Specimen Quality - Additional Reference PDF

Summary

This document provides additional reference material on specimen quality, specifically addressing lipemia, icterus, and hemolysis in blood samples. It details the causes and characteristics of these conditions, emphasizing that they are often not a result of technical errors, but rather related to patient factors or procedural errors, such as fasting.

Full Transcript

Additional Reference Specimen Quality Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company. www.jblearning.com. Lipemia, Icterus, Normal Serum Hemolysis hemolysis is a breaking or rupturing of the Common causes membrane o...

Additional Reference Specimen Quality Copyright © 2024 by Jones & Bartlett Learning, LLC, an Ascend Learning Company. www.jblearning.com. Lipemia, Icterus, Normal Serum Hemolysis hemolysis is a breaking or rupturing of the Common causes membrane of the red Drawing from a hematoma blood cells contents of the red Gauge too small blood cells then Alcohol on the venipuncture site contaminate the serum or the plasma being Leakage of air and frothing of the tested blood The darker the red, the Pulling the plunger with more cells that have excessive force been hemolyzed Extreme temperature Icterus Serum or plasma that contains a large amount of bilirubin The patient’s skin and the sclera of the eyes may also be yellow Serum or plasma with this coloration is called icteric Due to the patient's condition and not a phlebotomy error Lipemia Large amount of fats and lipids in a patient’s blood Serum with this condition is called lipemic May be due to the patient not having fasted Serum and plasma has white, milky color Due to the patient's condition and not a phlebotomy error Not an error in technique but a procedural error – phlebotomist did not verify diet restrictions/ fasting

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