The effect of sodium bicarbonate and validation of beckman coulter AU680 analyzers for measuring total carbon dioxide (TCO2) concentrations in horse serum
نویسندگان
چکیده
This study evaluated the usage of Beckman Coulter AU680 analyzers for measurement of TCO 2 in horse serum, and the effect of sodium bicarbonate administrations on serum TCO 2 levels in resting horses. Treatment of horses with sodium bicarbonate did not result in any adverse events. Mean TCO 2 concentration was significantly higher from 1 to 8 h in the sodium bicarbonate-treated horses compared to the untreated controls. Within an hour, administration of sodium bicarbonate increased the TCO 2 level from 31.5 ± -2.5 (SD) to 34.0 ± 2.65 (SD) mmol/L and at 2-8 h post-administration, the TCO 2 level was above the 36 mmol/L cut-off level. In all quality control analysis of Australian standard by Beckman Coulter AU680 analyzer, the instrument slightly over estimated the TCO 2 level but the values were in close agreement with mean TCO 2 level being 38.03 with ± 0.87 mmol/L (SD). Expanded uncertainty was calculated using different levels of confidence interval. Based on 99.5% confidence interval using 0.805% expanded uncertainty using mean measured concentration of 38.05 mmol/L, it was estimated that any race samples TCO 2 level higher than 38.5 mmol/L will be indicative of sodium bicarbonate administration using Beckman Coulter AU680 analyzer in Louisiana.
منابع مشابه
Discrepancy between Measured Serum Total Carbon Dioxide Content and Bicarbonate Concentration Calculated from Arterial Blood Gases
Large differences between the concentrations of serum total carbon dioxide (TCO2) and blood gas bicarbonate (HCO3 (-)) were observed in two consecutive simultaneously drawn sets of samples of serum and arterial blood gases in a patient who presented with severe carbon dioxide retention and profound acidemia. These differences could not be explained by the effect of the high partial pressure of ...
متن کاملDiscrepancies between sodium concentrations measured by the Kodak Ektachem 700 and by dilutional and direct ion-selective electrode analyzers.
We have identified rare (approximately 0.2% of all samples), but clinically significant, discrepancies between serum or plasma sodium concentrations measured with the Kodak Ektachem 700's direct ion-selective electrode (ISE) method and concentrations measured with two other analyzers: the Beckman Synchron CX3's dilutional ISE instrument and the Radiometer KNA2 instrument for sodium-potassium an...
متن کاملFilling in the gaps with non-standard body fluids☆
OBJECTIVES Body fluid specimens other than serum, plasma or urine are generally not validated by manufacturers, but analysis of these non-standard fluids can be important for clinical diagnosis and management. Laboratories, therefore, rely on the published literature to better understand the validation and implementation of such tests. This study utilized a data-driven approach to determine the...
متن کاملHow to Use the Routine Serum Biochemical Profile to Understand and Interpret Acid-Base Disorders in the Horse
Modern equine serum biochemical profile laboratory reports include all of the important electrolytes, total carbon dioxide (tCO2), and total protein concentrations. Using case material it is demonstrated that this information is sufficient to provide an accurate understanding of acid-base balance in many circumstances without actually measuring pH and pCO2 directly. The Gamble gram is simple to...
متن کاملDirect potentiometric determination of sodium ion in blood. III. Influence of (bi)carbonate.
We measured the emf of a sodium ion-selective electrode in NaCl-NaHCO3 solutions (160 mmol of Na+, 160-120 mmol of Cl-, and 0-40 mmol HCO3- per liter) with a home-built cell in steady-state after 10 min and with two commercial direct potentiometric analyzers about 20 s after the sample was introduced. Substitution of HCO3- for Cl- resulted in a small decrease in emf. We calculated the effect of...
متن کامل