K-2 Operator’s Manual – OPTI CCA-TS
Interferences
The OPTI CCA-TS K
+
sensor has no measurable interference from Na
+
variation within the range 100-
190 mmol/L.
The OPTI CCA-TS K
+
results include an appropriate correction for pH at all values of pH.
This correction may introduce an extra source of variability at the extreme values.
The OPTI CCA-TS K
+
sensor has no interference from ammonia or ammonium ion present at normal
physiologic levels (below 100 µmol/L). At hyperammonemia (plasma levels of 300 µmol/L),
the OPTI CCA-TS K
+
sensor will show a potassium offset of +0.4 mmol/L, and at extreme
hyperammonemia (plasma levels of 3000 µmol/L), the OPTI CCA-TS K
+
sensor will show a potassium
offset of +4.4 mmol/L.
Heparin salts are the only acceptable anticoagulants. Other anticoagulants such as citrate, EDTA, oxalate,
and uoride cause signicant interferences to the electrolyte sensors.
The following exogenous interferents were quantied in tonometered plasma, showing interferences to
dyes which typically have short half-lives within the body before being metabolized by the liver.
Substance amount K
+
change (mmol/L)
Sodium uorescein 26 mg/dL -0.7
Cardio (indocyanine) green 0.5 mg/dL -0.4
Methylene blue 25 mg/dL +2.4
Only clear, uncolored quality control materials, such as OPTI CHECK or OPTI CHECK PLUS
brand aqueous controls should be used with the OPTI CCA-TS system. Colored materials,
including prociency testing materials, may interfere with the ion measurement, or fail to be
properly aspirated.
Reproducibility
Typical Within-Run (Swr), Between-Day (Sdd) and Total (ST) Precision is determined from 1 run per
day with 2 replicates per run for 20 days on each of two OPTI CCA instruments. Potassium values are
expressed in mmol/L.
Material mean Swr (CV%) Sdd (CV%) ST (CV%)
OPTI CHECK PLUS
(aqueous control solution)
Level 1 2.61 0.004 (0.2) 0.026 (1.0) 0.026 (1.0)
Level 2 4.50 0.005 (0.1) 0.030 (0.7) 0.030 (0.7)
Level 3 5.58 0.006 (0.1) 0.048 (0.9) 0.47 (0.4)
Serum 7.11 0.010 (0.1) 0.08 (1.1) 0.08 (1.1)
Reduced Bovine Hemoglobin 2.92 0.004 (0.1) 0.02 (0.8) 0.02 (0.8)
Solution