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Mixing the blood with additive or anticoagulant by shaking could cause a what?

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Final answer:

Mixing blood with an additive or anticoagulant by shaking can cause hemolysis or agglutination, leading to the destruction or clumping of red blood cells, respectively. These conditions can compromise the accuracy of diagnostic tests and have harmful implications if the blood is used for transfusions. Proper technique involves gently inverting the blood sample to mix with additives or anticoagulants.

Step-by-step explanation:

Mixing the blood with an additive or anticoagulant by shaking could potentially cause hemolysis, which is the rupture or destruction of red blood cells. This can release hemoglobin and other intracellular components into the blood plasma. Additionally, improper mixing may lead to agglutination, the visible clumping of red blood cells. These processes might interfere with various clinical analyses and could have serious implications, such as affecting the accuracy of diagnostic tests or causing complications if the blood is to be used for transfusion.

In clinical settings, it is essential to handle blood samples correctly to avoid hemolysis and agglutination. Instead of shaking, blood samples should be gently inverted to mix with anticoagulants or additives. This prevents the activation of platelets and clotting factors, thereby preventing unwanted thrombosis and ensuring the sample remains representative of the patient's in vivo condition.

Improper handling leading to hemolysis or agglutination may have significant consequences, including issues in diagnostic interpretation, particularly in tests related to hemostasis and blood typing. Hemostasis is the process by which the body stops bleeding, and disturbances in this process can lead to either inadequate clotting or excessive clotting. Proper blood sample handling is thus critical for accurate diagnosis and treatment planning.

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