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Journal scans
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Journal Scan
April 2015
A problem in sodium measurement addressed
The concentration of sodium (Na) in blood serum/plasma is determined by ion-specific electrode (ISE) technology that measures the physiologically important activity of sodium ions present in the aqueous (water) phase of plasma.
Two methods are available: direct ISE and indirect ISE. Direct ISE, which is employed in...
Point-of-care testing
Electrolytes
Journal Scan
April 2015
A rare cause of metabolic (lactic) acidosis highlighted
Lactic acidosis, the most common kind of metabolic acidosis, is characterized by reduced blood pH (usually <7.25) in association with marked increase in blood lactate (usually >5.0 mmol/L). Lactic acidosis has many possible causes but two broad etiological classes have been defined: type A (hypoxic) lactic acidosis and ...7.25)>
Blood gases/acid-base
Lactate
Journal Scan
April 2015
Previously unrecognized cause of hypoglycemia – a case history
Blood glucose concentration is normally maintained within the approximate range of 3.5-8.5 mmol/L (63-153 mg/dL) largely by the synergistic opposing action of two pancreatic hormones: insulin and glucagon. Insulin secretion causes decrease in blood glucose concentration and glucagon secretion causes increase in blood...
Glucose
Journal Scan
April 2015
An introduction to acid-base disorders and interpretation of blood gases
Arterial blood gas analysis provides the means for assessment of two related physiological functions that are disturbed in a wide range of medical conditions.
The first is the facility of the lungs to simultaneously add inspired oxygen to blood and remove carbon dioxide from blood, prior to excretion in expired air...
Blood gases/acid-base
Journal Scan
January 2015
Pulmonary physiology and interpretation of blood gas (PO2, PCO2) results
http://erj.ersjournals.com/content/early/2014/10/16/09031936.00039214.full.pdf+html. Accessed Oct 2014.
Arterial blood gas (ABG) analysis is clinically useful because it allows assessment of two vital interrelated physiological functions: pulmonary gas exchange and maintenance of blood pH (acid-base homeostasis)....
Blood gases/acid-base
Journal Scan
January 2015
A review of electrolyte disorders in diabetes
Discussion of electrolyte disorders associated with diabetes is most usually confined to the abnormality of plasma/serum sodium and potassium concentrations that occur in the two acute, life-threatening, conditions of decompensated diabetes: diabetic ketoacidosis (DKA) and hyperosmolar non-ketotic coma (HNKC).
As a...
Electrolytes
Glucose
Journal Scan
January 2015
Estimating glomerular filtration rate
Glomerular filtration rate (GFR) is a parameter of prime clinical significance because it defines kidney function. All those with reduced kidney function, no matter what the cause, have reduced GFR, and GFR correlates well with disease severity. The most accurate assessment of GFR is thus valuable not only for early...
Kidneys/fluids
Creatinine/urea
Journal Scan
October 2014
Critical lab results – do they need to be repeated before reporting?
It is mandated that clinical laboratory staff should identify patient results that are grossly abnormal and have critical significance, so that clinical care staff can be informed immediately. Most laboratories have a policy of repeating the analysis before reporting such critical values in order to confirm that the...
Quality assurance
Journal Scan
October 2014
A new role for point-of-care serum BNP testing?
Circulating concentrations of the hormone brain natriuretic peptide (BNP) and its precursor molecule, NT-proBNP are increased in those with heart failure. This has allowed a now established role for serum BNP and NT-proBNP testing in the investigation of patients presenting with shortness of breath, a cardinal symptom ...
Point-of-care testing
Natriuretic peptide
