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SODIUM - LINEAR CHEMICALS

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135-155 mmol/L (mEq/L).<br />

REFERENCE VALUES 3,4<br />

QUALITY CONTROL<br />

To ensure adequate quality control (QC), each run should include a<br />

set of controls (normal and abnormal) with assayed values handled<br />

as unknowns.<br />

- Correlation: This assay (y) was compared with a similar commercial<br />

method (x). The results were:<br />

N = 33 r = 0.998 y = 1.022x – 2.07<br />

X Media = 153.53 mmol/L<br />

Y Media = 136.5 mmol/L<br />

The analytical performances have been generated using on automatic<br />

instrument. Results may vary depending on the instrument.<br />

REF<br />

1980005 HUMAN MULTISERA NORMAL<br />

Borderline level of sodium. Assayed.<br />

REFERENCES<br />

REF<br />

1985005 HUMAN MULTISERA ABNORMAL<br />

Elevated level of sodium. Assayed.<br />

CLINICAL SIGNIFICANCE<br />

Sodium is the major cation of extracellular fluid. It plays a central role<br />

in the maintenance of the normal distribution of water and the osmotic<br />

pressure in the various fluid compartments. The main source of body<br />

sodium is sodium chloride contained in ingested foods. Only about<br />

one-third of the total body’s sodium is contained in the skeleton since<br />

most of it is contained in the extracellular body fluids. 1,2<br />

Hyponatremia (low serum sodium level) is found in a variety<br />

of conditions including the following: severe polyuria,<br />

metabolic acidosis, Addison's disease, diarrhea, and renal tubular<br />

disease. Hypernatremia (increased serum sodium level) is found in<br />

the following conditions: hyperadrenalism, severe dehydration,<br />

diabetic coma after therapy with insulin, excess treatment with<br />

sodium salts. 3,4<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

Trinder, P. Analyst, 76:596, (1951).<br />

Maruna RFL. Clin. Chem Acta, 2:581, (1958).<br />

Tietz, N.W., Fundamentals of Clinical Chemistry, W.B. Saunder<br />

Co., Phila, PA, p. 874.<br />

Henry R.F., et. al., Clinical Chemistry Principles and Technics,<br />

2nd Ed., Harper and Row, Hagerstein, M.D., (1974).<br />

Young DS. Effects of drugs on clinical laboratory tests, 5th<br />

ed. AACC Press, 2000.<br />

Friedman and Young. Effects of disease on clinical laboratory<br />

tests, 5 th AACC Press 2000.<br />

NOTES<br />

−<br />

−<br />

−<br />

−<br />

−<br />

−<br />

−<br />

Do not pipette the solution by mouth. Avoid ingestion/contact.<br />

Specimens should be considered infectious and handled<br />

appropriately.<br />

When preparing filtrates, inadequate shaking or centrifugation<br />

will cause falsely lowered test results.<br />

Blood calcium, chloride, and potassium levels of up to 3 times<br />

the normal reportedly exert no adverse influence on the<br />

procedure; phosphorus levels exceeding 5 times the normal<br />

likewise present no problems.<br />

The Color reagent, becomes discoloured when exposed to the<br />

light. Store protected from light. A slight turbidity does not affect<br />

the determination.<br />

Detergents usually contain high sodium concentrations. The<br />

equipment – test tubes, pipettes, stoppers, cuvettes – must<br />

therefore be rinsed carefully with distilled water.<br />

Disposable plastic tubes are recommended for the determination.<br />

Use Parafilm or plastic stoppers to close the tubes.<br />

ANALYTICAL PERFORMANCE<br />

- Linearity : Up to 300 mmol/L<br />

- Precision:<br />

mmol/L Within-run Between-run<br />

Mean 94.1 155.8 198.9 94.1 155.8 198.9<br />

SD 2.01 1.39 0.80 4.02 5.40 6.69<br />

CV% 2.13 0.89 0.40 4.28 3.47 3.37<br />

N 6 6 6 10 10 10<br />

- Sensitivity : 1.5 mA / mmol/L sodium.<br />

B1151-1/0504<br />

R1.ing<br />

QUALITY SYSTEM CERTIFIED<br />

ISO 9001 ISO 13485<br />

<strong>LINEAR</strong> <strong>CHEMICALS</strong> S.L. Joaquim Costa 18 2ª planta. 08390 Montgat, Barcelona, SPAIN<br />

Telf. (+34) 934 694 990 Fax. (+34) 934 693 435. website www.linear.es

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