Ion-selective electrodes for sodium and potassium: a new problem of what is measured and what should be reported.

1985 ◽  
Vol 31 (3) ◽  
pp. 482-485 ◽  
Author(s):  
A H Maas ◽  
O Siggaard-Andersen ◽  
H F Weisberg ◽  
W G Zijlstra

Abstract For clinical purposes the activities of Na+ and K+ obtained with ion-selective electrodes in undiluted whole blood or serum should be multiplied by an appropriate factor to obtain the same values as the substance concentrations obtained by flame photometry. The factor is primarily dependent on the mass concentration of water in normal plasma divided by the molal activity coefficient of Na+ (or K+) of normal plasma. We discuss the value of the molal activity coefficient of Na+ obtained by theoretical calculations and by direct measurement. The discrepancies between theory and measurement (gamma Na+ of 0.747 and 0.73, respectively) may be due to some binding of Na+ (protein binding or ion pair formation), a small and variable residual liquid-junction potential, or certainty about the appropriate value for the ionic strength of normal plasma (0.16 mol/kg or somewhat higher).

1982 ◽  
Vol 28 (9) ◽  
pp. 1936-1945 ◽  
Author(s):  
J D Czaban ◽  
A D Cormier ◽  
K D Legg

Abstract The observed reference ranges for sodium and potassium as determined by direct potentiometry vary from instrument to instrument, depending on the composition of the calibration standards. To resolve the existing confusion as to which reference intervals are most appropriately considered "normal," we propose a straightforward convention (based on plasma-water concentration units) in which the difference between direct (undiluted sample) and indirect (diluted sample) methodologies is accounted for by the volume displacement effect of proteins, lipids, and other dissolved substances in a typical plasma sample. Thus, the proposed reference intervals for sodium and potassium are approximately 7% greater by direct potentiometry than by procedures involving dilution. Data consistent with this convention can be obtained with a variety of aqueous-based calibrants, provided care is taken to minimize the errors resulting from activity coefficient and liquid junction potential effects. Additional experimental results are presented to show that these effects also account for the apparent suppression of the sodium ion concentration observed in the presence of bicarbonate ion.


1977 ◽  
Vol 23 (10) ◽  
pp. 1912-1916 ◽  
Author(s):  
J H Ladenson

Abstract I compared results for sodium and potassium in whole blood and plasma as measured with a newly available potentiometric analyzer, the "Orion SS-30". No significant difference was found for either sodium or potassium in 207 such comparisons. With use of the flowing, high mixing-velocity liquid junction of the Orion SS-30, the residual liquid junction potential due to blood cells was found to be less than 0.1 mV and to be independent of the hematocrit. This is in contrast to the hematocrit-dependent residual liquid junction potential of approximately 0.6 mV noted by others at normal hematocrit values with the open capillary liquid junctions now commonly used in pH instruments. I also found that the potassium concentration can increase significantly during the mixing of whole blood, and such samples should be mixed gently, if at all. Evidently sodium and potassium can be accutately and easily measured directly in heparinized blood.


1984 ◽  
Vol 30 (3) ◽  
pp. 433-436 ◽  
Author(s):  
N Fogh-Andersen ◽  
P D Wimberley ◽  
J Thode ◽  
O Siggaard-Andersen

Abstract We compared different sample-handling techniques for measurement of Na+ and K+ with ion-selective electrodes (ISE). Imprecision was less for venous blood (with a minimum of heparin) than for plasma, serum, or capillary blood. The results for K+ were higher for serum than for whole blood, and higher for whole blood than for plasma. The latter difference was apparently due to release of K+ during the analysis. Values were more stable for whole blood stored at 20 degrees C than at 4 degrees C or 37 degrees C. The molality of Na+ in the plasma of mixed whole blood changed by -10.5 mmol/kg per unit change in blood pH. This could be explained by the different H+ buffering capacities of plasma and erythrocyte fluid, because when the pH is changed, the concentration of small anions in erythrocytes changes more than it does in plasma, with a consequent osmotic movement of water across the erythrocyte membrane. When we took into account the residual liquid-junction potential and the mass concentration of water in each of 65 patients' sera, the molality determined for Na+ was 1% lower and that of K+ 3% lower by ISE than by flame photometry--differences that may be related to ionic binding or to a lower molal activity coefficient in serum than in the calibrator.


1984 ◽  
Vol 30 (3) ◽  
pp. 482-484 ◽  
Author(s):  
J W Winkelman ◽  
C Merritt ◽  
W J Scott ◽  
A Kumar ◽  
G Baum

Abstract To further the accurate direct potentiometry of plasma electrolyte concentrations, we investigated the effects of solution composition on the residual liquid junction potential (RLJP) during measurement of K+. Assuming that the binding constant between K+ and proteins or bicarbonate is no greater than with Na+, we calculate that the amount of bound K+ can be neglected. A significant RLJP exists between simple solutions containing Na+, K+, and Cl- ions and solutions containing Na+, K+, Cl-, and HCO3- ions. Replacing Cl- with HCO3- leads to an increase in the RLJP, which in turn contributes to a negative error in K+ analysis. A small decrease in RLJP is observed as the ionic strength is increased. The Henderson equation gives a reasonable estimate of the magnitude of the observed RLJP, even though the liquid junction does not meet the conditions under which the equation is rigorously applicable. Errors attributed to RLJP may be substantially minimized by using a calibrator solution that contains an anion with mobility similar to that of HCO3-.


Electrochem ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 197-215
Author(s):  
Jerzy J. Jasielec

This work is aimed to give an electrochemical insight into the ionic transport phenomena in the cellular environment of organized brain tissue. The Nernst–Planck–Poisson (NPP) model is presented, and its applications in the description of electrodiffusion phenomena relevant in nanoscale neurophysiology are reviewed. These phenomena include: the signal propagation in neurons, the liquid junction potential in extracellular space, electrochemical transport in ion channels, the electrical potential distortions invisible to patch-clamp technique, and calcium transport through mitochondrial membrane. The limitations, as well as the extensions of the NPP model that allow us to overcome these limitations, are also discussed.


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