Cc1 Notes Intro

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     TERMINOLOGIES

    • Laboratory Medicine

    Discipline involved in the selection,provision & interpretation ofdiagnostic testing that uses priaril!saples fro patients

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    Testing involves:

    Confrming a clinical suspicionExcluding a diagnosis

    "ssisting in the selection,optimization & monitoring oftreatent

    #roviding a prognosis

    Screening for a disease in thea$sence of clinical signs ands!ptos

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    Reference Standard

    Single test or a co$ination

    of ethods and techni%uesincluding clinical follo'up oftested patient

    (est availa$le ethod foresta$lishing the presence ora$sence of target condition

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    Core Laboratories#rovide high' volue & eergenc!

    testing in an! hospitals

    Depends on )

    "utoation

    Inforatics

    *oputers+ualit! control

    +ualit! anageent

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    CLINICAL CHEMISTRY (ranch of edical la$orator! sciencehich deals ith the %uantitativeanal!sis of $iocheical productsfound in $iological uids such asseru, plasa, urine or spinal uid-

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    Iportance.acilitate the correct

    perforance of anal!ticalprocedures that !ield accurateand precise inforation,aiding patient diagnosis andtreatent

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    Roles of Medical Technologist

    Ensures achieveent of relia$le results$!)

    *orrectl! using $asic supplies ande%uipent

    /noing the di0erent $iocheicalsu$stances in ters of their nature,eta$olis, reference ranges and

    varia$les that a! a0ect their anal!ses*orrelate test results ith pathologic

    conditions

    #erforing $asic la$orator! calculations

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    #racticing %ualit! assurance and

    la$orator! safet!#erfor correctl! la$ assa!s used to

    easure concentration of speci1c

    anal!teSolve coon pro$les encountered in

    the clinical la$orator!

    Manifest professional $ehavior and

    attitudes

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    CHEMICALS

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    suita$le for use in ost anal!tic la$procedures

    Meet the speci1cations set $! "erican*heical Societ! 2"*S3

    Analytical Reagent Reagent !rade

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    "ltra #$re additional puri1cation stepssuch chroatograph!, atoica$sorption, iunoassa!s orother techni%ues that re%uiree4treel! pure cheicals

     5#L* or chroatographicla$eled

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    Che%ically #$re

    Ipurit! liitations are not

    stated6 preparation is notunifor

    Not recoended for

    reagent preparation in clinla$s

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    7S# 27nited States #haracopoeia3N. 2 National .orular!3

    7sed to anufacture drugs6

    liitations esta$lished are $asedonl! on that of not $eing in8uriousto health

    Ma! or a! not eet all assa!re%uireents

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     Technical Grade

    7sed priaril! in anufacturingand should not $e used in theclin la$

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    #ri%ary standard

    5ighl! puri1ed cheical6 can $eeasured directl! to produce asu$stance of e4act 9non

    concentration & purit!Secondary standard

    Of loer purit!

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    Standard Reference MaterialDeveloped $! National Institute

    of Standards and Technolog!2NIST3

    *erti1ed cheical coposition$ut a! not possess the purit!e%uivalent of a priar! standard

    Often used to verif! cali$rationor accurac!:$ias assessent

    7sed in the anufacture ofcali$rators and standard

    aterials

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    &ATER S#ECI'ICATI(NS

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    )istilled *ater

    E0ectivel! reoves $acteria, p!rogens,particulate atter, dissolved ioni;edsolids

    )eioni+ed *ater

    #repared fro ion e4change resin

    E4cellent for reoval of dissolved ionsderived fro gases and solids $ut is

    ine0ective for all other containantsDoes not reove particulate atter,

    $acteria or p!rogens

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    RE

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    7ltra1ltration

    Reoves particulate atter,eulsi1ed solids, ost$acteria & p!rogens

    Does not e0ectivel! reovedissolved ioni;ed solids &gases & ost organic

    containants

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    "ltraviolet o,idation andsterili+ationReove trace %uantities of

    organiccontainants2o4idation3&$acteria2sterili;ation

    Di0erent avelengths are used

    for these processes' =>? n foro4idation & @?A n forsterili;ation

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    (+one7sed priaril! in industrial

    settings6 e0ectivel! reovesorganic containants

    /ills $acteria $! rupturing thecell e$rane alostinstantaneousl!2 @ secs3

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    REA!ENT !RA)E&ATER

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    B *"TEGORIES 2*LSI3)

    *LRC2 *linical La$orator! Reagent Cater3Meet the speci1cations for ost routine

    clin la$ use

    Electrophoretic anal!ses, to4icolog!

    screening procedure, preparation of$u0ers, standards and controls

    SRC2 Special Reagent Cater

    I.C 2Instruent .eed Cater3"CC 2"utoclave and Cash Cater

    Cater supplied $! ethod anufacturer

    *oerciall! $ottled puri1ed ater

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    Ty-es of &ater

     T!pe I5ave the ost stringent re%uireent &

    generall! suita$le for routine la$ use

    .or test ethods re%uiring iniuinterference such as trace etal, ironand en;!e anal!ses

     T!pe II

    .or %ualit! control standard preparation t!pe III

    .or glassare ashing

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     Testing #rocedures to deterine the%ualit! of reagent grade ater

    Measureents of resistivit!

    "ssess the ionic content of puri1ed ater

    p5 , hardness*olon! counts

    *hlorine

    "onia, #OA, sodiu silica

    Nitrite or nitrate, *O@, cheical o4!gendeand

    Iron, etal detection