শনিবার, ২০ জুন, ২০১৫

ANA



    ANA: Anti nuclear antibodies (ANA) is single stand. Important for the differential diagnosis rheumatic diseases.

Indication:
1.      SLE (systemic lupus erythematosus)

Principle: serum sample diluted 1:101 are incubated in the microplates coated with the specific antigen. Patient’s antibodies, if present in the specimen, bind to the antigen. The unbound fraction is washed off in the following step. Afterwards anti-human immunoglobulins conjugated to horseradish peroxides (conjugate) are incubated and react with the antigen-antibody complex of the samples in the microplates.Unbound conjugate is washed off in following step. Addition of MTB substrate generates an enzymatic colorimetric (blue) reaction. Which is stopped by diluted acid (color changes to yellow).the rate of color for mation from the chromogen is function of the amount of conjugate bound to the antigen-antibody complex and this is proportional to the initial concentration of the respective antibodies in the patient sample.

Sample dilute:
1.      Serum 10 ul
2.      Sample buffer 1000 ul
   
   Wash buffer:
1.      dilute wash buffer 20 ml
2.      distiled water           980 ml




Test procedure:

1.      100 ul patients dilute serum in to the designated microwells.
2.      100 ul cut-off calibrator and negative and positive controls in to the designated wells.
3.      Incubate for 30 minutes at 20-32 degree C
4.      Wash 3 times with washing buffer.
5.      100 ul conjugate in to well.
6.      Incubate for 30 minutes at 20-32 C
7.      Wash 3 times with washing buffer
8.      100 ul TMB substrate in to each well.
9.      100 ul stop solution in to each well.
10.  Incubate 5 minutes
11.  Read absorbance at 450 nm within 30 minutes. 

Normal range:

1.      Negative     : 1-12 u/ml
2.      Equivocal   : 12-18 u/ml
3.       Positive     : >18 u/ml

         




সোমবার, ১৫ জুন, ২০১৫

Tanvir's Important Reagent Preparation of All Department

Reagent Preparation in Lab
01.     20 % Sulphosalicylic acid:         For Urine protein
                  
 Sulphosalicylic acid ---------20 gm
Distilled water ---------------100 ml

02.     3% Glacial acetic acid:  For Urine protein
                            
          Glacial acetic acid----------- 03 ml
Distilled water-------------- 100 ml

03..    Barium chloride (10% W/V):   For Urine bile pigment
                            
Barium chloride ------------ 10 gm
                             Distilled water---------------100 ml

04.     Fouchets reagent:   For urine Bile pigment
                            
                             Trichloroacetic acid--------- 25 gm
                             10% Ferric chloride--------- 10 ml
                             Distilled water ------------- 100 ml

05.     Ehrlich reagent: For Urine Urobilinogen test

                             4-dimethylaminobenzaldehyde-- 04 gm
                             Concentrated HCl--------------   40 gm
                             Distilled water----------------- 160 ml

 06.    3% Sulphosalycylic acid: For Urine Myoglobin

                             Sulphosalycylic acid-------03 gm
                             Distilled water------------100 ml


07.     Sodium nitroprusside reagent: For Urine ketonebodies

Ammonium sulphate-----------------100gm
Sodium carbonates anhydrous ------50 gm
Sodium nitroprusside--------------3.0 gm

Note:
Grind the crystals to a powder and use strong glass or plastic tube.

08.     20 % Potassium chromate: For Urine Chloride

                             Potassium chromate-------20 gm
                             Distilled water----------- 100 ml

09.        2.9 % Silver nitrate:   For Urine Chloride
                          Silver nitrate -------------- 29 gm
                          Distilled water------------ 1000 ml


10.     Benzideine reagent: For Detection of blood (Urine, stool)

Glacial acetic acid -------1.0 ml
Benzidine powder------ knife point
Hydrogen peroxide----- 1.0 ml

Note:
First acid mixed with benzidine powder then equal volume H202

11.     3.5% Formal Saline: For Semen dilution

Sodium bicarbonate------- 05 gm
35% Formalin------------ 01 ml
Distilled water up to ---- 100 ml


12.     Selivanoffs Reagent: For Semen Fructose

Resorcinol powder --------0.5 gm
HCL------------------------- 33 ml
Distilled water up to ---- 100 ml
13. WBC Diluting fluid:  For WBC’s count

Crystal violet ------------- 0.2 gm
Glacial acetic acid -------- 40 ml
Distilled water   ---------- 200 ml

14. CSF Diluting fluid:  For CSF cell count

Crystal violet ------------ 0.2 gm
Glacial acetic acid ------- 10 ml
Distilled water   ---------- 90 ml

15.     Pandys reagent:  For CSF Globulin

                             Phenol crystal-------------10 gm
                             Distilled water----------- 100 ml

16.     3% Trichloroacetic acid: For CSF Protein
                            
                             Trichloroacetic acid----- 03 ml
                             Distilled water---------- 100 ml

17.     5% Potassium chromate: For CSF Chloride
                            
                             Potassium chromate-----05 gm
                             Distilled Water---------- 100 ml

18.     0.5814% Silver nitrate: For CSF Chloride
                            
                             Silver ritrate---------- 5.814 gm
                             Distilled water-------- 1000 ml
19.     Carbol Fuchsine stain: For Z N stain
                             Basic fuchsine-----------10 gm
                             Ethanol or methanol absolute--100 ml
                             Phenol-------------------50 gm
                             Distilled water----------1000 ml  

Here Basic Fushsin + Alconol and Phenol+ Distelled water. Then mixed all .

20.     20 % Sulfuric acid: For Z N Stain
                            
Sulfuric acid -----------20 ml
Distilled water-------- 100 ml

Note:
First Distilled Water in container then sulfuric acid mixed slowly and cool water flow out of the container as possible.

21.     Methylene blue: For Z N Stain
                            
                             Ethanol ----------------- 200 ml
                             M blue ------------------ 12 gm
                                    Distilled water ---------1000 ml

Here, 200 ml + 12 gm mixed, then add 1/Ltre (1000 ML) Distilled water.


22.     Crystal Violet: For Gram stain
                            
                             Crystal violet--------------20 gm
                             Ammonium oxalate------09 gm
                             Ethanol or Methanol, absolute ----95 ml
                             Distilled water----------- 1000 ml


23.     Lugols iodine:   For Grams stain
         
                             Potassium iodide---------20 gm
                             Iodine---------------------10 gm
                             Distilled water -------- 1000 ml   

Here First Potassium iodide D/water: Then iodine mixed. 





24.     Iodine Solu: For Faecal preparation

                             Potassium iodide-------20 gm
                             Iodine--------------------10 gm
                             Distilled water ------ 1000 ml

Here, First potassium iodide + Distilled water Then Idine mixed Keep it brown buttle.
                                                                  


25.     Methyl red solution:
                                     
                             Methyl red--------0.5 gm
                             Ethanol absolute---28 ml
                             Distilled water ---- 22 ml

Here Methyl red+ Ethanol add D/Water. Keep it dark place.

26.     Neissers stain (Solution-A)

                   For corynebacterium diptherae (KLB)

Methylene blue ---------01 gm
Absolute alcohol-------- 50 ml
Glacial acetic acid ------ 50 ml
Distilled water --------- 1000 ml

27.     Neisser’s stain (Solution – B): For KLB

Crystal violet --------01 gm
Absolute alcohol --------10 ml
Distilled water --------- 300 ml






28.     Neisser s solution: For Working

                             Solution A -------02 Parts
                             Solution B -------01 Part

Note:  Mixed well and then use Filter with Filter paper should be done before use.

29.     Giemsa Stain:        For Stain blood parasites

Giemsa Powder -------- 3.8 gm     or    0.75 gm
Glyerine----------------- 250 ml     or     35 ml
Methanol---------------- 250 ml     or     65 ml
Mixed well and keep it brow bottle

Note. First Giemsa grind with glycerin and incubation at 60 c for 02 hours.
Then cool it and mixed Methanol

30.     Crystal Violet: For capsule stain

Crystal violet----------01 gm
Distilled water -------100 ml

31.     Acetone alcohol decolorize:
                            
Acetone ----------------500 ml
Ethanol or methanol, absolute-----------475 ml
Distilled water------- --25 ml


32.     Ammonium hydroxide, 30% v/v

Ammonia Solution conc.--15 ml
Distilled water--------------35 ml




33.     Neutral red solution:
                            
Neutral red--------------01 gm
Distilled water----------01 litre

34.     Phenol saturated solution:

Phenol crystal---------- 02 gm
Distilled water--------- 30 ml

35.     Tri sodium citrate (3.8% w/v): For ESR, PT

Tri sodium citrate --------3.8 gm
Distilled water----------- 100 ml

36.     EDTA (Ethylene diamine tetra acetic acid): For CP

Dipotassium ethylene diamine tetra acetate--20 gm
Distilled water---------------- 200 ml

37.     Drabkins solution:  Haemoglobin estimation.

Potassium ferricyanide ----------200 mg
Potassium cyanide -----------------50 mg
Potassium dihydrogen phosphate –140 mg
Nouidet P40 (Shell chemical co) – 01 ml
Distilled water ------------------1000 ml

Note:  Keep it at room temperature in brown glass bottle.

38.     Crysodine solution:         For Neister stain

Crysodine powder---1.0 gm
Distilled water ------100 ml

Note: Dissolve by gently heating and filter and then use.



39.     Leishman’s stain-

Leishman powder------0.15 gm
Acetone free methyl alcohol-- 100 ml

40.     WBC Count fluid of blood-

Glacial acetic acid ---------1.5 ml
01% aqueous solution of Gention violet- 01 ml
Distilled water ------------------100 ml

41.     RBC Count fluid of blood-

Sodium citrate --------------3.0 gm
Formalin---------------------- 01 ml
Distilled water --------------100 ml

42.     Eosinophil fluid-

Eosin ------------------------ 0.1 gm
Acetone----------------------- 10 ml
Distilled water --------------100 ml

43.     Platelet count fluid-

Ammonium oxalate---------01 gm
Distilled water --------------100 ml

44.     0.5 % Eosin solution :      For Faccal preparation

Eosin powder--------------------0.5 gm
Distilled water -----------------100 ml

45.     60 Copper sulphate solution :    For Specific gravity (Aspiration fluid)

                   Stock Solution:
Copper sulphate-----------------159 gm
Distilled water ------------------1000 ml

Working solution

Stock Solution
Distilled Water
Specific Gravity
09ml
91ml
1010
10ml
90ml
1011
11ml
89ml
1012
12ml
88ml
1013
13ml
87ml
1014
14ml
86ml
1015
15ml
85ml
1016
16ml
84ml
1017
17ml
83ml
1018
18ml
82ml
1019
19ml
81ml
1020
20ml
80ml
1021
21ml
79ml
1022
22ml
78ml
1023
23ml
77ml
1024
24ml
76ml
1025
25ml
75ml
1026
26ml
74ml
1027
27ml
73ml
1028
28ml
72ml
1029
29ml
71ml
1030



FORMULA FOR TOTAL PROTEIN
Sp Gravity-1007  369  - 1000 = gm/dl
Ref Book : Practical Clinical Biochemistry by Harold
Varely (4 th Ed ) Page no – 242


Sp Gravity
Protein (gm/dl)
1012
1.80 gm/dl
1013
2.20 gm/dl
1014
2.55 gm/dl
1015
2.90 gm/dl
1016
3.30 gm/dl
1017
3.65 gm/dl
1018
4.00 gm/dl
1019
4.40 gm/dl
1020
4.70 gm/dl
1021
5.20 gm/dl
1022
5.50 gm/dl
1023
5.80 gm/dl
1024
6.20 gm/dl
1025
6.60 gm/dl
1026
6.90 gm/dl
1027
7.30 gm/dl
1028
7.70 gm/dl
1029
8.00 gm/dl
1030
8.40 gm/dl