Name:Year and Section:Laboratory Manual in Clinical Chemistry II 2023Group no:Laboratory Report No. 61. What are the interfering substances in bilirubin determination?Date submitted:Score:2. Differentiate Evelyn-Malloy and Jendrassik-Grof methods of Bilirubin.3. Discuss the clinical significance of measuring serum bilirubin.4. Tabulate the differences between conjugated and unconjugated bilirubin.44| Page

"Bilirubin is a yellowish substance in the blood. It forms after red blood cells break down, and…

Answered: 1. What are the interfering substances…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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A 30-year-old woman arrives at the outpatient department complaining of nausea and vomiting. The patient seems to have jaundice as well. Blood and urine tests are ordered in the laboratory. The following are the results collected from the testing: • Complete Blood Count o Hemoglobin:Normal o WBCcount:Normal • Serum Bilirubin o Total:7.0mg/dL o Conjugated:6.0mg/dL • Serum Enzymes o AlanineTransaminase(ALT):330U/L o AlkalinePhosphatase(ALP):195U/L • Urinalysis o Appearance:Darkbrown o Bilirubin:Positive o Urobilinogen:Decreased ANSWER THE FOLLOWING: 1. Interpret and correlate the patient’s laboratory results. 2. Discuss the possible causes of jaundice in this patient. 3. What part of the bilirubin pathway is severely affected? Explain. 4. What other serum enzyme/s can be used to assess the patient’s condition? Explain.
87-89. Case Study 1: A palliative patient has been subjected for blood extraction requesting the following tests (CBC, Creatinine, Sodium, Potassium, and lonized Calcium). The phlebotomist first used a 5mL syringe, 21 gauge, however, fails to extract blood on the first attempt 87. What could be the reason behind the failed blood extraction? * A. Fragile vein B. Gauge too low C. Both A and B D. Neither A nor B 88. What should be the best gauge number to be used, in order to correct this case? A. 25 B. 23 C. 21 D. 18 89. Which of the following-colored top tubes should be used as indicated by the tests requested? A. EDTA tube B. SST C. Heparinized tube D. All of the above.
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A healthy 28-year -old female sees her physician for a routine examination and blood work: Total bilirubin 2.8 mg/dL Direct bilirubin 0.1 mg/dL Indirect bilirubin 2.7 mg/dL These resulta correlate with which of the following conditions? 1) Normal, healthy individual 2) Biliary obstruction 3) Dubin-Johnson sundrome 4) Gilbert's disease no references, just homework
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8) An order is written for 10 mL of a 10% calcium chloride injection and 10 mL of multivitamin o) An order is written for 10 mL of a 10% calcium chloride iniection and 10 mL of multivitamin Injection (MVI) to be added to1000 ml. of D5W. The infusion is to be administered over 6 hour* me iv set delivers 10 drops/ mL. What should be the rate of flow in drops per minute to deliver this infusion? normal saine is0.9%odum chloriee access TPN/P Perisher 9) A nurse hangs a bag of D51/2 NS with 20meg kcl. The bag is a 1 liter bag and needs to be infused at 120ml/hour. She needs to deliver a bolus of fluid first of 200ml to be infused in 30 minutes before she can run the regular IV rate. She has an IV set that is 10gtts/ml. She gets off work at 6pm and wants to know if she will need another bag of IV fluids before she leaves work. It is currently noon. The bag of fluids will run out at what time?
Based on the image below, select the correct statement. Complex II QH₂ Q- 10 2 HO 2 HO Fe-S (2.8 FADH₂ FAD- Succinate Fumarate https://canvas.uts.edu.au/assessment questions/356986/files/1562694/download? 2e verifier-eUTT3hYal2YYTWlywV8TIFA3USmzCsM52jECmvTo O Succinate is reduced to fumarate O Succinate is oxidised to FAD O The Fe-S center shuffles electrons from FAD to ubiquinone (Q) O The Fe-S center shuffles electrons from FADH2 to ubiquinone (Q) The Fe-S center shuffles electrons from FADH2 to ubiquinonol (QH2) W 88 16°C
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The physician orders 750,000 units of Penicillin G Potassium IV q.8h. The pharmacy sends the following vial of Penicillin G Potassium. The nurse decides to add 11.5 mL diluent to the vial. How many milliliters will the nurse administer to the patient? Enter the numeral only (not the unit of measurement) in your answer. Hint: Remember the rules related to leading and trailing zeros. SEE ACCOMPANYING PRESCRIBING INFORMATION. 7488 TWENTY 20 MILI ION UNITS RECOMMENDED STORAGE IN DRY FORM. Store below 86°F (30°C). Buffered with sodium citrate and citric acid to optimum pH. AFTER RECONSTITUTION, SOLUTION SHOULD BE REFRIGERATED. DISCARD UNUSED SOLUTION AFTER 7 DAYS. NDC 0049-0530-28 Buffered Pfizerpen® USUAL DOSAGE: 6 to 40 million units daily by intravenous infusion only. (penicillin G potassium) For Injection For Intravenous Infusion Only Approx. units per mL of solution 250,000 u/mL 500,000 u/mL 1,000,000 u/mL mL diluent added 75 mL 33 mL 11.5 mL Rx only PATIENT ROOM Pfizer Injectables…
7 Ordered: atropine sulfate 1 mg bolus IV push, for a patient with bradyar- rhythmia. Directions: Dilute to 10 mL SW for injection (total amount) and give over 1 minute. NDC 0002-1675-01 20 ml VIAL No. 419 POISON A TROPINE SULFATE INJECTION, USP 0.4 mg per ml CAUTION-Federal (U.SA.J low prohibits dispensing without prescription. a. How many mL of atropine will the nurse prepare? DA equation: Evaluation: b. After dilution, how many seconds/ mL. will the atropine be injected? DA equation: Store 5" io BF (15" te 30°C) Usuel Adult Dose-0.75 to 14 ml injected subcutareously, intramusculerly, e dowly introvenousiy. See iterature. Eech mi contains Atropine Suliate, CA mg with Chlorebutanel (Chloroform Derivalve) 05 percent. wV6731 AMX Bly Cedionela, N425, USA APPROXIMATE EQUIVALENTS 04 mi-0.16 mg 0.5 mi-0.2 mg 0.6 mi-024 mg OE ml-0.32 mg 1 mi-04 mg 1.25 ml-0.5 mg 1.6 ml-0.65 mg 25 ml-1.0 mg 2.1 ml-1.25 mg Exp. Date/Control No. 6- 10ml BD
(For items 96-101, kindly refer to the image below.) NAME: PANGANIBAN, REA B. DOB: NOVEMBER 25, 1975 SEX: F DIAGNOSIS: MYOCARDIAL INFARCTION DATE REQUESTED: 2/26/2021 TIME REQUESTED: 3:45 AM ROOM: ER AGE: 45 LABORATORY RECQUISITION CBC, BLOOD TYPING, ESR, PT-INR, APTT, TROPONIN I, BLOOD CULTURE (2 SITES), LDH, HEPATITIS PANEL REQUESTING NURSE: HUEGO, RN REQUESTING PHYSICIAN: CARIO, MD

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1. What are the interfering substances in bilirubin determination? 2. Differentiate Evelyn-Malloy and Jendrassik-Grof methods of Bilirubin. 3. Discuss the clinical significance of measuring serum bilirubin. 4. Tabulate the differences between conjugated and unconjugated bilirubin.