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Okay guys, we’re back with the continuation on the lipemic specimen. I have run it, and initially this was our reaction, some were crazy like a negative number which can’t be good. We can’t result that.
When I diluted it times 100 (X100), I still got an assay range, and below assay range for ALP does not make sense. I did get one result here, AST of 63.
And this result for the dilution of the other analytes with water and you can tell it got just really outta hand. All kinds of crazy assay ranges, and this BUN is just crazy really 147 when normal range goes to 18.
So, what I took away from this was that we should really have an ultracentrifuge. But the AST can be resulted, some tests from here undiluted, and our ALT I did a lesser dilution of times 20 (X20) and it came out to 67. So, I can result that out. For ALP, I was not able to get a result, so I’ll have to credit it as test not performed.
For all of these Abnormal Reactions, we have to just go with the results and put a disclaimer of lipemic specimens.
Sometimes that happens in the lab where you cannot actually obtain a result, so that’s why I thought it was important to show this video.
When I actually reran the sample undiluted, I did get an actual CO2 value of 11. So, sometimes they will rerun and correct, but it is very hard when we don’t clarify the sample with an ultracentrifuge.
Hope this helps a little bit more on how we determine whether a value is good or not. It really does require a little judgement not just the machines.
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