Reasons for rapid separation of blood
Measurements should be performed within 45 mins to 1 hr after collection
Serum or Plasma: separated w/in 1hr
3000 RCF for 10 mins: centrifugation requirement
a. To prevent glycolysis
∞ 2mg NaF/mL of blood – prevents glycolysis for up to 48-72 hours
∞ Glucose conc in unseparated serum or plasma- decreases rapidly in the first 24 hours
b. Certain substances are very unstable
∞ increase in: total bilirubin, sodium, urea, nitrogen, albumin, calcium, magnesium and total protein
c. To prevent shift of electrolytes
∞ results in: false increase of potassium and decrease of sodium in serum/plasma
d. To prevent hemolysis
∞ Increased enzymes (LD, ACP, ALT, AST); electrolytes (Mg, P, K); TP; albumin; cholesterol and iron
∞ Interferes with the color reactions
∞ Increases bilirubin levels