Sample collection, storage and preparation Flashcards
what are 8 sample collection considerations?
ease of collection
matrix interferences
parent drug and/or metabolites
detection/analysis time
stability of the drugs in the sample
putrefaction
potential for automation analysis
reference data
post mortem forensic toxicology
Establish the cause and mode of intoxication/death through the analysis of various fluids and tissues during autopsy
sample collection post mortem (9)
blood urine vitreous humour liver gastric contents bile hair lung fluid kidney
ante-mortem forensic toxicology - human performance
Evaluating the role of a compound in the modification of human behaviour, usually applied to traffic safety and the respective operation of a motor vehicle, as well as doping in sport.
ante-mortem forensic toxicology - xenobiotics testing
Establish prior use or abuse of selected compounds through the analysis of body fluids usually urine. Results from these tests are usually applied to the workplace setting.
sample collection ante-mortem
blood exhaled air urine hair saliva
blood sample collection time?
28 hours ish
saliva sample collection time?
a few days
urine sample collection time?
from a couple hours to days
weeks for marijuana
hair sample collection time
from a couple weeks to months/years
sample collection urine
non invasive
collected in post mortem investigations since some toxins show in higher levels in urine
Sample is checked for adulteration by checking the pH, creatine, specific gravity and for any unusual colour or smell
Poor correlation between drug concentrations in urine and drug effects
sample collection saliva
Non invasive
Easy to collect
Simple matrix – little interference
Indicative of recent drug use
Many different drugs can be determined
sample collection blood
The most satisfactory method for obtaining samples is from venous puncture of the femoral vein
Invasive
Post-mortem blood specimen are taken from two sites
- Heart
- Peripheral (femoral vein)
High correlation between blood drug concentration and the effects of the drug
Whole blood, plasma and/or serum
Dried blood-spots (DBS)
sample collection hair
Preferably collected from the back of the skull where the average hair growth is fairly constant
In cases with a suspicion of a recent poisoning, analyses of plucked hair may be better
Interval for most drugs during which blood, urine and cut hair may all be negative
Drugs only present in extremely low concentrations
Controversy between active and passive drug use
Good timeline for drug usage
what are the 4 routes of entry for drugs in hair
During formation of shaft (anagen phase)
Diffusion from blood stream
Diffusion from secretions
External examination
sample collection bile
Can be useful where morphine, benzodiazepines and chlorpromazine are suspected toxins
These toxins are concentrated by the liver and excreted into the gall bladder
Direct collection of bile into a bottle is advised because bile is too viscous to be drawn by a needle
sample collection gastric content
Typically done in a sudden death in which the deceased has large quantities of a lethal agent in the stomach
Contents should be empties into a wide mouth jar
In the case of suicide, large amounts of pills can be found in the gastric tract
sample collection brain
Useful to assess the impact on the overall body burden
Can establish dose of cocaine in body at time of death
Complex matrix that requires extensive sample clean-up and preparation
2 advantages of blood
detect parent compound
correlation between amount of drug and blood concentration
4 disadvantages of blood
limited volume
low concentrations of basic drugs and some other poisons
complex matriculates - interferences
invasive method
4 advantages of urine
often large volume
high concs of many poisons
simpler matrix than blood
non-invasive method
2 disadvantages of urine
parent drug might be present in low concentration
no or little correlation between amount