6. Electrolytes
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Anion gap formula
AG = Na - (Cl + HCO3)
The potential difference between 2 electrodes is proportional to ____________
ionic activity of a specific analyte
CO2 ISE membrane
Silicone rubber or Teflon
Most common class of potentiometric electrodes used in labs today
Liquid/polymer membrane electrode
Least commonly used ISE
Solid state
4 causes of decreased anion gap
• Hypoalbuminemia • Hypergammaglobulinemia • Increased unmeasured cations • Increased Cl-
Components of a reference electrode?
• Metal-metal salt internal reference element • Saturated internal electrolyte solution • Salt bridge junction (connecting internal reference electrolyte solution to external solution)
3 potential sources of error with ISEs
• electrodes coated with proteins • air bubbles from refilling internal solution • membrane’s outer surface dried out
The gold standard for diagnosing cystic fibrosis
Coulometry
Composition of silver-silver chloride electrode?
• Silver wire coated w/ AgCl sln - Immersed in saturated salt sln (KCl)
This type of ISE’s membrane made be made of silicone rubber, Teflon, or another polyemeric material
Gas sensing
ISE most commonly used for measuring H+ activity
Glass
Which ref. electrode is found in almost all ISE systems used in clinical labs
Silver-silver chloride electrode
What is coulometry?
Measures quantity of electricity (in coulombs) required to convert the analyte to a different state
4 things required for potentiometry?
• reference electrode • indicator electrode • ammeter/high-impedance voltmere • chemical buffers and standards
Enzymatic measurement of CO2 is determined by measuring the change in absorbance of what?
NADH at 340 nm
Composition of calomel electrode?
• Elemental mercury covered by thin coating of calomel (mercury/mercuric chloride) solid • Immersed in saturated salt sln (KCl)
4 types of ISEs?
• Glass • Liquid/polymer membrane electrode • Gas sensing • Solid state
3 components of an ISE?
• Internal reference element • Standard (known) internal electrolyte sln • Ion selective membrane
Chloride ISE membrane
Ag/AgCl membrane or silver sulfide (Ag2S)
Potassium ISE membrane
Liquid-ion exchange membrane containing valinomycin
Coulometry mostly measures what?
Cl-
Purpose of reference electrode?
Provide constant potential
2 most common reference electrodes?
• Calomel electrode - Silver-silver chloride electrode