Liver Function (Bilirubin Determination)
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Bilirubin determination specimen
Fasting Serum
Bilirubin Determination Specimen Requirements
Avoid Exposure to light Avoid Hemolysis (false decreased) Lipemia (falsely increased)
Exposure to light; decreases bilirubin ____ per hour
30-50%
Bilirubin Determination Principle
Van De Berg Reaction
diazotization of bilirubin to produce AZOBILIRUBIN
Van De Berg Reaction
Diazo Reagent consist of (2)
0.1% Sulfanilic acid + HCI 0.5% Sodium Nitrite
Reacts with diazo reagent with an accelerator
B1
Reacts with diazo reagent without accelerator
B2
Reaction with diazo reagent is same with B2
Delta Bilirubin
No coupling accelerator; determine DIRECT BILIRUBIN ONLY
Direct Method
With Accelerator; Determines both B1 and B2
Indirect Method
Indirect Method (2)
Evelyn Malloy Jendrassik-Grof
Accelerator: 50% Methanol Stopper: None pH: acidic (1.2) End color: Red-Purple Absorbance: 560 nm
Evelyn Malloy
Accelerator: Caffeine benzoate Stopper: Ascorbic acid pH: Alkaline Tartrate/Sodium Acetate Buffer End color: PINK-BLUE Absorbance: 600 nm
Jendrassik-Grof
Determine Bilirubin concentration by measuring at 455 nm This method is only used for measuring total Bilirubin HDN
Direct Spectrophotometry
Bilirubin is oxidized to biliverdin ; decreased absorbance at 405 nm - 460 nm Not affected by Hemoglobin
Bilirubin Oxidase Method
Sensitive marker for impaired hepatic sythetic function
Prothrombin Time
Increase Polyclonal IgG
Autoimmune Hepatitis
Increase Polyclonal IgM
Primary Biliary Cirrhosis
A/G ratio in Liver disease is <1.0
Gamma Globulins