An optimistic view of biotechnology.
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Biomedical subjects
Publications and source records attributed to G B Levy.
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The advent of ion-selective electrodes made possible the potentiometry of sodium in serum and plasma. These methods were based on dilution of serum, as done in flame photometry, and the results were identical. Analysis of whole blood precludes dilution and so "direct" potentiometry was developed. Results by this technique are variable but tend to compensate for the spurious hyponatremias found by the "indirect" dilution methods due to displacement of volume by lipids and protein. However, there is no unambiguous theoretical basis on which to choose between the various direct ion-selective-electrode techniques and instruments. As an alternative, I propose use of current indirect methods, with numerical correction for the shift in normal sodium values in the presence of abnormal lipid and (or) protein. A table was constructed for making such corrections.
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We applied an automatic potentiometric electrolyte analyzer (STAT/ION) to the routine determination of Na+ and K+ in urine samples, and found a high correlation with results obtained by flame photometry. The electrodes were selective and no obvious interferences were encountered in the limited number of samples available in this study.