Thursday, December 10, 2015

Immunology department

Abbott i 1000 SR

Monitor Screen: " Patient order" page


Sample: Patient's blood serum.

Reagent reloading...






Checklist:


    • Daily maintenance:
      1. Check if any sample is running, if no, change the analyzer to "ready mode" by pausing it.
      2. Press the "system" button and select "maintenance".
      3. Fill the particular container with distill water and add 4 drops of saline.
      4. Fit the container on a rack and place them to "position 12"
      5. Click perform, OK and proceed 2 times.
    • Reagent checking:
      • All the reagents which have been calibrated can be load into the analyzer when the samples are running.
      • However, only trigger and pre-trigger reagents must be reloaded during ready mode.
    • Only when the analyzer is in running mode, the sample can gone through the test.
    • Running the test:
      1. Record and key in patient's detail with the requested tests according to the requisition form.
        Steps: Select "patient order" → C: " code of the rack"  P:"position"Select "patient details"




Tests that performed:

FT4FT3 and TSH are Thyroid hormones.
  • When FT3 ↓ FT3 ↓, while TSH ↑    =  Hypothyroidism
  • When FT3  FT3 , while TSH     =  Hyperthyroidism


AFP (Alpha-fetoprotein) is Liver Tumor Marker.

  • Protein that produced by fetal liver.
  • The concentration of AFP elevate when a baby is born and then decline rapidly until there is liver damage or certain cancer.
  • Aids in detecting liver, testes and ovarian cancer.
  • Monitor the patient with chronic liver diseases or monitor the patient's treatment against hepatocellular carcinoma.


CEA (Carcinoembryonic Antigen) is common Tumor Marker.
  • Monitor the treatment against colon cancer
  • Determine prognosis ( the likelihood a disease to be healed )
  • To stage cancer.
  • Determine the spreading of cancer into body cavity.

Ca125 is Ovarian Tumor Marker.



PSA (Prostate specific antigen) is Prostate Tumor Marker
  • PSA is a type of protein which produced by the prostate cells and being released into the semen, however small amount of the PSA will also being released into the blood.
  • There are two forms of PSA exist in the blood:  Free PSA (not bound) & Complexed PSA (cPSA) (bound to other proteins).
  • We can measure either Free PSA or Total PSA (both bound and unbound) through lab tests.
  • The range for PSA rises according to the man age.
HIV Ag/Ab


Anti-Hbs (HbsAb)


HBsAg - Hepatitis antigen


Anti-HCV


External test : 
Ca199 is the Tumor Marker for Pancreatic cancer.


Ca153 is the Tumor Marker for Breast Cancer.




Reference:

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