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Modified Dupont aca calcium method for hemolyzed specimens.

R G Haas, S Mushel

    American Journal of Clinical Pathology
    |February 1, 1982
    PubMed
    Summary
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    Hemoglobin in samples causes falsely high calcium readings on the DuPont aca analyzer. A modification using EGTA allows for accurate calcium measurement in hemolyzed samples by correcting for hemoglobin interference.

    Area of Science:

    • Clinical Chemistry
    • Analytical Chemistry
    • Biochemistry

    Background:

    • Hemoglobin presence in serum or plasma interferes with calcium determination.
    • The DuPont Automatic Clinical Analyzer (aca) exhibits increased apparent calcium concentration with hemoglobin presence.

    Purpose of the Study:

    • To address the positive interference of hemoglobin on calcium measurements.
    • To develop a method for accurate calcium quantification in hemolyzed samples.

    Main Methods:

    • A pack modification utilizing ethylene glycol-bis-(2-aminoethylether)-tetracetic acid (EGTA) was implemented.
    • EGTA facilitates the estimation of positive interference caused by hemoglobin color.

    Main Results:

    • The EGTA modification allows for the estimation of hemoglobin-induced positive interference.

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  • A correction factor was developed to adjust for this interference.
  • Conclusions:

    • Accurate calcium measurement in hemolyzed samples is achievable with the described method.
    • The EGTA pack modification provides a reliable solution for calcium analysis in the presence of hemoglobin.