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What happens to potassium levels if you clench your fist during specimen collection?

a) Increase
b) Decrease
c) Remain unchanged
d) Fluctuate randomly

User Acrmuui
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1 Answer

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Final answer:

Clenching your fist during specimen collection can artificially increase potassium levels due to hemolysis, which is not an accurate representation of the body’s potassium level.

Step-by-step explanation:

Clenching your fist during specimen collection can artificially increase potassium levels. This is known as a pseudohyperkalemia, which is not a true reflection of the body's potassium level.

When a patient clenches their fist, this action can lead to the breakdown of red blood cells (hemolysis) within the blood sample due to mechanical stress. Hemolysis causes the release of intracellular contents, including potassium, which increases the potassium level in the sample. Therefore, it is not recommended to clench the fist during blood draw as it can lead to misinterpretation of the patient's true potassium levels. This is crucial because accurate potassium levels are important for diagnosing and managing conditions related to cardiac function and electrolyte balance. Steps must be taken to ensure that the specimen collection process is carried out without inducing hemolysis, to avoid incorrect results and potential misdiagnosis.

User MOrloff
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