Lipids are unique from other substances in the blood because they are non polar and insoluble in water, but soluble in organic solvents.
Lipids (fats) in food are more difficult to digest than proteins and carbohydrates. Lipids are present in the body through various forms, such as triglyceride (storage form of lipid), phospholipid (important parts of biomembranes), cholesterol (important component of steroid hormones),fatty acids (the simplest forms of lipids).
Lipids have crucial functions in the body that include the following:
1. Acts as a body insulator. So, it's true Virginia, that when you're fat, you have more "heat insulators" in your body, hence, will feel less susceptible to the cold weather,
2. Acts as biomembranes (protector) of vital organs, such as the brain and the lungs.
3. Acts as an enzyme in the form of prostaglandin.
4. Acts as the basic component of steroid hormones.
5. Acts as carrier proteins for non-polar substances.
6. Acts as a source of energy when there's a dysfunction of carbohydrate being converted to energy.
Below is a slide presentation submitted by a previous student that you can read to let you understand more about lipids.
About Clinical Chemistry, the determinations of blood constituents like glucose, uric acid, triglycerides, cholesterol, blood gas, enzymology, electrolytes, drugs and the clinical significance of their abnormal values. Deals also with quality assurance and function tests.
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Saturday, June 13, 2015
Thursday, June 11, 2015
Review on Lab Instrumentation, Clinical Chemistry 1
Spectrophotometer
An instrument used for measuring
the transmission or reflection of light by comparing various wavelengths of the
light. It also makes use of the Beer-Lambert’s
principle which is “Light transmitted is inversely proportional to the
concentration, while the absorbance is directly proportional to it.”
Some of
the precautions in this test:
1.
Never brush cuvettes because it will lead to
scratches and give inaccurate results
2.
Use rather a clean soft cloth to wipe the
cells before reading it
3.
Ideal amount of the sample is ¾ full so that
the light will strike the given sample and not the empty space.
4.
Let the machine be warmed up first for about
10-15 min before use, so that fluctuation is avoided.
There are four
essential parts of a spectrophotometer
1.
Light source
2.
Monochromator or filter
3.
Sample cell with holder
4.
Detector
Turbidimetry
-
The determination of the quantity of
insoluble suspended matter in a liquid by measuring the loss of intensity of
light in the direction of propagation of the incident beam, with reference to a
standard solution
Gravimetry
-
Gravimetric
methods of analysis are used where weights of reactants and products of
chemical reactions are reproducible, stable and reflect the presence of
constituents which are important in the establishment of identity.
-
Two
important methods deal with the trapping and weighing of products in the solid
and gaseous phases.
Osmometry
-
Measurement of the amount of osmotic pressure
that a particular solution exerts
-
Can be vapor pressure osmometry, freezing
point depression osmometry or membrane osmometry
Emission
Flame Photometry
A type of flame
photometry in which molecules in a flame are volatilised to generate free atoms
that are excited to higher energy levels. When these atoms return to the ground
state, they produce a characteristic emission spectrum. These typically use a low-temperature, air-gas, laminar flame burner which
is inherently subject to drift and therefore lithium (Li), which is not a
normal serum constituent, is excited as a known added constituent to
"standardize" the results despite the drifting of the flame output.
This approach does not permit addition of Ca as a third determined constituent
as the emission of the Ca at serum levels in the low-temperature flame is below
measurable intensity; furthermore the Li would interfere optically with the Ca
determination.
Atomic Absorption Spectrophotometry
Atomic Absorption Spectrophotometry is the
measurement of the concentration of an element in a given sample. This
technique can be done in three ways: Flame type, Electrothermal type, and Color
Vapor type. In the flame type, gas and combustible substance are used to ignite
the mixture of gases.
The second type which is
electrothermal makes use of electric current and slit width. On the other hand
is the cold vapor method wherein a reducing agent is added and vaporized.
Volumetry
Volumetry is t he measurement
of volumes of liquids, solids, and gas.
-the quantitative analysis of an unknown chemical solution by
determining the amount of reagent of known concentration necessary to effect a
reaction in a known volume of the solution
Chromatography
It is a broad range
of physical methods used to separate and or to analyze complex mixtures. The
components to be separated are distributed between two phases: a stationary
phase bed and a mobile phase which percolates through the stationary
bed.
- Thin Layer Chromatography
TLC
is a simple, quick, and inexpensive procedure that gives the chemist a quick
answer as to how many components are in a mixture. TLC is also used to support
the identity of a compound in a mixture when the Rf of a compound is
compared with the Rf of a known compound (preferably both run on the
same TLC plate).
A
TLC plate is a sheet of glass, metal, or plastic which is coated with a thin
layer of a solid adsorbent (usually silica or alumina). A small amount of the
mixture to be analyzed is spotted near the bottom of this plate. The TLC plate
is then placed in a shallow pool of a solvent in a developing chamber so that
only the very bottom of the plate is in the liquid. This liquid, or the eluent,
is the mobile phase, and it slowly rises up the TLC plate by capillary action.
B.
Gas
chromatography
specifically gas-liquid chromatography - involves a sample
being vaporized and injected onto the head of the chromatographic column. The
sample is transported through the column by the flow of inert, gaseous mobile
phase. The column itself contains a liquid stationary phase which is adsorbed
onto the surface of an inert solid.
C. ‘High Performance Chromatography
High-performance liquid chromatography (HPLC) is a form of liquid chromatography to separate compounds that are dissolved in solution. HPLC instruments consist of a reservoir of mobile phase, a pump, an injector, a separation column, and a detector. Compounds are separated by injecting a plug of the sample mixture onto the column. The different components in the mixture pass through the column at different rates due to differences in their partitioning behavior between the mobile liquid phase and the stationary phase.
Electrophoresis
Electrophoresis is a separations technique
that is based on the mobility of ions in an electric field. Positively charged
ions migrate towards a negative electrode and negatively-charged ions migrate
toward a positive electrode. For safety reasons one electrode is usually at ground
and the other is biased positively or negatively. Ions have different migration
rates depending on their total charge, size, and shape, and can therefore be
separated.
Instrumentation
An
electrode apparatus consists of a high-voltage supply, electrodes, buffer, and
a support for the buffer such as filter paper, cellulose acetate strips,
polyacrylamide gel, or a capillary tube. Open capillary tubes are used for many
types of samples and the other supports are usually used for biological samples
such as protein mixtures or DNA fragments. After a separation is completed the
support is stained to visualize the separated components.
Resolution can
be greatly improved using isoelectric focusing. In this technique the support
gel maintains a pH gradient. As a protein migrates down the gel, it reaches a
pH that is equal to its isoelectric point. At this pH the protein is neutral
and no longer migrates, i.e., it is focused into a sharp band on the gel.
Saturday, June 6, 2015
Laboratory Instrumentation in Clinical Chemistry a Powerpoint Presentation
A powerpoint presentation in Clinical Chemistry about laboratory instrumentation.
View the images to help you become familiar with these instruments. You can also print the lecture version as your guide on the topic.
A quiz is given at the end of the powerpoint to determine if you have learned something from the presentation.
Enjoy the slide and good luck with your clinical chemistry class.
Thursday, March 19, 2015
Why Serum is the best Specimen in most Clinical Chemistry Laboratory Tests
Serum is the supernatant fluid when clotted blood has been centrifuged. It is the best specimen for most clinical chemistry laboratory tests because of its specific characteristics. Here are the reasons why serum is the best specimen.
*Serum has less protein
When blood clots, one of the proteins - fibrinogen - takes part in the clotting process; thereby removing it from the serum. The absence of fibrinogen would make the supernatant clearer, while in plasma, since the blood does not clot, the fibrinogen remains in the supernatant and could add to the turbidity of the plasma.
*Serum has no anticoagulant
Since serum does not have an anticoagulant, there are no other substances that could interact with your test. There are potential interferences coming from anticoagulants with certain tests.
One example is the interference of the anticoagulant ethylene diaminetetraacetic acid (EDTA) in the laboratory determination of calcium ions. EDTA chelates calcium; hence, decreasing inaccurately the concentration of calcium in the sample.
The presence of an anticoagulant could also dilute the specimen and unreliably lower the concentration of the substance being analyzed.
*Most reagents are more compatible with serum
The optimum reaction of the reagent with the substance in the blood is very important to produce reliable results; results that are precise and accurate simultaneously.
When a result is precise, it means that you get almost the same results repeatedly. Accuracy on the other hand, means obtaining values close to the “true value.”
When a result or method is reliable, then you are certain of the results because you know they could be depended on. Laboratory results are the data that doctors could base their diagnosis on.
Together with the history of the patient, the other diagnostic results, doctors could now come up with a conclusive diagnosis.
*Serum can be more stable than plasma with certain substances
Some research like the study done by O'Keane and Cunningham proved that serum is more stable for other substances than plasma.
This is most especially for serum extracted with a separator gel. Gel tubes proved to be stable for creatinine, potassium, and urea than in plasma.
This would specify that gel tubes are more stable that plain serum tubes. These are the reasons why serum is considered the best specimen.
This does not indicate though, that the other blood specimens could not be used. There are certain tests, which require, specifically a plasma sample or a whole blood sample.
Knowing what these tests are would help a lot in coming up with reliable results and a correct diagnosis by the doctor.
*Serum has less protein
When blood clots, one of the proteins - fibrinogen - takes part in the clotting process; thereby removing it from the serum. The absence of fibrinogen would make the supernatant clearer, while in plasma, since the blood does not clot, the fibrinogen remains in the supernatant and could add to the turbidity of the plasma.
*Serum has no anticoagulant
Since serum does not have an anticoagulant, there are no other substances that could interact with your test. There are potential interferences coming from anticoagulants with certain tests.
One example is the interference of the anticoagulant ethylene diaminetetraacetic acid (EDTA) in the laboratory determination of calcium ions. EDTA chelates calcium; hence, decreasing inaccurately the concentration of calcium in the sample.
The presence of an anticoagulant could also dilute the specimen and unreliably lower the concentration of the substance being analyzed.
*Most reagents are more compatible with serum
The optimum reaction of the reagent with the substance in the blood is very important to produce reliable results; results that are precise and accurate simultaneously.
When a result is precise, it means that you get almost the same results repeatedly. Accuracy on the other hand, means obtaining values close to the “true value.”
When a result or method is reliable, then you are certain of the results because you know they could be depended on. Laboratory results are the data that doctors could base their diagnosis on.
Together with the history of the patient, the other diagnostic results, doctors could now come up with a conclusive diagnosis.
*Serum can be more stable than plasma with certain substances
Some research like the study done by O'Keane and Cunningham proved that serum is more stable for other substances than plasma.
This is most especially for serum extracted with a separator gel. Gel tubes proved to be stable for creatinine, potassium, and urea than in plasma.
This would specify that gel tubes are more stable that plain serum tubes. These are the reasons why serum is considered the best specimen.
This does not indicate though, that the other blood specimens could not be used. There are certain tests, which require, specifically a plasma sample or a whole blood sample.
Knowing what these tests are would help a lot in coming up with reliable results and a correct diagnosis by the doctor.
Wednesday, March 18, 2015
How Ethanol Production Wastes Corn
Ethanol is a type of alcohol that can be used as a motor fuel or fuel additive. It is also present in alcoholic beverages, scents, and is sometimes used as a recreational drug. Previous studies revealed that ethanol can be produced from lignocellulosic biomass of corn stovers.
The process was originally considered as promising. The use of supposedly “useless” agricultural by-products, like corn stovers, to produce an alternative source of motor fuel was a sensational discovery, considering the scarcity of gasoline available for worldwide consumption.
Further studies revealed however, that the production of ethanol from corn stover has been found out to waste corn because of the following reasons:
1. Ethanol combustion produces 2.14 times as much ground level ozone than gasoline The data was presented by the Clean Fuels Report about the comparison of fuel emissions between ethanol and gasoline.
The report further stated that ethanol contributes 1.7 to the pollution caused by smog, while gasoline contributes only 1.0.
2. Prices of corn increased Because of the increase need in the production of ethanol from corn stovers, the price of corn has actually increased in the market.
The reduced supply of corn as staple food has prompted the increase in its price, while the total cost of producing ethanol from corn has also increased. Either way, the consumers do not benefit in the end.
3. Processing of corn stovers to ethanol is costly Contrary to previous assumptions, the production of a liter of ethanol is more costly than 1 liter of gasoline.
This is because the process of hydrolysis needs large amounts of water, needs more money to deal with carbon emissions, and requires more energy for its processing. The sugars present in the corn stovers have also to undergo fermentation before they are converted to ethanol, adding more production costs.
4. Environmental friendliness of ethanol is in question Ethanol from corn is not altogether environmental friendly because it produces acetaldehyde and formaldehyde which are considered as harmful substances. These substances can cause cancer when persons are exposed continuously for a long period of time. They pollute the environment through the water that you drink, the air you breathe and the substances or food that you take in.
The US national budget for the production of ethanol from corn was recently slashed last June, 2011 by the US Senate because of some of these aforementioned reasons.
The corn prices have dropped since then, and with this development, the corn industry would go back to being one of the primary sources of food for humans and animals and not as a source of biofuel.
The process was originally considered as promising. The use of supposedly “useless” agricultural by-products, like corn stovers, to produce an alternative source of motor fuel was a sensational discovery, considering the scarcity of gasoline available for worldwide consumption.
Further studies revealed however, that the production of ethanol from corn stover has been found out to waste corn because of the following reasons:
1. Ethanol combustion produces 2.14 times as much ground level ozone than gasoline The data was presented by the Clean Fuels Report about the comparison of fuel emissions between ethanol and gasoline.
The report further stated that ethanol contributes 1.7 to the pollution caused by smog, while gasoline contributes only 1.0.
2. Prices of corn increased Because of the increase need in the production of ethanol from corn stovers, the price of corn has actually increased in the market.
The reduced supply of corn as staple food has prompted the increase in its price, while the total cost of producing ethanol from corn has also increased. Either way, the consumers do not benefit in the end.
3. Processing of corn stovers to ethanol is costly Contrary to previous assumptions, the production of a liter of ethanol is more costly than 1 liter of gasoline.
This is because the process of hydrolysis needs large amounts of water, needs more money to deal with carbon emissions, and requires more energy for its processing. The sugars present in the corn stovers have also to undergo fermentation before they are converted to ethanol, adding more production costs.
4. Environmental friendliness of ethanol is in question Ethanol from corn is not altogether environmental friendly because it produces acetaldehyde and formaldehyde which are considered as harmful substances. These substances can cause cancer when persons are exposed continuously for a long period of time. They pollute the environment through the water that you drink, the air you breathe and the substances or food that you take in.
The US national budget for the production of ethanol from corn was recently slashed last June, 2011 by the US Senate because of some of these aforementioned reasons.
The corn prices have dropped since then, and with this development, the corn industry would go back to being one of the primary sources of food for humans and animals and not as a source of biofuel.
Saturday, July 19, 2014
The Analysis of Blood Gas
Blood gas analysis (BGA) is also known as arterial blood gas determination (ABG), and is considered a special test in the clinical laboratory. The commonly assayed parameters are partial pressure carbon dioxide (pCO2), hydrogen ion concentration (pH) and bicarbonate (HCO3). The determination of these substances helps in the evaluation of the acid-base status of a patient.
![]() |
Image credit: Lara Enriquez |
The following are certain precautions observed by medical technologists in the extraction of arterial blood for blood gas analysis.
1. The best specimen is arterial blood.
This is because arterial blood is more homogenous than venous blood. The blood could be collected in the following common arterial sites: the radial artery, the brachial artery, the femoral artery and the scalp artery.
The most ideal anticoagulant is dry heparin, and the preferable syringe is a glass syringe. Recently, new receptacles are manufactured which are specifically for BGA.
2. Collect the specimen anaerobically (without air).
Your specimen should be covered at all times to prevent the escape of carbon dioxide to the air. It should be transported immediately to the testing laboratory. If it is left uncovered, unreliable results will be obtained which will lead to a wrong diagnosis by the Clinician/physician.
3. Preserve in crushed ice, if not tested immediately.
The low temperature has to be maintained. An increase in temperature would cause the gas to evaporate. It must also be preserved properly to obtain reliable results, aside from making sure that it is covered.
The body naturally maintains a state of balance called homeostasis. In the case of blood pH, this is done by the lungs and the kidneys which act as compensatory organs for one another. When the lungs are dysfunctional just like in respiratory diseases (emphysema, TB, chronic bronchitis, etc), the kidneys respond by excreting or retaining bicarbonate (HCO3).
On the other hand, when the kidneys are dysfunctional, the lung will respond by the increase retention or excretion of carbon dioxide (CO2). Through these physiologic processes, the critical pH (acidity and alkalinity) of blood is maintained at 7.35 to 7.45. Any slight variation from this pH, whether an increase or decrease, will lead to coma and eventually death. It is therefore imperative that the body maintains this slightly alkaline pH of blood for good health.
The following are acid-base conditions and the corresponding compensatory mechanisms :
Values : pH - decreased , PCO2 normal, HCO3 - decreased
Condition - metabolic acidosis
Compensatory mechanism - hyperventilation , increase excretion of CO2
decreased retention of CO2
Values: pH increased, HCO3 - increased , PCO2-normal
Condition - metabolic alkalosis
Compensatory mechanism - hypoventilation, decreased excretion of CO2
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increased retention of CO2
Values : pH- increased , PCO2 - decreased , HCO3 -normal
Condition - respiratory alkalosis
Compensatory mechanism : increased retention of HCO3
decreased excretion of H+
Values: pH-decreased , PCO2 -increased, HCO3 -normal
Condition: respiratory acidosis
Compensatory mechanism : increased retention of HCO3,
increased excretion of H+
Clinical laboratory scientists or medical technologists solve for the pH of blood making use of the
Henderson-Hasselbalch Equation: (H & H equation). The formula for this is:
pH = 6.1 + log (HCO3)/DCO2
HCO = TCO2-DCO2
DCO2 = PCO2 X 0.031
Where: pH =indicates the acidity or alkalinity of a solution (hydrogen ion concentration.
HCO3 - bicarbonate
DCO2 - dissolved carbon dioxide
TCO2 - total carbon dioxide
Normal values are:
pH = 7.35-7.45
HCO3 = 22 - 26 mmol/L
PCO2 = 35 - 35 mmHg
TCO2 = 23-27 mmol/L
Arterial blood gas has very important clinical significances. It is crucial that the Medical Technologists know the precautions and perform the determination accurately. A well performed ABG signifies a patient well served.
This was published by http://voices.yahoo.com/the-analysis-blood-gas-2482704.html?cat=5.
Reference:
Calbreath, Donald F. Fundamentals of Clinical Chemistry
Wednesday, May 21, 2014
CLINICAL CHEMISTRY 3 FINAL EXAMS - TABLE OF SPECIFICATIONS
CLINICAL CHEMISTRY 3
FINAL EXAMS - TABLE OF SPECIFICATIONS
TOPIC
|
PERCENT (%)
|
ITEMS
|
|
ENDOCRINOLOGY
|
48
|
55
|
|
TOXICOLOGY
|
31
|
35
|
|
DRUG TESTING
|
21
|
25
|
|
TOTAL
|
100%
|
115
|
Grand
Total= 130 items
|
TRANSCRIPTION
|
15
|
TRANSCRIPTION = 15
POINTS FOR A GRAND TOTAL OF 130.
Please Bring:
Calculator (no borrowing of
calculators)
Blue book ( 1 pc.)
Permits
Pencil lead 2 (2 pcs) for SCANTRON
answer sheet
Type of test
1. MULTIPLE CHOICE
(115 pts), which includes:
Matching type (3 pts.)
Problem
solving (3 pts)
Case analysis (7 pts.)
II.
TRANSCRIPTION (15 pts.)
Wednesday, April 30, 2014
TABLE OF SPECIFICATIONS - CLINICAL CHEMISTRY 3- LECTURE
CLINICAL CHEMISTRY 3-
LECTURE
MIDTERM EXAMS, SUMMER AY: 2013-2014
TABLE OF
SPECIFICATIONS
TOPIC
|
(%)
|
MC
|
MT
|
PS
|
CA
|
ID
|
TRANS
|
TOTAL ITEMS
|
ENDOCRINOLOGY
|
72
|
25
|
24
|
5
|
20
|
7
|
9
|
90
|
TOXICOLOGY
|
28
|
10
|
6
|
10
|
|
3
|
6
|
35
|
|
|
|
|
|
|
|
|
|
TOTAL
|
100%
|
35
|
30
|
15
|
20
|
10
|
15
|
125
GRAND
TOTAL
|
LEGEND:
ID- IDENTIFICATION
MC – MULTIPLE CHOICE
MT- MATCHING TYPE
PS – PROBLEM SOLVING
CA - CASE ANALYSIS
TRANS - TRANSCRIPTION
WHAT TO BRING:
1.
BLACK OR BLUE BALLPENS (2)
2.
BLUEBOOK #1
3.
CALCULATORS (BORROWING OF CALCULATORS IS NOT
ALLOWED)
4.
PERMITS
PLEASE COME IN COMPLETE UNIFORM.
FYI
/VBG
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