PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA

Heru Setiawan; Eka Dewi Zola

doi:10.59946/jfki.2022.144

PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA

Heru Setiawan Poltekkes Kemenkes Jakarta III
Eka Dewi Zola

DOI: https://doi.org/10.59946/jfki.2022.144

Kata Kunci: Ion kalsium, spesiemen darah arteri, spesimen serum.

Abstrak

Determination of calcium ion levels is clinically useful in the diagnosis, identification of hypercalcemia in neoplasia, and in the management of critically ill adults and neonates or patients with serious clinical consequences. It is the responsibility of the clinical laboratory to select which specimen is most appropriate, for each clinical situation. The International Federation of Clinical Chemistry, recommends heparin as the anticoagulant of choice for the measurement of calcium ions. According to the Institute of Clinical Laboratory Standards, measurement of calcium ions using whole blood specimens is preferable (whole blood heparin), the use of plasma and serum specimens remains a solution, although it is not recommended, to avoid changes in pH, the specimen must be kept closed until it reaches analyst

The purpose of this study was to determine the average calcium ion level from arterial blood specimens and serum specimens, and to determine whether there was a significant difference in calcium ion levels from arterial blood specimens and serum, to provide better input to laboratory services, especially at the pre-analytic stage of examination specimens. calcium ion reference in Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita (RSJPDHK) Jakarta.

The analysis of significance was tested with the t Test. The results of the test with 2 independent groups (t test) with 30 specimens for each group. The independent T test results obtained p value = 0.007.

In conclusion, the results of the examination of calcium ions with arterial blood samples obtained an average value of 1.192 mmol/L, with the lowest value of 1.07 mmol/L and the highest value of 1.25 mmol/L. Results Calcium ion levels in serum specimens obtained an average value of 1.23 mmol/L with the lowest value of 1.12 mmol/L and the highest value of 1.38 mmol/L. There was a significant difference in average calcium ion levels between arterial blood specimens and serum specimens, in 95% significance level.

Keywords: Calcium ion, arterial blood specimen, serum specimen.

Referensi

Alkatiri, S. (2017) ‘Perbedaan Hasil Pemeriksaan Elektrolit Metode ISE (Ion Selective Electrode) Dengan Pemeriksaan Elektrolit Metode Biosensor’, JurnalSains, p. 14.
Baird, G. S. (2011) ‘Ionized calcium’, Clinica Chimica Acta, 412(9–10), pp. 696–701. doi: 10.1016/j.cca.2011.01.004.
Boink, A. B. T. J. et al. (no date) International Federation of Clinical Chemistry, Scientific Division IFCC recommendation on sampling, transport and storage for the determination of the concentration of ionized calcium in whole blood, plasma and serum, Journal of Automatic Chemistry.
Chhapola, V., Kumar, S. and Goyal, P. (2014) ‘Is liquid heparin comparable to dry balanced heparin for blood gas sampling in intensive care unit?’, Indian Journal of Critical Care Medicine, 18(1), pp. 14–20. doi: 10.4103/0972-5229.125428.
Darmawan, A. and Irawan, R. (2015) ‘Mengenal CPOB Untuk Produk Darah’, Medical, 3(2), pp. 111–118. Available at: armaididarmawan@yahoo.com.
Fristiohady, A. and Ruslin (2012) Pengantar Kimia Klinik dan Diagnostik, Penerbit Wahana Resolusi.
Furnia, I. et al. (2015) Korelasi Kadar Ion Kalsium Serum dengan Dimensi, Fungsi Sistol dan Diastol Ventrikel Kiri pada Thalassemia Mayor dengan Hemosiderosis The Correlation of Serum Calcium Ion Level with Dimension, Systolic, and Diastolic Function of Left Ventricle in Hemosiderosis Thalassemia Major Children.
Guder, W. G. et al. (2010) ‘Quality of Diagnostic Samples’, pp. 20–24. Available at: file:///C:/Users/inez/Downloads/Quality_of_diagnostic_samples_final_version_23.9.2009[1] - zum Zusammenführen.pdf.
Handari, N. (2019) GAMBARAN PEMERIKSAAN ION KALSIUM DENGAN SAMPEL SERUM , PLASMA HEPARIN , DAN WHOLE BLOOD HEPARIN PRODI D III TEKNOLOGI LABORATORIUM MEDIS TAHUN 2019.
Jafri, L., Khan, A. H. and Azeem, S. (2014) ‘Ionized calcium measurement in serum and plasma by ion selective electrodes: Comparison of measured and calculated parameters’, Indian Journal of Clinical Biochemistry, 29(3), pp. 327–332. doi: 10.1007/s12291-013-0360-x.

Fisioterapi, Kesehatan, kebidanan, keperawatan

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2022-12-15

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Setiawan, H., & Zola, E. (2022). PERBANDINGAN KADAR ION KALSIUM DARAH ARTERI DENGAN SERUM DI RUMAH SAKIT JANTUNG DAN PEMBULUH DARAH HARAPAN KITA JAKARTA. Jurnal Fisioterapi Dan Kesehatan Indonesia, 2(2), 22-27. https://doi.org/10.59946/jfki.2022.144

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Personal Servers. Authors and/or their employers shall have the right to post the accepted version of articles pre-print version of the article, or revised personal version of the final text of the article (to reflect changes made in the peer review and editing process) on their own personal servers or the servers of their institutions or employers without permission from RCEPM-LIPI, provided that the posted version includes a prominently displayed RCEPM-LIPI copyright notice and, when published, a full citation to the original publication, including a link to the article abstract in the journal homepage. Authors shall not post the final, published versions of their papers;
Classroom or Internal Training Use. An author is expressly permitted to post any portion of the accepted version of his/her own articles on the author’s personal web site or the servers of the author’s institution or company in connection with the author’s teaching, training, or work responsibilities, provided that the appropriate copyright, credit, and reuse notices appear prominently with the posted material. Examples of permitted uses are lecture materials, course packs, e-reserves, conference presentations, or in-house training courses;
Electronic Preprints. Before submitting an article to an MEV Journal, authors frequently post their manuscripts to their own web site, their employer’s site, or to another server that invites constructive comment from colleagues. Upon submission of an article to MEV Journal, an author is required to transfer copyright in the article to RCEPM-LIPI, and the author must update any previously posted version of the article with a prominently displayed RCEPM-LIPI copyright notice. Upon publication of an article by the RCEPM-LIPI, the author must replace any previously posted electronic versions of the article with either (1) the full citation to the work with a Digital Object Identifier (DOI) or link to the article abstract in MEV journal homepage, or (2) the accepted version only (not the final, published version), including the RCEPM-LIPI copyright notice and full citation, with a link to the final, published article in journal homepage.

4. Articles in Press (AiP) service

RCEPM-LIPI may choose to publish an abstract or portions of the paper before we publish it in the journal. Please contact our Production department immediately if you do not want us to make any such prior publication for any reason, including disclosure of a patentable invention.

5. Author/Employer Rights

If you are employed and prepared the article on a subject within the scope of your employment, the copyright in the article belongs to your employer as a work-for-hire. In that case, RCEPM-LIPI assumes that when you sign this Form, you are authorized to do so by your employer and that your employer has consented to the transfer of copyright, to the representation and warranty of publication rights, and to all other terms and conditions of this Form. If such authorization and consent has not been given to you, an authorized representative of your employer should sign this Form as the Author.

6. RCEPM-LIPI Copyright Ownership

It is the formal policy of RCEPM-LIPI to own the copyrights to all copyrightable material in its technical publications and to the individual contributions contained therein, in order to protect the interests of the RCEPM-LIPI, its authors and their employers, and, at the same time, to facilitate the appropriate re-use of this material by others. RCEPM-LIPI distributes its technical publications throughout the world and does so by various means such as hard copy, microfiche, microfilm, and electronic media. It also abstracts and may translate its publications, and articles contained therein, for inclusion in various compendiums, collective works, databases and similar publications

Every accepted manuscript should be accompanied by "Copyright Transfer Agreement" prior to the article publication.