Laboratory SA09 Flashcards

(54 cards)

1
Q

What samples are tests carried out on?

A
  • Blood
  • Urine
  • Faeces
  • Skin/hair
  • Tissue/fluids
  • Bacteriology
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2
Q

What laboratory analysers are commonly found in practice?

A
  • Biochemistry
  • Haematology
  • Urine/Electrolyte
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3
Q

What rules must be followed when using laboratory analysers?

A
  • Kept in secure position
  • Kept at correct room temperature
  • Used as per manufacturers instructions
  • Be serviced regularly
  • Quality control/assurance carried out
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4
Q

What is quality control?

A
  • Check validity of test results
  • Product from manufacturer to test QC
  • Ensure analyser calibration is maintained
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5
Q

What is quality assurance?

A
  • Extra steps to ensure reliable test results
  • Ensure correct sample used for right test
  • Right results reported to right person
  • Correct recording of results
  • Can send in-house test to external lab
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6
Q

What does a centrifuge do?

A
  • Used to separate substances of different densities
  • Sediment (denser) will settle at bottom
  • Supernatant (lighter) remains at surface
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7
Q

What are the types of centrifuge?

A
  • Swing out
  • Angle head
  • Micro haematocrit
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8
Q

What is a swing out centrifuge?

A
  • Tubes placed in cups that turn horizontal when on
  • Sediment packed uniformly against bottom of tube
  • Sediment stays flat, supernatant easily removed
  • High resistance to rotation generates heat
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9
Q

What is an angle head centrifuge?

A
  • Tubes fixed at 25-40 degrees
  • Sediment packs at bottom and sides of tube
  • As head slows, sediment drops to bottom
  • Sediment not packed tightly
  • Can be run at higher speeds
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10
Q

What are electrolytes?

A
  • Positive or negative ions in body fluid
  • Sodium = NA+
  • Potassium = K+
  • Chloride = Cl-
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11
Q

What is a micro haematocrit centrifuge?

A
  • Tubes held horizontally
  • Allow for rapid sedimentation of small particles
  • Can run at high speeds due to reduced resistance to rotation
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12
Q

What parts does a centrifuge have?

A
  • Motor
  • Drive shaft
  • Rotor head
  • Power switch
  • Timer
  • Speed control
  • Tachometer
  • Brake
  • Most include protective shield
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13
Q

What is a tachometer?

A
  • Indicates speed in revolutions per minute in centrifuges
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14
Q

What is important to remember when using a centrifuge?

A
  • Use correct tubes
  • Balance samples
  • Use guard
  • Centrifuges can move, position away from edge
  • Correct speed and time for samples
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15
Q

Speeds + times

A
  • Urine = 1500-2000rpm - 5 minutes
  • Blood = 10,000rpm - 5 minutes
  • F+ = 1000-1500rpm 3 minutes
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16
Q

What are the parts of a microscope?

A
  • Eyepiece
  • Rotating nose piece
  • Arm
  • Stage
  • Objective lenses
  • Slide clips
  • Focus dial (Corse and fine)
  • Sub-stage condenser
  • Sub-stage condenser dial
  • Light source
  • Base
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17
Q

At what magnification are different items found on a microscope?

A
  • Mites and worm eggs under low power (x4/8/10)
  • Bacteria and blood cells under high power
    (x40/100)
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18
Q

How should the x100 lens be used in a microscope?

A
  • Drop of immersion oil onto slide below lens
  • Adjust stage until lens tip in oil
  • Adjust fine focus to sharpen image
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19
Q

How is the sub-stage condenser used on a microscope?

A
  • Move sub-stage condenser up until just below stage
  • If looking at transparent items (hair shafts) condenser can be lowered to darken object
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20
Q

How should a slide be viewed under a microscope?

A

Using the battlement technique

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21
Q

What equipment is needed for collecting a blood sample?

A
  • Clippers
  • Scrub/swab
  • Syringe
  • Needle
  • Blood tubes
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22
Q

What is serum?

A
  • Fluid collected from clotted blood once the clot has retracted
23
Q

What is plasma?

A
  • Fluid from non clotted blood
24
Q

What is anticoagulant?

A
  • A drug that prevents blood clotting
25
What are some commonly used anticoagulants?
- Heparin (Orange tube, biochem tests) - EDTA (Ethylene Diamine Tetra-acetic Acid; Pink/red tube, heamatology tests) - Fluoride oxalate (Yellow tube, glucose tests) - Sodium citrate (Green/purple tube, clotting tests)
26
What are some possible problems with blood samples?
- Haemolysis - Lipaemia - Icteric - Incorrect storage - EDTA contamination - Incomplete gel separation
27
Why does haemolysis happen to blood samples and how can it be prevented?
- Occurs when RBCs are broken/lysed - RBCs then release contents into serum/plasma - Excessive pressure on syringe, too vigorous mixing, using too small needle, freezing whole blood, not separating before transit - Should use correct needle size and pressure, use small syringe, remove needle before decanting in tube, rotate, not shake, separate serum/plasma
28
How can lipaemia be prevented in blood sampled?
- Milky appearance due to fat cells in circulation - Should starve patient before sample taken
29
What else can icteric blood samples mean other than liver issues?
- Jaundiced sample - Can be due to haemolysis
30
How should blood samples be stored?
- Fill tubes immediately - Fill EDTA first as most affected by clotting - Test ASAP - Refrigerate whole blood at 4 degrees for 5 days - RBCs only stable for 24 hours - Can freeze serum/plasma at -20 degrees
31
What is EDTA contamination?
- Caused by touching syringe against tube - EDTA contains potassium - Causes incorrect potassium readings
32
What equipment is is needed for a urine sample?
- Catheter? - Syringe/needle? - Collection bowl - Sample pots - Sterile universal container
33
What collection techniques can be used to get a urine sample?
- Catheterisation - Cystocentesis - Mid stream - Manual expression
34
Care taken when placing a urinary catheter
- Must be aseptic - Use sterile lube - Do not introduce bacteria or contaminants
35
What is cystocentesis?
- Long needle into bladder - Minimises contamination - May get mild haemorrhage
36
Care taken when collecting mid stream urine sample
- Must not collect first part as contaminated from bacteria in urine tract - Care to keep sample clean
37
Care taken with manual bladder expression
- Must be gentle - Only done if no obstruction suspected - May get mild haemorrhage
38
How should urine be stored?
- Plain pots; dry sterile universal container - Good for microscopy, sediment, chemistries and specific gravity - Boric acid; Red tube, contain preservative - Good for microbiological culture - Other preservatives; Thymol, Toulene
39
When should urine be tested?
- Test urine ASAP - Cooled urine in fridge stops bacteria multiplying - Crystals will still form
40
What is blood bichemistry?
- Levels of chemicals in the body - Bio chemicals suspended in plasma/serum - Used to check body functions and organs
41
How can blood be tested for biochemistry?
- Biochemistry analyser - Testing sticks - Glucometers
42
Why is it important to prevent haemolysis of blood samples when running biochemistry tests?
- Mild haemolysis shouldn't cause problems - Severe haemolysis affects filter - Gives inaccurate results - Can give false increased bilirubin from haemoglobin leaks
43
What is hyperkalaemia?
- Increased potassium (K) - Leads to bradycardia + cardiac arrhythmia - False positive results from EDTA contamination
44
Why is medical history important when testing blood?
- Exercise or starving can affect results - Correct times post medications are important for some tests
45
What are the important functions of the liver?
- Glucose, protein, lipid synthesis - Bile formation - Vitamin and iron storage - Detoxification
46
How can liver disease be caused?
- Infectious - viral, bacterial, parasitic - Inflammatory (hepatitis) - Toxin related - Neoplastic
47
How can biochemistry results be used to diagnose liver disease?
- Damaged liver leaks enzymes into blood in larger amounts than usual - These enzymes can be released from other areas - Full blood biochemistry is required for diagnosis
48
How are carbohydrates digested and stored?
- Complex carbohydrates converted to monosaccaride glucose - Liver stored glucose as a polysaccaride glycogen
49
How are proteins broken down?
- Proteins to amino acids - Amino acids to amonia - Amonia to urea
50
What is ALT?
- Serum alanine aminotransferase - Found in hepatocyte cytoplasm - Also released from kidneys, cardiac and skeletal muscle - Increased levels indicate renal failure, cardiac disease, skeletal muscle damage and liver disease
51
What is AST?
- Serum aspirate aminotransferase -
52
What is choleostasis?
Blocked bile duct
53
What is azotaemia?
Increased urea and creatinine in blood biochemistry
54