Unit conversation 1 mmol/l = 0.2816 mg/dl mmol/24 hod = 0.0282 mg/24 hod CHLORIDE Liquid 250 Cat. No. 10003276 (Cl L 1 x 250) Store at (+2 to +25) °C Liquid reagent for photometric determination of chloride in biological material. Principle Chlorides ions release from the reagent with thiocyanate ions which react with Fe3+ and form red ferric thiocyanate. The intensity of the colour is proportional to the chloride concentration in the sample. 2 Cl– + Hg(SCN)2 SCN– + Fe3+ HgCl2 + 2 SCN– Fe(SCN)2+ Reagents R1 Reagent Mercury (II) thiocyanate Iron (III) nitrate Nitric Acid R2 Standard Chloride 1x250 ml 2 mmol/l 20 mmol/l 29 mmol/l 1x5 ml 100 mmol/l Reaction mixture Mercury (II) thiocyanate Iron (III) nitrate Nitric Acid 1.98 mmol/l 19.8 mmol/l 28.7 mmol/l Preparation and stability of working reagents Reagents R1 and R2 are liquid, ready to use. If stored at (+2 to +25) °C, reagents are stable until expiry date, that is stated on the package. After opening, reagents are stable until expiry date at (+2 to +25) °C if stored at appropriate conditions, in the dark place, closed carefully and without any contamination. Samples Serum or plasma (heparin), urine. Stability of chloride in the serum: 2 weeks at (+4 to +8) °C. Calibration For the calibration, it is recommended to use Lyonorm Calibrator, Cat. No. 10003200 or the standard included in the set. Quality control For quality control, it is recommended to use: Lyonorm HUM N, Cat. No. 10003204 Lyonorm HUM P, Cat. No.10003206 Procedure Wavelength Cuvette Temperature Serum/reaction mixture ratio 480 nm 1 cm +37 °C 1/101 Reagents and sample volume can be modified, by respecting reagents/sample volume ratio Reagent Standard Sample blank (Calibrator) Reagent 1 1.00 ml 1.00 ml 1.00 ml Sample – – 0.01 ml Standard – 0.01 ml – Distilled water 0.01 ml – – Mix and incubate 5 min. at 37 °C. Measure absorbance of the sample Asam and standard (calibrator) Acal against reagent blank. The coloration is stable during one hour. Applications for automatic analysers will be supplied on request. Calculation Asam Chloride (mmol/l) = x ccal Acal Ccal = standard (calibrator) concentration Reference values fS, fP Chloride (mmol/l) 97 – 108 dU Chloride (mmol/24 hours) 110 – 270 The range of reference values is only approximate; it is recommended that each laboratory verify the extent of the reference interval for their particular examined population. Performance data Linearity: up to 110 mmol/l Limit of detection: 1.4 mmol/l Low limit of quantification: 4 mmol/l Working range: 4 – 110 mmol/l Precision (při 37 °C) INTRA-ASSAY n = 20 Sample 1 Sample 2 Sample 3 INTER-ASSAY n = 10 Sample 1 Sample 2 Sample 3 Mean (mmol/l) 91.47 98.09 113.20 Mean (mmol/l) 88.24 99.93 109.32 SD (mmol/l) 0.69 0.64 1.24 SD (mmol/l) 2.85 2.91 2.72 CV (%) 0.76 0.65 0.88 CV (%) 3.23 2.91 2.49 Accuracy: Bias – 3.8 % (90 mmol/l) Correlation: with commercial available method. Linear regression n = 51, r = 0.97, y = 0.94 x + 5.52 mmol/l Interference Following substances do not interfere: Ascorbic acid up to 0.6 mmol/l, bilirubin up to 500 µmol/l, triglycerides up to 7 mmol/l, hemoglobin up to 5 g/l. Notes 1. For the determination in urine use the specimen collected during 24 hours period. To gauge urine exactly. If the chloride concentration exceeds 110 mmol/l, dilute the sample by distilled water in ration 1 + 1 (result 2x). 2. Glassware use for chloride determination should be perfectly clean and should not be used for other purposes. After a superficial washing by the ordinary way it is recommended to dip the glassware overnight in chlorosulfuric acid, then to rinse thoroughly using water and finally redistilled water and dry. When working on automatic analyser, it is recommended to clean often cuvettes by Extran. Health protection For in vitro diagnostic use. To be handled by entitled and professionally educated person. Reagents of the kit are not classified like dangerous. First aid In case of an accidental ingestion, wash up the mouth and drink about 0.5 l of water. On eye contact rinse the eye quickly and thoroughly with the jet of tap of water. Contaminated skin should be washed with warm water and soap. In all serious cases of health damage consult a physician. Waste disposal All tested samples should be treated as potentially infectious and with an eventual rest of reagents should be disposed in accordance with the internal regulations for dangerous waste, in compliance with local and national regulations relating to the safe handling of dangerous materials. Paper packing and others should be handed over for recycling or discarded as sorted waste (paper, glass, plastic). References 1. Schoenfeld, R. G., at al.: Clin. Chem., 10, p. 533, 1964. 2. Zima, T.: Laboratorní diagnostika, Galén (2002) Date of last revision: 7. 10. 2009
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