Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and...

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Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples

Transcript of Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and...

Page 1: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Laboratory Techniques and Procedures

Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples

Page 2: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Circulatory System FunctionsHeart, blood, vessels, and lymphaticsFunctions:

◦Respiratory – O2 and CO2 exchange

◦Excretory – removes waste from body cells◦Protection – clotting and transporting white

blood cells to infections◦Nutrition – carries energy and food

throughout the body◦Regulatory – maintain pH and temperature◦Hormonal – transfers hormones to organs

Page 3: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Circulatory System ComponentsHeart – muscular, four-

chambered pump that drives the circulatory system

Pericardium – fibrous sac that encloses the heart

Artery – elastic vessel with thick walls to maintain high pressure while carrying blood away from the heart

Vein – thin-walled vessel that carries deoxygenated blood to the heart

Page 4: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Capillary – microscopic vessel that forms a network between arteries, veins, and body tissues

Lymph system – consists of lymphatic vessels & tissues (tonsils, thymus, spleen, lymph nodes) that play an important role in immunity and disease prevention

Page 5: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Lymph node – bean-shaped structures located throughout the body that produce lymphocytes and monocytes, and filters bacteria, foreign bodies, and malignant cells

Spleen – largest lymph organ, produces lymphocytes and monocytes, stores red blood cells and iron, and destroys old red blood cells

Page 6: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Blood Circulation Through the HeartProblems in the right side of the heart will

cause the abdomen to fill with fluid (ascites)

Problems in the left side of the heart will cause lung congestion

Flow of blood through heart in this order:

right atrium right ventricle pulmonary arteries lungs pulmonary veins left atrium left atrium left ventricle aorta

Page 8: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Major Arteries & VeinsAorta – largest artery that sends

blood from the heart to the bodyBrachiocephalic – branches

from the aorta to send blood to the head and right side of the body

Common carotid arteries – (left & right) run up both side of the neck and supply blood to the head

Page 9: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Coronary arteries – wraps around the exterior of the heart and supply blood to the heart muscle

Facial artery – wraps under lower jaw and is used to take the pulse on a horse or cow

Femoral artery – runs down the inside hind leg; used to take the pulse on a cat or dog

Mesenteric – supplies blood to the intestines

Page 10: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Renal artery – supplies blood to the kidney

Pulmonary arteries – carry deoxygenated blood to the lungs

Pulmonary veins – carry oxygenated blood to the left atrium

Cranial vena cava – returns blood to the heart from the head, neck, and forelegs

Caudal vena cava – returns blood to the heart from the thorax, abdomen, and hind legs

Page 11: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Cephalic vein – runs along the front of the foreleg

Jugular vein – runs down the neck and returns blood from the head

Renal vein – returns blood from the kidney to the caudal vena cava

Femoral vein – runs along the inside of the hind leg

Saphenous vein – an extension of the femoral vein

Page 12: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Heart

Page 13: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Major Veins

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Major Arteries

Page 15: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Structure of BloodComposed of cells and plasma

(liquid portion of blood)◦40% cells

Erythrocytes (red blood cells) Leukocytes (white blood cells) Platelets

◦60% plasmaTypically blood volume comprises

6% - 8% of the animal’s total body weight

Page 16: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Blood Cells

Hematopoiesis

blood

formation & development

The formation and development of blood cells

Page 17: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Blood CellsAll blood cells develop in the

bone marrow from one type of cell called a hemocytoblast

In young animals blood is produced in all bones

In adult animals blood is produced in the pelvis, ribs, vertebrae, femur, and humerus

Page 18: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Erythrocytes (Red Blood Cells)Most abundant blood cellFunction: to transport O2

throughout the bodyContains: hemoglobin (a pigment

that contains iron and gives blood its red color when combined with O2)

Page 19: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

In mammals the red blood cell is non-nucleated

In reptiles and birds the red blood cell is nucleated

• Red cell’s life span in dogs and humans is 120 days, but it varies among different species

Page 20: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Leukocytes (White Blood Cells)

Colorless, nucleated cells capable of moving throughout the body

Function: body defenseDivided into two categories:

◦Granulocytes ◦Agranulocytes

Page 21: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

GranulocytesProduced in the bone marrowHave lobed nuclei and granules

in their cytoplasmNeutrophils, basophils, and

eosinophils

Page 22: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

NeutrophilHas red and blue granules in cytoplasmFunction: stop or slow down foreign

organismsHow they work –

1. Phagocytosis: to eat bacteria and dead cells

2. Bactericidal: kill bacteria How they get to infection site –

1. Sticky and can migrate through vessel walls

2. Release chemicals to attract other neutrophils to the infection site

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BasophilHas dark purple granules in

cytoplasmFunction: phagocytosis, mediate

allergic reactions, and produce heparin and histamine

Page 24: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

EosinophilHas orangish-red granules in the

cytoplasmFunction: moderate the

inflammatory response and phagocytosis

Page 25: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

AgranulocytesProduced in lymphatic organsHave rounded nuclei, and no

granules in the cytoplasmLymphocytes and monocytes

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LymphocytesHas a round nucleus and plays a

vita role in immunityTwo categories:

1. T-cells (memory cells) – long-lived; once they are sensitized to an antigen, they remember it so that next time they can fight off that antigen

2. B-cells – encounter an antigen and divide to form many cells that all produce the same antibodies to fight the antigen

Page 27: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

MonocyteHas an irregular shaped nucleusLargest cell in the bloodFunction: phagocytosis

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Thrombocytes (platelets)Main function: hemostasis

(clotting)Platelets are 1/3 the size of a red

blood cellStop bleeding by adhering to

damaged vessels and clumping together and releasing proteins that help form a clot

Average life span: 10 days

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HematologyStudy of the structure of blood

and the tissues that produce blood

Lab tests most commonly performed in vet medicine: ◦PCV or hematocrit◦White cell count◦TPP (total plasma protein)◦Blood film evaluation

Page 30: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

PCV – Packed Cell VolumeMeasures percentage of red blood cells

in the total blood volume

Capillary tube is filled with fresh anticoagulated blood, sealed with clay, and centrifuged for five minutes

Results read using special scale

Animal with PCV below normal is said to have anemia

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Normal PCV values: Dog: 37 – 55Cat: 30 – 45Horse: 32 – 48Bovine: 24 – 46

Page 32: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

TPP – Total Plasma ProteinMeasurement of proteins produced mainly

by the liver

Measured using a capillary tube of blood, broken at the plasma layer, plasma placed on a refractometer

Elevated TPP is a sign of inflammation, infection, or dehydration

Decreased TPP occurs normally in newborns and pregnant animals

Page 33: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Blood Film EvaluationUsed to determine size, color,

and shape of cells and abnormalities in their formation

Used to look for blood parasites such as microfilaria of the heartworm

Page 34: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Prepared by spreading a drop of blood on a slide, drying the slide, staining with Wright’s stain

Evaluated by scanning under high power for abnormalities

Abnormalities appear in the RBC as color changes in the cell, abnormal cell shape and size, and foreign bodies within the cell

Page 35: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Blood Chemistry ProceduresVacutainer tubes have a vacuum

created to place a needle and syringe into a rubber plunger

Different tubes for specific requirements – different colors to identify

Page 36: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.
Page 37: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Red Top – sterile or no anticoagulant that contains a gel separator

Tiger Stripe – contains no silicone, gel separators, anticoagulants, or additives of any kind

Lavender Top – sterile, contains EDTA as the anticoagulant

Green Top – sterile, contains lithium heparin as the anticoagulant

Light Blue Top – sterile, contains sodium citrate as the anticoagulant

Gray Top – sterile, contains potassium oxalate and sodium fluoride as the anticoagulant

Page 38: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Each test requires a specific amount of blood, serum, or plasma to run the sample

Allow the samples that require centrifuging at least 30 minutes to clot prior to spinning but not more than 60 minutes

Page 39: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Specific Procedures

Complete Blood Count – evaluates the different types of WBCs

Blood Smear – evaluates blood cell morphology

Page 40: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Specific ProceduresPCV – measurement of the

percentage of RBCs in whole or unclotted blood (also a hematocrit)

Plasma Protein (total protein) – measures the ratio of protein within the blood and checks the hydration of the patient

Page 41: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

VideosVeterinary Blood Testing:

https://www.youtube.com/watch?v=o00eU2sqRtU

Vet Tech Training-Basic Blood Collection: https://www.youtube.com/watch?v=uYyh3DIQ91c

Page 42: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Urinary System Major organs:

◦Kidneys ◦Ureters ◦Urinary bladder ◦Urethra

Function: to extract and remove waste from the blood

Page 43: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

KidneysResponsible for extracting and

collecting wastePaired organs located on both

sides of the spinal column Bean-shaped in most species of

animalsKidneys of cattle have several

lobes

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Parts of the kidneyCortexMedullaRenal pelvisNephrons

◦Located throughout the cortex and medulla

◦Functioning units of the kidneys◦Responsible for filtering and collection

of waste from the blood◦Collecting ducts run through medulla

and drain into renal pelvis

Page 45: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.
Page 46: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

UretersUrine then passes into the

ureters and proceeds to the bladder

Smooth muscled tubes that extend from each kidney

Use peristalsis to move urine to the bladder

Urine is pushed into the bladder every 10-30 seconds depending on the species

Flows in spurts rather than continuously

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BladderSmooth muscle, extremely

elastic sac Capable of holding large volumes

of urineHas three openings

◦Two that receive urine from ureters◦One used to excrete urine to the

urethra

Page 48: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

UrethraCarries urine from the bladder to

the exteriorVaries in length and

circumference in males and females◦Female urethra is shorter in length

and runs directly from bladder to the exterior

◦Males have narrower urethra that is longer to extend through the accessory sex glands and exit through the penis

Page 49: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

3 Phases of Urine Production1. Filtration2. Reabsorption3. Secretion

Occur in the nephrons

Page 50: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.
Page 51: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

FiltrationBlood enters the glomerulus

through the afferent arteriole

Under various pressures, water, salt, and small molecules move out of the glomerulus and into Bowman’s capsule

Page 52: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Reabsorption Occurs in the proximal

convoluted tubule and the loop of Henle

Substances needed by the body such as water and electrolytes will be reabsorbed by the body from the loop of Henle

Page 53: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

SecretionSubstances are secreted into the

collecting tubules and transported to the renal pelvis

Urine Production: https://www.youtube.com/watch?v=oCQ-5iwTQvM

Page 54: Laboratory Techniques and Procedures Objective 4.01: Implement proper techniques for collection and analysis of laboratory samples.

Urinalysis Provides information about how

the kidneys are functioning and if wastes are being properly filtered from the body

Specimen Collection ◦Free Catch◦Manual Expression◦Catheterization◦Cystocentesis