What is the principle of total and direct bilirubin?
Diazo reaction of ehrlich
Mechanism of total and direct bilirubin
(Sulfanilic acid+HCl) + (sodium nitrite)= (nitrous acid)
(Nitrous acid) reacts to form (diazotized sulfanilic acid) + (bilirubin) = (azobilirubin)
total bilirubin reagent
sulfunilic acid diluted with hcl. stabilized + accelerator
bilirubin oxidant
sodium nitrite
bilirubin calibrator
n-1-naphthylethylenediamine dihydrochloride
direct bilirubin reagent
sulfanilic acid diluted with hcl. stabilizer addded
sample of choice for total and direct bilirubin
fasting serum/plasma spx
interfering substances of T&D bilirubin
gross hemolysis and lipemic serum