
14
14
14
14----1
1
1
1
14. Appendix E–Effects Of Selected Substances
Paracetamol (Tylenol, Acetaminophen) can be a significant interference in
overdose situations.Effective therapeutic levels of Paracetamol in blood (0.07 -
0.14 mmol/L) are not a problem. The pharmacokinetic literature suggests that
one would have to injest more than 3 times the recommended therapeutic dose
in order for the plasma levels to be greater than 0.17mmol/L.
Paracetamol interferees with the SPORT measurement because it can penetrate
the cellulose acetate portion of the enzyme membrane and is oxidizable at the
platinum eletrode at the applied polarization voltage. The presence of elevated
levels of Paracetamol in a sample results not only in an elevated lactate reading,
but also a ramping signal in the time region in which a steady state signal is
normally observed.
Warning: The following preservatives interfere with the
measurement and should not be used: Phenol,
Benzalkonium Chloride, Methyl Paraben, Per chloric Acid,
Sodium Azide, Thymol, Trichloracetic Acid.
Several classes of chemicals can damage the YSI sensor system or cause
erroneous readings. Most of these have no place in diagnostic medicines, but
may be of scientific interest. Some substances such as triglycerides, which are
interferences for photometric sensor systems, do not interfere with the SPORT
electrochemical sensor system.
Reducing Agents
Reducing Agents
Reducing Agents
Reducing Agents
Many reducing agents would give rise to a false signal current (and falsely
elevated reading) if they succeeded in reaching the sensing anode of the YSI
probe. Most of these are excluded from the probe by the cellulose acetate layers
of the membrane, However, thymol, phenols, anilines, hydra zines and
hydrazides, hydroxylamines, oximes and a few other compounds of molecular
weight below 150 which are cationic or uncharged in neutral solution can
interfere.
Homologues and isomers may be expected to behave similarly, except that
relative response generally declines with increasing molecular (or ionic)
bulkiness. Hydrogen Sulfide, Hydrazine, Methylhydrazine, Phenylhydrazine,
Oxamic Hydrazide, Hydroxyet hylhydrazine, Acetone Oxime, Hydroxylamine
and Sodium Borohydride are also known to give significant relative response.
Relative response to reducing agents may vary from membrane lot to membrane
lot, and may depend on the service history of the probe and membrane.
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