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Page 1 of 11 Experiment No: 01 Experiment Name: Observation of the effect of water on diuresis of an adult healthy frog. Objective: Diuresis: Diuresis is an increase in the production of urine by the kidneys, which typically results in a corresponding increase in urine expelled by the body; diuresis without an accompanying increase of urination can cause severe medical problems. There are a wide range of causes for diuresis, and an assortment of treatment approaches, when treatment is required. Diuretics: Diuretics are drugs that enable the body to get rid of excess fluids, via urination. Commonly called "water pills", some diuretics are available over-thecounter while others require a doctor's prescription. The term "diuretic" is very broad, and refers generally to any substance that cause the kidneys to get rid of extra water and salt. There are many kinds of diuretics, and each diuretic works on different parts of the kidneys. Some of the common classes of diuretics include: Thiazide diuretics (hydrochlorothiazide) Loop diuretics (furosemide) Potassium sparing diuretics (spironolactone) Each class of diuretic has a different specific mechanism of action, but all typically shares the ultimate outcome of changing the way the kidneys handle salt, water, and other substances. Common Diuretic Names: Many different diuretics are available. Some commonly prescribed diuretics include: Furosemide Hydrochlorothiazide, also known as HCTZ Spironolactone Metolazone Page 2 of 11 Many other diuretics are available, both within the United States and around the world. However, the vast majority of prescriptions in the U.S. are for the drugs listed above. Other types of diuretics are used in special circumstances or controlled hospital settings Uses of Diuretics: In medicine, diuretics are used to treat heart failure, liver cirrhosis, hypertension and certain kidney diseases. Some diuretics, such as acetazolamide, help to make the urine more alkaline and are helpful in increasing excretion of substances such as aspirin in cases of overdose or poisoning. Diuretics are often abused by sufferers of eating disorders, especially bulimics, in attempts at weight loss The antihypertensive actions of some diuretics (thiazides and loop diuretics in particular) are independent of their diuretic effect. That is, the reduction in blood pressure is not due to decreased blood volume resulting from increased urine production, but occurs through other mechanisms and at lower doses than that required to produce diuresis. Indapamide was specifically designed with this in mind, and has a larger therapeutic window for hypertension (without pronounced diuresis) than most other diuretics. Materials: 1. Purified Water 2. Subject (------ kg frog) Procedure: 1. We take an adult healthy frog and weight it. 2. We take 2ml of purified water in a 10ml sterile syringe which has just been opened from a sterile packaging. 3. We inject the pre-filled water into the subcutaneous of the left hind leg of the frog. 4. We wait for some time and observe the time for urination and the volume of urine of the frog. 5. We repeat the procedure for 2.5ml, 3ml, 5ml of water injected into the frog. Page 3 of 11 Table: Volume of Water/ml 2.0 2.5 3.0 5.0 Time for Urination/min Volume of Urine/ml Observation: It was observed that with increase in volume of water injected, the time for urination decreased proportionately and the volume of urine increased. Conclusion: Page 4 of 11 Experiment No: 02 Experiment Name: Observation of the effect of lidocaine as a local anaesthesia on adult healthy mice. Objective: Anaesthesia: Anaesthesia is the induction of a state of unconsciousness with the absence of pain sensation over the entire body, through the administration of anesthetic drugs. It is used during certain medical and surgical procedures. A drug, administered for medical or surgical purposes that induces partial or total loss of sensation and may be topical, local, regional, or general, depending on the method of administration and area of the body affected. Anaesthesia means "loss of sensation". Medications that cause anaesthesia are called anaesthetics. Anaesthetics are used for pain relief during tests or surgical operations so that you do not feel any of the following: pain touch pressure temperature Anaesthetics: Anaesthetics is the science, study, and practice of anaesthesia and its application. An anaesthetic is used to temporarily reduce or take away sensation, usually so that otherwise painful procedures or surgery can be performed. The different types of anaesthetic are described below. Local anaesthetic – used for minor procedures and tests to numb the nerves in the area where the procedure is taking place. You will be conscious during the procedure but you do not feel any pain. Regional anaesthetic – used for larger or deeper operations where the nerves are harder to reach. Local anaesthetic is injected near the nerves in order to numb a larger area, but you remain conscious. Epidural anaesthetic – a regional anaesthetic used to numb the lower half of your body, which is often used for childbirth. Spinal anaesthesia – a regional anaesthetic that is used to numb your spinal nerves so that surgery can be carried out in this area. Page 5 of 11 General anaesthetic – used for bigger operations when you need to be unconscious. The anaesthetic stops your brain recognizing any signals from your nerves, so you cannot feel anything. Sedation – for painful or unpleasant procedures that are otherwise minor. Sedation makes you feel sleepy and relaxes you both physically and mentally. Uses of anaesthetics: Acute pain Acute pain can often be managed using analgesics. However, conduction anesthesia may be preferable because of superior pain control and fewer side effects. For purposes of pain therapy, local anesthetic drugs are often given by repeated injection or continuous infusion through a catheter. Low doses of local anesthetic drugs can be sufficient so that muscle weakness does not occur and patients may be mobilized. Some typical uses of conduction anesthesia for acute pain are: Labor pain (epidural anesthesia) Postoperative pain (peripheral nerve blocks, epidural anesthesia) Trauma (peripheral nerve blocks, intravenous regional anesthesia, epidural anesthesia) Chronic pain Chronic pain of more than minor intensity is a complex and often serious condition that requires diagnosis and treatment by an expert in pain medicine. Local anesthetics can be applied repeatedly or continuously for prolonged periods to relieve chronic pain, usually in combination with medication such as opioids, NSAIDs, and anticonvulsants. Surgery and dentistry Virtually every part of the body can be anesthetized using conduction anesthesia. However, only a limited number of techniques are in common clinical use. Sometimes conduction anesthesia is combined with general anesthesia or sedation for the patient's comfort and ease of surgery. Typical operations performed under conduction anesthesia include: Dentistry (surface anesthesia, infiltration anesthesia or intraligamentary anesthesia during restorative operations or extractions, regional nerve blocks during extractions and surgeries.) Page 6 of 11 Eye surgery (surface anesthesia with topical anesthetics, retrobulbar block) ENT operations, head and neck surgery (infiltration anesthesia, field blocks, peripheral nerve blocks, plexus anesthesia) Shoulder and arm surgery (plexus anesthesia, intravenous regional anesthesia)[1] Heart and lung surgery (epidural anesthesia combined with general anesthesia) Abdominal surgery (epidural/spinal anesthesia, often combined with general anesthesia) Gynecological, obstetrical and urological operations (spinal/epidural anesthesia) Bone and joint surgery of the pelvis, hip and leg (spinal/epidural anesthesia, peripheral nerve blocks, intravenous regional anesthesia) Surgery of skin and peripheral blood vessels (topical anesthesia, field blocks, peripheral nerve blocks, spinal/epidural anesthesia) Other uses: Topical anesthesia, in the form of lidocaine/prilocaine (EMLA) is most commonly used to enable relatively painless venipuncture (blood collection) and placement of intravenous cannulae. It may also be suitable for other kinds of punctures such as ascites drainage and amniocentesis. Surface anesthesia also facilitates some endoscopic procedures such as bronchoscopy (visualization of the lower airways) or cystoscopy (visualization of the inner surface of the bladder). Materials: 1. Lidocaine 0.1% sterile solution (Market Name) 2. Subject (----------- kg mice) Procedure: 1. We take an adult healthty mouse and weight it. 2. We take 2ml of Lidocaine 0.1% sterile solution in a 5ml sterile syringe which has just been opened from a sterile packaging. 3. We inject the Lidocaine 0.1% sterile solution into the muscle of the left hind leg of the frog. 4. We wait for some time and observe the time for onset of anaesthrsia and the duration of anaesthesia of the frog. 5. We repeat the procedure for 2.5ml , 3ml, 5ml of Lidocaine 0.1% sterile solution injected into the frog. Page 7 of 11 Table: Volume of Lidocaine 0.1% sterile solution/ml 2.0 2.5 3.0 5.0 Onset of anaesthesia/min duration of anaesthesia/min Observation: It was observed that with increase in Volume of Lidocaine 0.1% sterile solution, the time for onset of anaesthesia decreased proportionately and the duration of anaesthesia increased. Conclusion: Page 8 of 11 Experiment No: 03 Name of the Experiment: Estimation of Uric acid level in human body by enzymatic and colorimetric method. Objective: Definition:Uric acid is a waste product normally present in the blood as a result of the breakdown of purines. Excessive amounts of uric acid can cause crystals to form in the joints and cause gout. Uric acid is a heterocyclic compound of carbon, nitrogen, oxygen, and hydrogen with the formula C5H4N4O3. It forms ions and salts known as urates and acid urates such as ammonium acid urate. Uric acid is a product of the breakdown of purine nucleotides. High blood concentrations of uric acid can lead to a type of arthritis known as gout. The chemical is associated with other medical conditions like ammonium acid urate kidney stones. Effects of Uric acid in human body: 1. Uric Acid is a Byproduct of Normal Body Functions Uric acid occurs naturally in the human body as a result of the metabolism of purine. Purine is a muscle protein that enters the body either through dietary intake (about 30 percent) or from the breakdown of the body's own cells during cell turnover (about 70 percent). Normal blood serum uric acid levels are 2.4 to 6.0 mg/dl for woman and 3.4 to 7.0 mg/dl for men. 2. Humans Cannot Metabolize Uric Acid, So It Is Excreted Humans lack the enzyme (uricase) that breaks down uric acid. So uric acid is excreted by the kidneys and the intestines. Under normal circumstances about 70 percent of uric acid is excreted in the urine, with the intestines passing the remaining 30 percent. However, when renal function is insufficient, a greater percentage is excreted via the intestines. Uric acid is relatively insoluble. So, when concentrations exceed normal levels, it may crystallize in the joints, the urinary tract or under the skin. 3. High Uric Acid Is Associated With Kidney Problems Page 9 of 11 Renal failure is associated with high uric acid levels, and uric acid crystals may accumulate in the kidneys, as kidney stones, or in the bladder. But kidney problems cannot be assumed to be caused by high uric acid. Rather, high uric acid levels may be the result of renal insufficiency. 4. High Uric Acid is Associated with Gout In gout, uric acid crystals deposit on cartilage, tendons and tissues surrounding the joints. Symptoms include rapid onset of severe, burning pain; swelling, redness, warmth and extreme skin tenderness. The big toe is the most common location for gouty flair ups, but ankle, wrist, and knee and elbow involvement are also reported, though less commonly. Men tend to have higher uric acid levels than women. So, it's not surprising that men get gout more often than women. However, gout can occur without high uric acid levels, and high uric acid does not always cause gout. So, other causes for gout cannot be rule out. For instance, heredity is thought to be a predisposing factor for gout. 5. Diet, Health and Heredity Affect Uric Acid Levels and Gout A diet high in fat and muscle protein such as red meat, poultry, fish and other seafood, is associated with high uric acid levels and also with gout. Though causation is not firmly established, alcohol consumption, consumption of high fructose corn syrup, obesity, starvation, excessive exercise and sleep apnea are also correlated with gout. The common metabolic phenomenon among these is that they all, in one way or another, cause the body to metabolize its own tissues, thus releasing purine into the blood stream. Gout seems to occur more often within certain racial groups, Pacific islanders and African Americans, for instance. Age and sex also seem to make a difference, with gout afflicting men age 50 to 60 most often. Conclusion:This test is done to see if we have high levels of uric acid in our blood. High levels of uric acid can cause gout or kidney disease. Our doctor may also order this test if we have had or are about to have certain types of chemotherapy. Rapid weight loss, which may occur with such treatments, can increase the amount of uric acid in your blood. Apparatus: i. ii. iii. iv. Micropipette, Test tubes, Centrifuge machine, Pipette. Page 10 of 11 Reagent: i. ii. iii. Enzyme ket, it contains: - phosphate buffer 50mole/L, - 4-amino phenazole 0.3mole/L - 3,5 dichloro, 2-hydroxy benzene sulfonic acid (DCHBS) 4 mole/L - Enzyme uricase >200 unit, - Enzyme peroxidase>1 - Stabilizer 10mg/dl Standard uric acid, Blood serum Procedure: i. ii. iii. iv. v. vi. vii. viii. At first blood was taken by a syringe and rinsed well with anti-coagulant in a centrifuge tube. The blood was then centrifuged for 15-20 minutes in a centrifuge machine to obtain the serum sample, Three test tubes were taken and marked as sample , standard and blank, Then one ml of enzyme kit solution was placed in each test tubes, Then 20µl of serum was taken in the sample test tube, Then 20µl of standard uric acid solution was taken in the standard test tube, Then all the solutions were taken in a dark place for above 15-20 minutes, Finally the absorbance of these solutions were calculated at 510nm in a colorimeter. Calculation: Sample Blank Standard Sample Àbsorbancer at 510nm 0.0000 0.0149 0.0111 Page 11 of 11 We know, Absorbance of sample Concentrat ion of sample = Absorbance of Standard Concentrat ion of standard So, Concentration of sample= = Absorbance r of sample × concentration of standared Absorbance of standard 0.0111 × B mg dl 0.0149 =5.9597 Result : The concentration of Uric ancid in Blood sample was 5.9597 mg/dl Comments: The concentration of uric and in blood sample was 5.9597mg/dl. So it was within normal limits. Prcautions: i. ii. iii. iv. v. The blood should be taken form the humam body very carfully. Antivoagulant should be rised very qucikly, otherwise blood would be clotted, All test tubes should be washed with distilled water and marked sincerely, Serum sample and standard uric acid solution should be taken with micorpipette, Absorbance should be measured very sincerely.