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a) NHS has the following guideline for blood sample collection: “When using a syringe, pull the plunger gently to avoid rupturing the cell walls of blood cells”. Based on what you have learnt from this module, answer the questions below: [20 ma...

i. The guideline is trying to avoid interference in measuring potassium levels in the patient sample.

ii. The condition linked to a false reading of potassium levels is called hyperkalemia. Hyperkalemia refers to elevated levels of potassium in the blood. The concerns associated with this condition are related to its impact on the heart. High levels of potassium can disrupt the electrical activity of the heart, leading to abnormal heart rhythms (arrhythmias) and potentially life-threatening conditions such as cardiac arrest.

iii. In cases where a patient’s sample shows abnormal readings of potassium, they would be called to A&E urgently for further evaluation and treatment. To confirm or reject the suspected condition based on previous blood test results, several tests may be ordered:

  • ECG (Electrocardiogram): This test records the electrical activity of the heart and helps identify any abnormalities in heart rhythm.
  • Blood tests: Additional blood tests may be performed to assess other electrolyte levels, such as calcium and magnesium, which can also affect heart function.
  • Cardiac monitoring: Continuous monitoring of the patient’s heart rhythm using devices like Holter monitor or telemetry can provide more detailed information about their cardiac status.
  • Further medical history review: The healthcare provider will review the patient’s medical history for any underlying conditions or medications that could contribute to abnormal electrolyte imbalances.
  • Additional diagnostic imaging: If necessary, imaging studies like echocardiography or chest X-ray may be conducted to evaluate cardiac structure and function.

The results from these additional tests will help confirm or rule out hyperkalemia as well as identify any other potential causes for the abnormal blood test results observed initially.


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