Clinmic Flashcards
Review
Best way to break chain of infection
Hand washing
How long to wash hands
15-20 seconds
Most important part of handwashing
Friction
Label of biohazard container
3 over lapping circles
Solution to disinfect sink
1:5-1:10 NaCl solution
How often do you disinfect sinks
Daily
Container used for sharp wastes
Red, puncture-resistant container
Storage of radioactive material: storage at locked room until background count is down to: _____________
10 half life
Best first aid for chem spills
Flush area with running water for atleast 15 minutes
Always add ______ to ______
Acid to water
Color for health hazard
Blue
Color for fire hazard
Red
Color for instability/reactivity
Yellow
Color for specific hazard
White
Location of each hazard (quadrants)
Right: yellow
Bottom: white
Left: blue
Top: red
Degree of hazard(hazard) index
- no or minimal
- Slight
- Moderate
- Serious
- Extreme or severe
Storage for flammable chemicals
Explosion-proof refrigerators
Meaning of RACE
RESCUE
ALARM
CONTAIN
EXTINGUISH/EVACUTE
What is the only type of fire water extinguisher is for
Type A
Extinguisher for types ABC
Dry chemical
Type of fire carbondioxide extinguishes
TYPE BC
What type of fire metal X and Sand is used for
Type D
Fire types
A = ORDINARY B = LIQUIDS C = ELECTRIC D = METALS E = EXPLOSIVE K = COOKING
Meaning of PASS
Pull
Aim
Squeeze
Sweep
Types of fire to be handled. By trained personel only
Type D(metal) Type E(explosive)
Work related hazards and include strain due to repeated position
Ergonomic hazard
Hazard related to cold temperature
Cryogenic
Disinfection eliminates all or many pathogens except _________
Bacterial spores
Where blood enters in the kidney
Renal artery
Number of nephrons per kidney
1-1.5 million
Renal blood flow
1200ml
Renal plasma flow
600-700
Glomerules filters substances with MW of what
> 70,000 dalton
Glomerular filtrate S. G.
1.010
ADH in SIADH
EXCESS
Effects of RAAS
Release of ADH and aldosterone
Vasoconstriction
Substances reabsorbed through passive transport
Water
Urea
Sodium
Transport involved in glucose, amino acid, salts, chloride, sodium
Active
Inability of kidneys to produce an acid urine
Renal tubular acidosis
Used to evalute glomerular filtration
Clearance
Used to assess renal transplant patients
B2-microglobulin
Measurement useful in detection of early changes in kidney function
Cystatin c
Original reference method for clearance test
Inulin clearance
Creatinine clearance formule
UV/P
U=urine crea
V=total/1440 ml/day
P=plasma crea
Variables in cockgroft and gault
Age, sex, body weight in kg, serum crea
Variables in MDRD system
BEAC = BUN, ethnicity, albumin, crea
Recommended by the national kidney disease education program for crea clearance
MDRD-IDMS
Used to evaluate tubular reabsorption
Concentration test
Fishberg, mosenthal, specific gravity, osmolarity are tests to evaluate which parameter
Tubular reabsorption
Difference of S. G. And osmolarity
SG = number and density of solute OSMOLARITY = number only
PAH and PSP are used to test what
TUBULAR SECRETION AND RENAL BLOOD FLOW
Where does renal concentration begin
Descending and ascending loops of henle
Greatest source of error in any clearance procedure using urine
Improperly timed specimen
Discovered uroscopy
Hippocrates
Albuminuria by boiling
Frederik dekkers
Pisse prophets writing
Thomas Bryant
Person credited for Examination of urine sediments
Thomas addis
Introduced UA as routine exam
Richard Bright
Discovered urochrome
Ludwig thudichum
Person who discovered CSF
Domenico Cotugno
Phenylketonuria
Ivan folling
Discovered Alkaptonuria
Archibald garrod
Discovered cystine calculi
William Wollaston
Major organic substance in the urine
Urea
Major inorganic substance in the urine
Chloride > na > k
Ideal specimen for routine UA
First morning
Ideal specimen for pregnancy test
First morning
Specimen for evaluation of orthostatic proteinuria
First morning
Specimen for anaerobic bacterial culture and urine cytology
Suprapubic aspiration
Control for 3 glass collection
2nd glass - midstream
Time For addis count
12 hours
Time for nitrite determination
Atleast 4 hours
Timed specimen for urobilinogen
Afternoon (2-4pm)
Required volume for drug testing
And container
And temperature
30-45ml
60ml
32.5-37.7
Least affected in unpreserved urine
Protein
Four glass method for prostatitis
Stamey-mears
Bacteriostic at 18g/L and used for cultural transport
Boric acid
Excellent sediment preservative
Formalin
Prevents glycolysis and good for drug analysis
Sodium flouride
Composition of saccomano fixative
50% ethanol and 2% carbowax
Used for cytology studies and how many ml of urine
Saccomano fixative
50 ml
Average 24 hr urine volume
1200-1500ml
Excretion of more than 500ml of urine at night
Nocturia
Major pigment in urine and what colour
Urochrome - yellow
Pink pigment and may deposit in amorphous uratesans uric crystals
Uroerythrin
Black color
Acidic
Alkalin
Air exposure
Methemoglobin
Alkaptonuria(homogentisic acid)
Melanin
Clarity and term
Clear = no particulates Hazy = few particulates, print easily seen Cloudy = many particulates, blurred print Turbid = print cannot be seen Milky = may precipitate and clot
Acidic urine sediments
Amorphous urates
Radiographic dye
Alkarine urine sediments
Amorphous phosphates
Carbonates
Soluble with heat
Amorphous urates
Uric acid
Soluble in ether
Lipids
Lymphatic fluid
Chyle
Odorless
ATN
Foul/ammoniacal
UTI
Mousy, musty odor
PKU
Rancid butter odor
Tyrosinuria
Cabbage, hops
Methionine malabsorption (oasthouse syndrome)
Sulfur odor
Cystinuria
Rotting fish
Trimethylaminuria
Tomcat urine
Multiple carboxylase deficiency
Glucose reading time, principle, positive color
30
Double sequential enzyme reaction
Green to brown
Bilirubin reading time, principle, positive color
30, diazo, tan to violet
Ketone Reading time, principle, positive color
40, sodium nitropusside, purple
SG time, principle, positive color
45, pk change of a polyelectrolyte, blue (1.000) to yellow (1.030)
Reading time for protein, principle, positive color
60, protein error of indicator, blue
Ph reading time, principle, color
60, double indicator system, orange to blue (5.0-9.0)
Blood reading time, principle, color
60, pseudo peroxidase activity of hb, uniform green(hgb, mb) speckled(intact rbc)
Urobilinogen time, principle, color
60, ehrlich, red
Nitrite rt, principle, color
60, greiss, pink
Leukocyte rt, principle, color
120 secs, leukocyte esterase, purple
Principle for automate regeant strip
Reflectance photometry
Normal SG
1.003-1.035
Calibration temp for urinometer
20.0C
Temperature correction for urinometer
+0.001 for every 3C above 20
-0.001 for every 3C below 20
3%NaCl SG
1.015
5% NaCl
1.022
9% sucrose
1.034
Urinometer is higher than refractomer by
0.002
Reagent for SG chemstrip
Bromthymol blue
Total ML for IRIS diagnostic
6ml
ML for slideless microscope
4ml
ML for IRIS mass gravity meter
2 ml
Reagents for pH strip
Methyl red
Bromthymol blue
Amount of protein secreted in the urine per day
<150mg/day
Indicator of diabetic nephropathy
Microalbuminuria
Normal Albumim excretion rate
0-20ug/min