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History of medical records
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Observed and Performed Tasks
• In my morning I helped Adriana catch a voided urine sample for her on a male Rottweiler. I previously discussed how I caught a voided urine sample in journal four.
• On the same urine sample that I caught she wanted me to perform a complete urinalysis on it. I previously discussed how I perform a complete urinalysis in journal seven. My macroscopic findings of the urine were amber and were clear. The specific gravity was over 1.050, meaning this was a very concentrated urine sample. I then did my dipstick and recorded my finding. RBCs were +3, bilirubin +2, protein +3, ketones negative, glucose negative, pH six, and leukocytes were +1. In my microscopic findings I found 30-35 RBC per HPF, 6-8 WBC per HPF, 3-4
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The owner wanted blood work to be done before her pet went under anesthesia. The CBC machine was an Elements HT5 and was very easy to work with. Patty handed me the purple and green top tube to perform the in house tests. I first place the green top tube to spin down for 15 minutes so I can start with my CBC. I press new on the CBC machine to start with a new test, the only information I need to put in is the patient’s species and record number. The machines are in sync with the AVImark system, so patient information is transferred very easily. I look up the patient’s medical records so I can retrieve the record number. After the information is filled out I take my purple top tube and invert it ten times, then I take the top of and insert the tube into the probe so it can suck up the amount of blood it needs. After inserting the tube into the tip I press the start button to run the test. While that test is running I set up the chemisty machine, it was a Chemistry Elements DC which was also pretty easy to use. I go to the fridge to get the pre-surgical s-panel cartridge; this runs a TP, ALP, ALT, Glucose, Creatinine, and BUN. I insert the cartridge into the proper slot in the machine and place a new plastic to for the machine to use to get the sample from the tube. I set up the patient’s species and record number. After the green top tube had finished spinning I took of the top and placed it into the chemistry machine and pressed start. After the CBC and chemistry results are done we go into the patient’s medical records and transfer the information into the
As much as 95% of employers favor urine testing as a method for drug testing, and this one piece of statistic may have positively affected the trend and demand for synthetic urine over the years.
a) Urinalysis with significantly increased amounts of blood (via dipstick and sediment), protein, and leukocytes as well as slightly increased bilirubin and slightly decreased pH;
The chemistry test shows the levels of electrolytes found in the blood: sodium, potassium, chloride, phosphorus, magnesium and calcium. Imbalances in these electrolytes can cause complications, which especially in the case of potassium, can be deadly. Also shown by the chemistry test, blood urea nitrogen and creatinine levels can show how well the patient’s kidneys are functioning in filtering waste from the blood. Trauma and blood loss can affect how the kidney’s function not only in filtering waste, but also in acid-base balance, and balancing electrolyte levels. Another marker of kidney function is the glomerular filtration rate, which measures the rate filtrate is created by the glomerulus of the kidney (Winkelman, 2016). This is controlled by the kidneys themselves, meaning changes in the function of the kidneys can lead to an altered filtration rate (Winkelman, 2016). Lactic acid is measured by the chemistry test also, and an increase in lactic acid can signify acidosis caused by the lactic acid being formed by cells that do not have adequate oxygen to process glucose for energy (Workman, 2016). This decrease in available oxygen could be caused by damage to or impairment of the lungs. Carbon-dioxide, which is also measured by the chemistry test, can show
The purpose of the experiment is to determine the ID of an unknown diprotic acid by establishing its pKa values. The first phase is to determine the unknown diprotic acid by titration, which is a technique where a solution of known concentration is used to determine the molecular weight. While the second phase involved seeing how much NaOH needed to standardize diprotic acid.
External variables were controlled in the blood spatter lab through the use of several different materials. The clamps and stand prevented the blood from falling at different heights and angles, and the pipette prevented different volumes of simulated blood from falling. The stand and clamps and the pipette helped control the outside variables so the results could be as accurate as possible.
PART I. INTRODUCTION The molarity of an unknown acid will be determined using a method called "titration". Titration is the process of the gradual addition of a solution of known concentration to a second solution until the solute in the second solution has completely reacted. A solution of known concentration used in a titration is called a standard solution. In today's experiment, NaOH, a base, is the standard solution. Sodium hydroxide will be added to an unknown acid. The unknown acid and the base reacts and forms salt and water. This type of reaction is called neutralization: NaOH + HA ---> H2O + NaA HA is an abbreviation for an unknown acid. A substance called an indicator is added to show the end of the titration.
5/14/2016 PO day 4 Scr 2.62 H/H 6.5/18.7 transfused 2 units PRBC. Ventilator weaning held due to blood
In all forms of life, organisms use various mechanisms in order to regulate their body processes, and to control both their intracellular and extracellular volume. In this cell volume experiment, one tested how different concentrations of sodium chloride (NaCl) solutions and osmolality affected the rate of absorbance and the percentage of hemolysis. When a solution has a higher NaCl concentration on the inside as compared to the outside, then it is a hypotonic solution. In this case, the red blood cells or erythrocytes can hemolyze (swell and burst). However, when the NaCl concentration is higher on the outside, then the solution is hypertonic. As a result, the erythrocytes will undergo crenation (shrinkage). The hypothesis for this experiment states that if there is a large amount of absorbance in each solution, then the percentage of hemolysis will correspond directly. In other words, the values for both
Dehydration is defined as a process of removing water from a substance. The loss of water from a molecule is called dehydration which is exactly opposite with the process of hydrolysis. Dehydration is an elimination reaction of an alcohol involves the loss of an OH from one carbon and an H from an adjacent carbon. Overall, this amounts to the elimination of a molecule of water, resulting in a pi-bond formation of an alkene or alkyne. In most of the dehydration of alcohol, heat and catalyze are needed in the reaction. Sulphuric acid (H2SO4) and phosphoric acid (H3PO4) are the most commonly used acid catalysts.
I was able to do one room with Dr. Robins later in the afternoon. The appointment was on a Jack Russell named Cassie that came in for her last set of puppy vaccines. I ask the owner the usual questions, if she has been eating and drinking normally, any diarrhea or vomiting? She responds telling me no that she has been fine. After asking her all the appropriate questions I brought Cassie to the back for her weight, TPR, fecal, and administer a dose of Strongid.
Voigt, G. L., & Swist, S. L. (2011). Hematology techniques and concepts for veterinary technicians. Chichester, West Sussex, UK: Wiley-Blackwell.
The purpose of the study is to identify an unknown microorganism using multiple microbiology lab techniques. Through this process I will gain knowledge on how to perform these techniques as well as the importance of these tests on identifying unknown microorganisms. This is significant as the goal of this course is to familiarize ourselves with the common microbiology tests as well as the microorganisms we encounter in our daily activities.
According to the graph on amylase activity at various enzyme concentration (graph 1), the increase of enzyme dilution results in a slower decrease of amylose percentage. Looking at the graph, the amylose percentage decreases at a fast rate with the undiluted enzyme. However, the enzyme dilution with a concentration of 1:3 decreased at a slow rate over time. Additionally, the higher the enzyme dilution, the higher the amylose percentage. For example, in the graph it can be seen that the enzyme dilution with a 1:9 concentration increased over time. However, there is a drastic increase after four minutes, but this is most likely a result of the error that was encountered during the experiment. The undiluted enzyme and the enzyme dilution had a low amylose percentage because there was high enzyme activity. Also, there was an increase in amylose percentage with the enzyme dilution with a 1: 9 concentrations because there was low enzyme activity.
Preanalytical Variables and Laboratory Performance. Indian Journal of Clinical Biochemistry, 24 (2), 109-110. Wallin, O., Soderberg, J., Van Guelpen, B., Stenlund, H., Grankvist, K. & Brulin, C. (2010). Blood Sample Collection and Patient Identification Demand Improvement: A Questionnaire Study of Preanalytical Practices in Hospital Wards and Laboratories.
patient is going into DIC when in fact she is not. By checking a slide to verify the platelet