Topic 6 Flashcards
– This refers to as highly complex mixture of cells, enzymes, proteins and inorganic substances. It is the red fluid of the blood vessels. Blood is opaque. On treatment with either, water or other reagents becomes transparent and assumes lake color. It is faintly alkaline. Normal pH is 7.35 to 7.45. cts.
Blood
– aka capillary blood, bright red in color and which is oxygenated blood.
Arterial Blood
– dark red in color, contains increased amount of carbon dioxide and which is non-oxygenated blood.
Venous Blood
– found in Nitrates and Nitrites poisoning which is chocolate brown in color.
Methemoglobin (Hbm)
– found in the presence of bacteria (clostridium perfringens) in severe constipation, enterogenous cyanosis and blood is lavender is color.
Sulfhemoglobin (HbS)
is responsible for red color, normal Pilipino has 200cc, 6 glasses means loss of life, 3 glasses will cause anemia. Hemoglobin is responsible for red color of blood which contains iron protein called globin (protein) and hematin (organic compound of iron). 14-17 grams of hemoglobin is present for each 100 cc of blood for adult.
Hemoglobin
– Skin/Finger/Ring Puncture, arterial blood and small quantity of blood. Puncture sites are;
Ring finger (Adult and Children)
Ear lobes (Adults)
Heal or Toe (Infants and Children) – use of lancet or pricker
Capillary Blood Sample
– Larger volumes of blood and blood taken from the vein
Cephalic Vein
Medial Cephalic Vein
Basilic Vein
Jugular Vein
Venous Blood Sample
– Larger volumes of blood and blood taken from the arteries
Radial Artery
Brachial Artery
Femoral Artery
Carotid Artery
Arterial Blood Sample (Venipuncture Method)
– an extremely sensitive test that can be applied to minute stain. For many years the most commonly used preliminary test for blood. Its use has generally been discontinued, as it is known carcinogen. A very delicate test and will detect blood when present in dilution of 1:300,000 parts. The Benzidine test never fails to detect blood even when very old, decomposed stain with all sorts of contamination is examined.
Benzidine Test
This test is more sensitive than guaiacum test and is valuable as a negative result. If the stain reacts negatively it is not blood. The positive result is only indicative that blood may be present.
Benzidine Test
(a small amount of powdered Benzidine dissolved in glacial acetic acid)
Benzidine solution
Positive Result: Intense blue color produced immediately.
Benzidine test
Limitation of the Test: is not specific test for blood. Positive result may be obtained from the substances as sputum, pus, nasal secretion, plant juices, formalin, clay and gum. The reaction is weaker and produces faint coloration.
Benzidine test
– An alternative test to Benzidine test. It can detect blood in a dilution of 1:80,000,000 parts. A positive result with this test is highly indicative of blood. The negative result is therefore valuable and is conclusive as to the absence of blood.
Phenolphthalein Test
(1 to 2 grams of phenolphthalein to 100 ml of a 25% potassium hydroxide in water added with one gram of zinc powder heated until colorless).
Phenolphthalein solution
Positive Result: Rose color develops/deep pink/permanganate color.
Phenolphthalein test
Limitation of the Test: The test will also give positive result to copper salts, potatoes and horseradish.
Phenolphthalein test
– A fairly delicate test showing the presence of fresh blood in a solution of 1:50,000 dilutions. It may not react to very old stain.
Guaiacum Test
Positive Result: Beautiful blue color that appears immediately.
Guaiacum Test
Limitation of the Test: The test also reacts with saliva, pus, bile, milk, rust, iron, salts, cheese, glutten, potatoes, perspirations and other oxidizing substances.
Guaiacum Test
– This test is not as sensitive as the benzidine test.
Leucomalachite Green Test
(1 gram leucomalachite green dissolved in 48 ml glacial acetic acid and diluted to 250 ml water).
Leucomalachite green solution
Positive Result: Malachite green or bluish green
Leucomalachite Green Test