(a) What is the difference between serum and plasma?  (b) Describe the results  (c) Plasma glucose levels lower than 20 mg/dl can be fatal. As the patient’s results did not match with her clinical presentation, the consulting biochemist decided to investigate this test, and found that the glucose analyser was giving the results in mM, but the lab assistant had assumed the results were in mg/dl. Is this error pre-analytical, analytical or post-analytical?  (d) 1 mM glucose = 18 mg/dL glucose. What is the patient’s fasting plasma glucose in mg/dL, and is it within the normal range?  (e) Describe possible consequences of this error.

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter14: Formula Method
Section: Chapter Questions
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A 44-year-old woman was experiencing headaches and fatigue. The consulting
physician recommended testing glucose and electrolytes. The results are attached in the picture below:

(a) What is the difference between serum and plasma? 
(b) Describe the results 
(c) Plasma glucose levels lower than 20 mg/dl can be fatal. As the patient’s results
did not match with her clinical presentation, the consulting biochemist decided
to investigate this test, and found that the glucose analyser was giving the
results in mM, but the lab assistant had assumed the results were in mg/dl. Is
this error pre-analytical, analytical or post-analytical? 
(d) 1 mM glucose = 18 mg/dL glucose. What is the patient’s fasting plasma
glucose in mg/dL, and is it within the normal range? 
(e) Describe possible consequences of this error. 

Analyte
Results
Reference Interval
Plasma glucose (fasting)
70-99 mg/dL
Serum Sodium
129
135-145 nM
Serum Potassium
4.2
3.5-5.5 nM
Serum Chloride
99
98-106 nM
Serum Bicarbonate
26
23-30 nM
Transcribed Image Text:Analyte Results Reference Interval Plasma glucose (fasting) 70-99 mg/dL Serum Sodium 129 135-145 nM Serum Potassium 4.2 3.5-5.5 nM Serum Chloride 99 98-106 nM Serum Bicarbonate 26 23-30 nM
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