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Surely the real lesson is that all patients should have an admission profile assyed in the lab, and PoCT sticks should be replaced by airtube boxes on every ward with 'I am an analyser - feed me' written above. TIM ********************************************** Prof. Tim Reynolds, Clinical Chemistry Department, Queens Hospital, Belvedere Rd., Burton-on-Trent, STAFFORDSHIRE, DE13 0RB, UK. tel: 01283 511511 ext. 4035 fax: 01283 593064 email: tim.reynolds@queens,burtonh-tr.wmids.nhs.uk alternative email for the all too frequent occasions when the NHS email connection doesn't work: [log in to unmask] -----Original Message----- From: p=NHS NATIONAL INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK; Sent: 12 March 2002 12:07 To: p=NHS NATIONAL INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK; Subject: Re: Rampant DKA with normal glucose and negative ketones Jonathan The message is "finger stick samples must not be used in patients with peripheral shutdown whatever make and model of the glucometer and whatever level of expertise of the operator". The measured glucose on the finger stick sample was analytically and physiologically correct for the peripheral compartment but was not the true reflection of what is happening in the central compartment. regards Mohammad --- Jonathan Kay <[log in to unmask]> wrote: > Lots of us have been putting effort into improving > the data management > for PoCT. Now we have a possible test case. Would > the full monte of > reagent autoID, patient autoID, operator autoID and > data networking have > helped in resolving the issue of the anomalous low > blood glucose result? > > Is it possible that the result was an artefact? (One > not related to > biological factors such as low oxygen pressure in > the specimen.) > > Dr Jonathan Kay > > > On Tuesday, March 12, 2002, at 09:02 , Mohammad > Al-Jubouri wrote: > > > In reply to Tim Hogan remarks: > > > > 1. The glucometer is Roche advantage. > > 2. The urine dip stick is Bayer Labstix SG. > > > > regards > > > > Mohammad > > > > ===== > > Dr. M A Al-Jubouri > > Consultant Chemical Pathologist > > > > __________________________________________________ > > Do You Yahoo!? > > Everything you'll ever need on one web page > > from News and Sport to Email and Music Charts > > http://uk.my.yahoo.com > > > > ------ACB discussion List Information-------- > > This is an open discussion list for the academic > and clinical > > community working in clinical biochemistry. > > Please note, archived messages are public and can > be viewed > > via the internet. Views expressed are those of the > individual and > > they are responsible for all message content. > > > > ACB Web Site > > http://www.acb.org.uk > > List Archives > > > http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html > > List Instructions (How to leave etc.) > > http://www.jiscmail.ac.uk/ > > ------ACB discussion List Information-------- > This is an open discussion list for the academic and > clinical > community working in clinical biochemistry. > Please note, archived messages are public and can be > viewed > via the internet. Views expressed are those of the > individual and > they are responsible for all message content. > > ACB Web Site > http://www.acb.org.uk > List Archives > http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html > List Instructions (How to leave etc.) > http://www.jiscmail.ac.uk/ ===== Dr. M A Al-Jubouri Consultant Chemical Pathologist __________________________________________________ Do You Yahoo!? Everything you'll ever need on one web page from News and Sport to Email and Music Charts http://uk.my.yahoo.com ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/