Owner manual

2.3
Capillary samples must be free-flowing from an “arterialized” site. Avoid
excessive squeezing of the puncture site to prevent erroneous results that
could result from dilution of analytes or hemolysis.
ELECTROLYTE/GLUCOSE/LACTATE SAMPLE
HANDLING
If a blood sample cannot be tested within 20 minutes of collection, keep
the collection device capped to minimize pH changes that could affect the
ionized calcium concentration.
Do not ice samples that are to be analyzed for potassium; iced samples
may hemolyze.
Analyze samples that are to be tested for glucose immediately; glucose
will decrease 5-10 mg/dL/hour as a result of glycolysis.
Samples for lactate should be analyzed immediately on drawing as lactate
increases by as much as 70% within 30 minutes at 25° C as a result of
glycolysis.
1
PREPARING THE SAMPLE FOR INJECTION
Remove any entrapped air from the syringe sample by pointing the syringe
at an upward angle to allow air bubbles to rise to the surface; expel the air,
along with a small amount of blood, onto an absorbent surface.
Mix the sample thoroughly using the following technique:
> Roll the syringe between the palms of both hands with the syringe tip
pointing up.
> Invert the syringe (i.e., tip down) after 15-30 seconds. Continue to roll
the sample, alternating syringe orientation, until thoroughly mixed.
Check the expelled sample for blood clots. A clot usually indicates
inadequate sample anticoagulation (e.g., the sample and heparin were not
well mixed). If a clot is injected near or over the cartridge sensors,
erroneous test results or sensor errors could occur. Do not use clotted
samples.
When using the IRMA TruPoint Capillary Collection Device, analyze the
sample immediately, or place a luer cap on the tip of the device and
analyze within 5 minutes.