intro, lab math, and safety

Upload: janghanbyul

Post on 02-Jun-2018

239 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/10/2019 Intro, Lab Math, And Safety

    1/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 1

    Unit 1. Introduction toClinical Chemistry 1

    Maria Ruth B. Pineda, Ph.D.Department of Medical TechnologyUniversity of Santo Tomas

    1

    Objective and Scope ofUnit 1

    Understand the basics and scopes of Clinical Chemistry 1

    2

    Scope of Clinical Chemistry 1:Lecture:1. Overview2. Importance3. Role of Medical technologists4. Definition of Terms

    Laboratory:1. Clinical Laboratory Apparatus and Supplies2. Volume Measurement

    ! Linkage among the knowledge of general chemistry, organicchemistry, and biochemistry with an understanding of humanphysiology

    General chemistry

    Organic chemistry

    Biochemistry

    HUMANPHYSIOLOGY

    What is Clinical Chemistry ? What is Clinical Chemistry ?

    ! Laboratory section that performs qualitative andquantitative analyses of blood, urine, spinal fluid,feces, calculi and other materials.

    ! A division concerned with the analysis of bodyfluids to yield timely, relevant, accurate and preciseinformation on the clinical status of the humanbody.

    ! Branch of medical science that involves the analysis ofbiological materials, usually body fluids, to providediagnostic information on the state of the human body

    ! Foundation of science that underlies biochemistry andpathophysiology

    What is Clinical Chemistry ?

    Also known as:

    Clinical Biochemistry andChemical Pathology

    Importance ofClinical Chemistry

    ! Carbohydrates

    ! Proteins

    ! Lipids

    ! Nucleic Acids

    MRBPINEDA UST 6

    HeartLiver

    KidneysLungsReproductive

    Human Diseases

    Organ Systems:

    NervousEndocrine

    MusclesSkeletalBlood

  • 8/10/2019 Intro, Lab Math, And Safety

    2/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 2

    Role of MedicalTechnologists

    ! Deliver accurate and precise laboratory information! Provide reliable laboratory results

    7

    Patient diagnosis and treatment

    No. 1 Priority: Patient

    Definition of Terms

    ! Accuracy: ability to determine the true and knownvalue of as substance

    ! Biochemical Marker: any biochemical compoundthat is sufficiently altered in a disease to serve as anaid in diagnosing or predicting susceptibility to thedisease.

    ! Blood borne: carried or transmitted by blood

    8

    ! Pathogen: causative agent of a disease

    ! Precision: ability to reproduce the same results inrepeated analysis of the sample

    ! Reliability: ability of an analytical procedure tomaintain its original accuracy, precision, specificity,and sensitivity over an extended period of time

    MRBPINEDA UST 9

    Definition of Terms Summary

    ! Clinical Chemistry measures biochemicalcompounds to detect abnormalities on the levels ofsuch compounds.

    10

    Abnormalities

    Disease Diagnosis

    Treatment to correct

    the abnormalities

    PAT 1 ENT

    Unit 2. LaboratoryMathematicsMaria Ruth B. Pineda, Ph.D.Department of Medical TechnologyUniversity of Santo Tomas

    Objectives and Scopes ofUnit 2

    ! Unit Conversions

    ! Percent Solutions

    ! Normality

    ! Molarity

    ! Molality

    ! Dilutions

    ! Ratios

    ! pH and pOH

    ! Significant figures

    ! Scientific Notation12

    Compute concentration of solutions using the different ways of expressingconcentration and using different units of measurement.

    Apply the formula for computing concentrations in the preparation of reagentsnecessary in laboratory testing.

  • 8/10/2019 Intro, Lab Math, And Safety

    3/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 3

    What is a laboratory result?

    ! Qualitative Determination:presence or absence of a certaincompound

    ! Quantitative Determination:exact amount of the compoundpresent! High or low???

    13

    Presence of glucose in urine

    Bilirubin detected in the brain

    9.0 mmol/L of glucose

    405 umol/L of uric acid

    Positive for tetrahydrocannabinol

    Dependent on the type of determination

    QuantitativeDetermination

    ! Two parts: actual value and label! Actual value: a number

    ! Label: a unit that defines the physical quantity ordimension! Mass, length, time, volume, temperature,

    concentration, activity, frequency, current

    14

    Unit of measurement

    ! Systeme International dUnites (SI units): 1960! Provides a uniform system or method of describing

    physical quantities

    ! Basic units

    ! Derived units

    ! Selected accepted non-SI units

    MRBPINEDA UST 15

    SI Units

    16

    ,,

    . , .,

    .

    . ,

    .

    . . ,. . , , , , ,

    ..

    . ,

    . ,

    ,

    TABLE 1-1 SI UNITS

    BASE QUANTITY NAME SYMBOL

    Length Meter mMass Kilogram kgTime Second sElectric current Ampere AThermodynamic temperature Kelvin KAmount of substance Mole molLuminous intensity Candela cdSELECTED DERIVEDFrequency Hertz HzForce Newton NCelsius temperature Degree Celsius CCatalytic activity Katal katSELECTED ACCEPTED NON-SIMinute (time) (60s) minHour (3,600s) hDay (86,400s) d

    Liter (volume) (1 dm3 10 3 m3) LAngstrom (0.1 nm 10 10 m)

    Prefixes used with SI unitsFACTOR PREFIX SYMBOL

    10-18 atto a

    10-15 femto f

    10-12 pico p

    10-9 nano n

    10-6 micro

    10-3 milli m

    10-2 centi c 10-1 deci d

    101 deka da

    102 hecto h

    103 kilo k

    106 mega M

    109 giga G

    1015 peta P

    1018 exa E 17

    Examples:1. 1 millimeter = ________ m2. 2 micromoles = _______ mol3. 5 deciliter = __________ L

    4. 2 milligram = _________ kg5. 5 microliter = _________ L

    Basic clinical laboratoryconversions

    To convert into Multiply by

    Inches Centimeters 2.54

    Centimeters Inches 0.39

    Yards Meters 0.91

    Meters Yards 1.09Gallons Liters 3.78

    Liters Gallons 0.26

    Fluid ounces Milliliters 29.6

    Milliliters Fluid ounces 0.034

    Ounces Grams 28.4

    Grams Ounces 0.035

    Pounds Kilograms 0.45

    Kilograms Pounds 2.218

    Length, volume, weight conversions

  • 8/10/2019 Intro, Lab Math, And Safety

    4/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 4

    To convert into Use

    Celsius (C) Kelvin (K) K = C +273

    Celsius (C) Fahrenheit (F) F = (C x 1.8) + 32

    Fahrenheit (F) Celsius (C) C = (F 32) x 0.556

    MRBPINEDA UST 19

    Basic clinical laboratoryconversions

    Temperature conversions

    Ways of expressingconcentration of solution

    ! As percent solution! As a molar (M) solution

    ! As a normal (N) solution

    ! As a molal (m) solution

    MRBPINEDA UST 20

    Percent Solution: Weight/volume

    = _grams solute_ X 100mL of solution

    21

    %w/v

    What is the concentration of a solutionprepared by mixing 2 milligrams of KCland 100 mL of distilled water?

    Answer = 0.002% or 2.0 x 10 -3%

    22

    Percent Solution: Weight/volume

    What amount of NaCl is needed to make800 mL of 0.85% solution?

    Answer = 6.8 g

    23

    Percent Solution: Weight/volume

    What amount of distilled water is neededto make 1.5% of MgCl 2 solution with 0.005kg of salt.

    Answer = 333.3 mL

    24

    Percent Solution: Weight/volume

    You were asked to prepare agarose gel forelectrophoresis of DNA. Fifty milliliters of2% gel is needed. How much agar is to bedissolved? Also 3 uL of ethidium bromideis added every 100 mL of agarose gel, howmuch Ethidium bromide is needed?

    Answer = 1.0 gram of agarose and1.5 uL of Ethidium bromide

  • 8/10/2019 Intro, Lab Math, And Safety

    5/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 5

    Percent solution:volume/volume

    = _mL of solute__ X 100mL of solution

    25

    %v/v

    What is the concentration of a solution with2000 mL of liquid lidocaine dissolved in 5liters of deionized water?

    Answer = 28.57%

    MRBPINEDA UST 26

    Percent solution:volume/volume

    Prepare 500 mL 40% alcohol from stockabsolute alcohol solution.

    Answer = 200 mL stock absolute alcohol + 300mL distilled water to make 500 mL solution

    27

    Percent solution:volume/volume

    Prepare 0.05 L of 2% sulfuric acid.

    Answer = 1 mL of concentrated sulfuric acid +49 mL of distilled water.

    Percent Solution: Weight/weight

    = _grams solute_ X 100grams solution

    28

    %w/w

    Determine the percent composition by mass of a100 g salt solution which contains 20 g salt.

    Answer: 20% NaCl solution

    29

    Percent Solution: Weight/weight

    How much KCl in grams is needed to make10% of a solution weighing 0.48 kg?

    Answer: 48 grams of KCl

    Molar Solution orMolarity

    ! Number of moles expressed per 1 liter of solution

    ! Moles = gram/molecular weight

    ! Gram molecular weight of a substance dissolved toa final volume of 1 liter solution

    MRBPINEDA UST 30

    = grams of soluteMW x volume of solution (L)

    M

  • 8/10/2019 Intro, Lab Math, And Safety

    6/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 6

    MRBPINEDA UST 31

    73 g HCl

    L2 mol

    L36.5 g HCl

    mol

    How many grams are needed to make 1 Lof a 2M solution of HCl?

    Molar Solution orMolarity

    Answer = 73 g per L of 2M HCl is needed.

    32

    What is the molarity of a solution madewhen water is added to 11 g CaCl 2 tomake 100 mL of solution?

    Answer = 1.0 M

    Molar Solution orMolarity

    33

    Prepare 400 mL of a 0.5 M solution ofNaCl.

    Answer = 11.6 g of NaCl is dissolved in400 mL distilled water to make 0.5 Msolution of NaCl

    Molar Solution orMolarity

    Normal solution orNormality

    ! Number of gram equivalent weight per 1 liter ofsolution (Eq/L)

    ! Equivalent weight = molecular weight/valence

    34

    = grams of soluteEW x volume of solution (L)

    N

    35

    Normal solution orNormality

    What is the Normality of a 500-mL solution thatcontains 7 g of sulfuric acid?

    Answer: 0.285 Eq/L or 0.285 N

    1,000 mL1 L1 Eq49 g H 2 SO47 g H2 SO4500 mL

    36

    Normal solution orNormality

    If a solution contains 111 g CaCl 2 perliter, what is the normality?

    Answer = 2 N CaCl 2

  • 8/10/2019 Intro, Lab Math, And Safety

    7/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 7

    Molarity vs Normality

    MRBPINEDA UST 37

    ! Normality is always equal to or greater thanMolarity

    ! Molarity is always equal to or less than Normality

    N ! MM " N

    Convert Molarity toNormality

    38

    Convert 0.5 M sulfuric acid to N.

    1 Eq H 2 SO449 g H 2 SO4

    98 g H 2 SO4mol H 2 SO4

    0.5 mol H 2 SO4L

    Answer: 1 N

    To simplify: multiply Molarity with the valence

    Molal Solution orMolality

    ! Amount of solute per 1 kg of solvent

    ! mol/kg (or m)

    39

    = grams of soluteMW x kg of solvent

    m

    Molal Solution orMolality

    40

    What is the molality of a solution of10 g NaOH in 500 g water?

    Answer = 0.5 m

    mg/dL to milliequivalent

    ! In milliequivalent, equivalent weight is expressed inmilligrams

    ! To convert mg/dL to milliequivalent per liter (mEq/

    L)

    MRBPINEDA UST 41Other Conversions

    = mg/dL X 10 X valenceMW

    mEq/L

    mg/dL to millimoles

    ! In millimoles, molecular weight expressed inmilligrams

    ! To convert mg/dL to millimoles:

    MRBPINEDA UST 42Other Conversions

    = mg/dL X 10MW

    mmol/L

  • 8/10/2019 Intro, Lab Math, And Safety

    8/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 8

    To convert into Use

    %w/v Molarity (M) M = (%w/v x 10) / GMW%w/v Normality (N) N = (%w/v x 10)/eq.wt.mg/dL mEq/L mEq/L = (mg/dL x 10)/eq. wt.Molarity (M) Normality (N) N = M x valence

    43

    Basic concentrationconversions

    What is the differencebetween ratio and dilution ?

    ! ratio: volume of solute per volume of solvent

    ! dilution: volume of solute per volume of solution

    44

    A ratio of 1:100 vs a dilution of 1:100

    Ratio and Dilution

    45

    Prepare 150 mL solution of sodiumhydroxide with a dilution of 1:20.

    Answer: pipet 7.5 mL of NaOH and mix with142.5 mL of distilled water.

    Ratio and Dilution

    46

    Prepare 200 mL solution of HClusing the ratio of 1:20.

    Answer: pipet 10.0 mL of HCl and mix with200 mL of distilled water.

    Serial dilution

    ! multiple progressive dilutions ranging from moreconcentrated solutions to less concentrated solutions

    47

    Specific Gravity, Density,and Percent Purity

    ! Density: mass per unit volume

    ! Specific gravity: density of a substance over densityof water at a given temperature (g/mL)

    ! Actual concentration: specific gravity x percentpurity

    MRBPINEDA UST 48

  • 8/10/2019 Intro, Lab Math, And Safety

    9/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 9

    49

    Specific Gravity, Density,and Percent Purity

    What is the actual weight of HCl whose labelreads specific gravity 1.3 with an assay value of40%? What is the Molarity of the solution?

    Answer:Actual weight = 0.52 g/mLMolarity = 14.86 M

    pH and pOH

    ! Henderson-Hasselbalch equation

    pH = pK a + log (A -/HA)

    pH = log (1/H +)

    pH = -log (H +)

    pH + pOH = 14

    50

    Scientific Notation

    ! Uses exponential method of expressing very largeand very small numbers

    ! Numbers are expressed as a product of twonumbers: digit term and exponential term! Digit term: > or equal to 1 but < 10! Exponential term: written as a power of 10

    MRBPINEDA UST 51

    Scientific Notation

    ! Positive exponents: when the decimal point hasbeen moved to the left

    ! Negative exponents: when the decimal point hasbeen moved to the right

    52

    Examples:214 = 2.14 X 1020.115 = 1.15 X 10-1

    Significant Figures

    ! Minimum number of digits needed to express aparticular value in scientific notation without loss ofaccuracy.

    MRBPINEDA UST 53

    Examples:1. 1028.9 = _________2. 213 = ___________3. 0.000032 = _______4. 4000 = __________

    Significant Figures

    1. All nonzero integers are significant figures.

    2. Zeros used to locate decimal points are notsignificant (0.0002; 0.002; 0.02 = 1 significant figure)

    3. Zeros appearing between numbers are significant.

    4. Zeros appearing at the end of a number with adecimal are significant (18.80).

    5. Zeros appearing at the end of a number without adecimal may or may not be significant (180).

    54

  • 8/10/2019 Intro, Lab Math, And Safety

    10/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 10

    Significant Figures

    ! Laboratory Application

    1. Addition and Subtraction:

    5.324 + 0.0031 = 5.3209 = 5.321

    2. Multiplication and Division: product or quotient cancontain no more significant digits than the leastnumber of significant figures in the numbers involvedin the calculation

    0.8832 X 1.5 = 1.32480 = 1.3

    55

    END OF UNIT 2Quiz next meeting!Bring calculator and periodic table of elements.

    56

    Unit 3. Laboratory Safety

    57

    Maria Ruth B. Pineda, Ph.D.Department of Medical TechnologyUniversity of Santo Tomas

    Objectives and Scopes ofUnit 3

    Lecture:1. Universal Precaution2. Laboratory Hazards

    2.1. Biological2.2. Chemical2.3. Electrical2.4. Fire2.5. Radiation2.6. Others

    3. Safety equipment4. Laboratory waste management:Segregation , Storage,Treatment, andDisposal

    Laboratory:1. Hand washing2. Cleaning of glassware3. Disinfection of working areas4. Laboratory waste management

    58

    Apply laboratory safety procedures and precautions inthe performance of laboratory measurements.

    Hierarchy of Controls

    ! Levels of dealing with laboratory hazards

    1. Engineering controls

    2.

    Administrative controls3. Work practices

    4. Personal protective equipment (PPE)

    59

    Examples of PreventionStrategies

    MRBPINEDA UST 60

    Laboratory Hazard Prevention Strategies

    Work practice controls (general procedures/policies thatmandate measures to reduce or eliminate exposure tohazard)

    Hand washing after each patient contactCleaning surfaces with disinfectants Avoiding unnecessary use of needles and sharps and not recappingRed bag waste disposalImmunization for hepatitisJob rotation to minimize repetitive tasksOrientation, training, and continuing educationNo eating, drinking, or smoking in laboratory Warning signage

    Engineering controls (safety features built into the overalldesign of a product)

    Puncture-resistant containers for disposal and transport of needles and sharpsSafety needles that automatically retract after removalBiohazard bagsSplash guards Volatile liquid carriersCentrifuge safety bucketsBiological safety cabinets and fume hoodsMechanical pipetting devicesComputer wrist/arm padsSensor-controlled sinks or foot/knee/elbow-controlled faucets

    Personal protective equipment (PPE; barriers that physicallyseparate the user from a hazard)

    Nonlatex glovesGowns and laboratory coatsMasks, including particulate respiratorsFace shieldsProtective eyewear (goggles, safety glasses)Eyewash stationChemical-resistant gloves; subzero (freezer) gloves; thermal gloves

    .

    .

  • 8/10/2019 Intro, Lab Math, And Safety

    11/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 11

    OSHA STANDARDS

    ! Bloodborne pathogen standard! Formaldehyde standard

    ! Laboratory standard

    ! Hazard communication standard

    ! Respiratory hazard

    ! Air contaminants standard

    ! Personal protective equipment standard61 MRBPINEDA UST 62

    63

    SafetyEquipment

    64

    ..

    .

    Equipment D escription Use

    PERSONAL PROTECTIVEEQUIPMENT

    Glasses or goggles

    Work shields

    GlovesCoat or apron

    FUME HOOD

    S TORAGEUNITS

    Explosion-proof refrigerators

    Compressed gasstorage

    Storage cabinets

    FIRE E XTINGUISHERS

    Class AClass BClass CClass ABC

    SAFETY SHOWER

    E YEWASHES

    SPILL K ITS

    Unbreakable eye shields that sur-round the eye area

    Spatter protection for exposedskin

    Latex or vinyl cover for handsCover for clothes that will be

    worn outside the laboratory

    Ventilation system that operatesat 100120 ft/min at the sash;system must be monitored reg-ularly

    Refrigerators that can contain theforce of a chemical explosion

    Reinforcement straps or chainsfor storing compressed gas con-tainers vertically

    Separate cabinets for storing:Flammable solidsOrganic acidsOxidizers Water-reactive substances

    Pressurized water Carbon dioxideDry chemicalDry chemical

    Drench-type safety shower

    Fountain that can be used todrench the eye with water

    Commercial kits that may be

    used to collect spills of specificsubstances such as acids or mercury

    Protects exposed skin and clothesthat may be worn outside thelaboratory

    Reduces the risk of inhaling caus-tic chemicals; respirators withHEPA filters may be used whenfume hoods are not available

    Reduce the risk of unwantedchemical reactions; reduce thedanger of injury from chemicalreactions

    Wood, paper, cloth firesFlammable liquid, paint, oil firesElectrical firesAll fires

    Remove chemical spills fromclothing, skin, or eyes

    Restrict the spill to a localized

    area; collect the spill in a safecontainer for disposal

    r ) :

    Safety showers: deliver 30-50gallons of water per minute at20-50 psi

    Other materials needed:Fire blanketsPipetting aidsScrew capped tubesFirst aid supplies

    gauzeband aidalcoholbetadinemicroporeburn ointmentpetroleum jelly

    Chemical Fume Hoodsand Biosafety Cabinets

    ! Fume Hoods! Expel noxious and hazardous

    fumes from chemical reagents! Suitable for chemicals and non

    sterile work

    ! Biosafety Cabinets! Recirculates filtered air into the

    laboratory! Utilized to ensure sterility of

    infectious work

    MRBPINEDA UST 65

    Fume Hood

    MRBPINEDA UST 66

    Obviously not what were looking for

  • 8/10/2019 Intro, Lab Math, And Safety

    12/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 12

    MRBPINEDA UST 67

    Work 6 back into hood

    !" $"% &'% ()*+ ,$-,+) (""+ .()$ /"$%*0,$*$%- *1) 2),$33)$)1*%)+4

    !" $"% '-) (""+ 5"1 -%"1*3) "1 .*-%) +,-&"-*6 7))& -*-( /6"-)+ *- 0'/( *- &"--,26) 7))& )8(*'-% -6"%- *$+ *,15",6 /6)*1 "5 "2-%1'/%,"$- 9,$,0,:) 5""% %1*55,/ &*-% 5*/) "5 (""+ 7))& 6*2 +""1- /6"-)+ ;-) *&&1"&1,*%) 2*11,/*+)- ,5 %()1) ,- &"%)$%,*6 5"1)8&6"-,"$

    !" $"% 0"+,5< "1 *6%)1 (""+ ,$ *$< !" $"% &6*/) )6)/%1,/*6 "'%6)%- "1 "%()1 -"'1/)- "5 -&*1=-,$ (""+ .()$ 56*00*26) -'2-%*$/)- *1) &1)-)$%

    Mechanism of BSC

    ! BSC I: minimum inward flow; no product protection! BSC II: minimum inward flow; with product protection! BSC III: maximum product protection if laminar flow is included and with two HEPA filters

    Types of BSC

    MRBPINEDA UST 70

    , ,.

    , ,

    .,

    ,.

    ;, ,

    .

    .,

    .

    ,

    . , ,

    . ,

    ,.

    ..

    , , ,. , ,

    .

    .

    . ,. ,

    .

    , ,,

    .:

    .

    . , ,

    . .

    , .

    TABLE 3-1 COMPARISON OF BIOLOGIC SAFETY CABINETS

    CABINETS APPLICATIONS

    FACEVELOCITY RADIONUCLIDES/ BIOSAFETY PRODUCT

    TYPE (IFPM) AIRFLOW PATTERN TOXIC CHEMICALS LEVEL(S) PROTECTION

    C la ss I, * o pe n fr on t 75 I n at fr on t; re ar an d t opthrough HEPA filter No 2, 3 No

    Class II Type A 75 70% Recirculated through No 2, 3 YesHEPA; exhaust through HEPA

    Type B1 100 30% Recirculated through Yes 2, 3 YesHEPA; exhaust via HEPA and (low levels/ hard-ducted volatility)

    Type B2 100 No recirculation; total exhaust Yes 2, 3 Yesvia HEPA and hard-ducted

    Type B3 100 Same as IIA, but plenums under Yes 2, 3 Yesnegative pressure to roomand exhaust air is ducted

    Class III NA Supply air inlets and exhaust Yes 3, 4through 2 HEPA filters

    MRBPINEDA UST 71

    !" $%&' ())%*+&,-.(*/+ *.01+,2 2((' ,2 3(%/'+/& +1/ &((4"

    5" $%&' (' ,**6*(7/&2 ,'8

    9,6.'/+.**%4.',+.('

    *.01+2"

    :" ;**(7 ).-/4.'%+/2 ()

    (**(7 ).-/4.'%+/2 ()

    (

  • 8/10/2019 Intro, Lab Math, And Safety

    13/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 13

    Types of Hazards

    ! Chemical Hazards! Biological Hazards! Physical Hazards

    ! Ergonomic hazards! Ionizing Radiation! Non-Ionizing Radiation! Noise

    ! Electrical hazards! Mechanical Hazards

    Chemical Hazards

    ! Flammable/Combustible Chemicals:! Flammable: flashpoint below 37.8C! Combustible: flashpoint above 37.8C

    ! Corrosive Chemicals

    ! Reactive Chemicals

    ! Carcinogenic Chemicals

    MRBPINEDA UST 74

    Biological Hazards

    ! Biological Agents andToxins

    ! Bloodborne pathogens

    ! Research Animals

    ! Ingestion

    ! Inoculation

    ! Tactile contamination

    ! Inhalation of infectiousmaterial

    MRBPINEDA UST 75

    Sources:Contact with patients, specimens of patients, supplies or materials, aerosolmaterials, improperly processed blood products, inappropriate disposal ofwaste products, expelling a spray from needles, centrifugation of infectedfluids, spills on laboratory counters, flaming inoculating loops

    What to avoid in thelaboratory?

    ! Consumption of food! Mouth pipetting! Smoking! Applying cosmetics! Drinking fluids! Leaving unprotected any

    skin, membranes, oropen cuts

    MRBPINEDA UST 76

    Universal Precaution! Presumption that all human blood, tissue, and most

    fluids are infectious for the transmission of humanimmunodeficiency (HIV), hepatitis B virus, and otherblood borne pathogens

    ! Safe handling and Preventive measures! Decontamination methods

    ! Vaccination requirement

    ! Post exposure medication, counseling, testing, andprophylaxis

    MRBPINEDA UST 77 MRBPINEDA UST 78

    Common Decontamination Agents

    Heat (250 C for 15 minutes)Ethylene oxide (450500 mg/L @ 55 C60 C)2% Glutaraldehyde10% Hydrogen peroxide10% Formalin5.25% Hypochlorite (10% bleach)

    FormaldehydeDetergentsPhenolsUltraviolet radiationIonizing radiationPhoto-oxidation

  • 8/10/2019 Intro, Lab Math, And Safety

    14/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 14

    Physical: ErgonomicHazards

    ! Cumulative trauma disorders! injuries involving the musculoskeletal and/or

    nervous system in response to long term repetitivetwisting, bending, lifting, or assuming static posturesfor an extended period of time

    ! constant or excessive repetitive actions, mechanicalpressure, vibrations, or compressive forces on thearms, hands, wrists, neck, or back

    ! human error by pushing beyond ones limits or whenproductivity limits are set too high

    MRBPINEDA UST 79

    ! Cumulative trauma disorders! Carpal tunnel syndrome! Tendonitis! Tenosynovitis! Bursitis! Ganglion cyst

    MRBPINEDA UST 80

    Physical: ErgonomicHazards

    Physical: IonizingRadiation

    ! generated through nuclearreactions, by very hightemperature, via productionof high energy particles ordue to acceleration ofcharged particles byelectromagnetic fields

    ! Cosmic rays, x-rays, gammarays, beta particles, UV

    MRBPINEDA UST 81

    ! Type ofelectromagneticradiation that doesnot carry enoughenergy to ionizeatoms

    ! Radiowaves,microwaves,infrared light, andvisible light

    MRBPINEDA UST 82

    Physical: Non-IonizingRadiation

    ! Anything that has thepotential to cause hearingloss

    ! Exposure to an equivalentsound pressure level ofmore than 85 dB over an8-hour period workday

    MRBPINEDA UST 83

    Physical: Noise Mechanical Hazards

    ! Centrifuge

    ! Autoclave

    ! Homogenizers

    ! Glasswares

    MRBPINEDA UST 84

  • 8/10/2019 Intro, Lab Math, And Safety

    15/15

    7/3/13

    MRBPINEDA, RMT, MSMT UST 15

    CompressedGases Hazards

    ! Fire

    ! Explosion

    ! Asphyxiation

    ! Mechanical injuries

    CryogenicMaterial Hazards

    ! Fire

    ! Explosion

    ! Asphyxiation

    ! Pressure build up

    ! Embrittlement ofmaterials

    ! Tissue damage

    MRBPINEDA UST 85

    Fire Hazards! A: ordinary

    combustible materials! B: flammable liquids/

    gases

    ! C: energized electricalequipment

    ! D: reactive metals

    MRBPINEDA UST86

    ,,

    ,

    , ,,

    , ,,

    , ,,

    ,

    CLASS OF FIRE TYPE OF EXTINGUISHER OPERATION

    A

    B

    C

    D

    Class AFires

    Class B Fires

    Class C Fires

    Class D Fires

    Use these typesofextinguishers

    Use these typesofextinguishers

    Use these typesofextinguishers

    Use thistype ofagent

    OrdinaryCombustibles:Wood, Paper,Cloth, etc.

    FlammableLiquidGreaseGasolinePaintsOils, etc.

    Electrical equipmentMotorsSwitches

    Flammable metalsMagnesium

    Pressurized Water DryChemical

    DryChemical

    DryChemical

    Carbon Dioxide

    Carbon Dioxide Halon

    MetalX

    A ABC

    ABC

    ABC

    BC

    BC

    Halon

    Cover burning materialwith extinguishingagent (scoop, sprinkle)

    ULL

    PIN

    IMNOZZLE

    QUEEZETRIGGER

    WEEPNOZZLE

    P

    A

    S

    S

    FIGURE 3-4. Proper use of fire extinguishers. (Adapted with permission from the Clinical and Laboratory SafetyDepartment, The University of Texas Health Science Center at Houston.)

    Tetrahedron of fire

    MRBPINEDA UST 87

    .

    .

    .

    .

    .

    .

    .

    .

    . .

    ..

    :

    :

    :

    ::

    I I I I I I I

    I I I

    i il i I i i l ii

    i l i i l ii i i i i l

    l l ii i l l

    l ill i i l il il i

    i i l l i i l i i ii i l l

    Uninhibitedreaction

    Fuel

    Oxygen

    Heat

    i .

    ElectricalHazards

    Electrical injuries:1. Direct: death, shock, or

    burns

    2. Indirect: fire and explosion

    MRBPINEDA UST88

    Waste Management

    ! Collection, transport, processing or disposal,managing and monitoring of waste materials

    ! Landfill

    ! Incineration

    ! Recycling/Resource recovery

    ! Avoidance and reduction of waste

    MRBPINEDA UST 89

    End of Unit 3

    MRBPINEDA UST90