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15 Cards in this Set

  • Front
  • Back
Immunoassays are commonly used in
Screening tests
Confirmatory Tests commonly use
GC/MS

But also AA, HPLC
Immunoassays
Use antibody against analyte
Little or no sample preparation
Low specificity
Primarily spectrophotometric
Thin Layer Chromatography
Polar silica medium
Fast, easy, cheap
Sensitivity is low
Specificity is low
Atomic Absorption Spectroscopy
Usually method of choice for metals (Fe, Hg)
Detects metal atom, not compound or valence state
Gas Chromatogaphy
Expensive
Well-trained technologist
High specificity and sensitivity
Molecules partition between gas and liquid phase as they traverse column
Mass Spectrometry
Usually coupled with GC- GC separates, MS detects
Expensive
Well-trained technologist
Specificity excellent
Unparalleled detection of organic molecules
Shoots electrons at molecules, fragments ions
Mass Spectrometry Limitations
Cannot separate enantiomers
High Performance Liquid Chromatography
Expensive
Good for quantitiation
Separates a substance between a stationary and mobile liquid phase under pressure
Ethanol Testing
2 techniques
GC
Enzymatic
Enzymatic Ethanol Testing
Alc DH to convert EtOH to acetaldehyde
Accompanied by reduction of NAD to NADH
NADH Increases, so does absorption at 340nm
High serum lactate, LDH will convert lactate to pyruvate, generating NADH
Adulteration of Drug testing
Dilution (sp gravity solves)

Substitution

Ingestion of Weak acids, bases

Use of interfering substances
Benzalkonium
Goldenseal

Strong chemicals
Glutaraldehyde, interferes with enzymes used in immunoassays
Opioid Interpretive Challenges
Enantiomers not differentiated by MS
Dextrorphan and levorphanol (opioid)

Poppy seed contain morphine and codeine (drug testing pgm uses 2000ug/L to prevent false +)
TCA interpretive Challenges
Other 3-ringed structures

CBZ
Phenothiazine
Diphenhydramine
Plasma cholinesterase challenges
Non specific (cocaine and succ will effect)

Decreased in
deficiency of enzyme
Hepatic disease
Fe deficiency
Chronic disease
Malnutrition