report an HIL result; what needs to go in the report?
Comment about the interference IF okay for analyte
29
If you dilute an HIL specimen; what needs to happen?
Get analyte value and report after multiplying by dilution factor
30
Order of draw
Stop - Sterile Light - Light blue Red - Red Stay - SST Put - PST (light green) Green - Green Light - Lavender Go - Gray
31
Pre-Analytical
Specimen collection, labeling, processing, storage
32
Analytical
Verify labeling is correct Visualize acceptability Quality Control! Quality Assurance!
33
Quality Control
Detect errors before specimen is reported
34
Quality assurance
Error prevention
35
Insensitivity of a method causes...
False decrease
36
Oversensitivity of a method causes...
False increase
37
Hemoconcentration
Loss of fluid False elevation
38
Hemodilution
Increase of fluid False decrease
39
Hct values in newborns
High
40
Dead volume
More specimen than actually pipetted
40
Problems with capillary specimens
More hemolysis Tissue fluid contamination Difficult blood flow
41
Why are evacuated tubes not ideal for pediatric specimens?
Small veins, can collapse
42
Why don't you want to use cotton balls for urine collection?
Fibers can interfere with urine microscopics