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CU HI THUC TIM - TNM THY LNG

1. in vo ch trng
Loi mng lc Kch thc l lc Mc ch
Lc phn t ln 0,1 m Loi ch nhit t
Lc VSV 0,22 m Tit trng
Lc ht bi 0,45 m Loi bi lm trong
Lc ht bi c ln 1-5 m Loi tp th

2. c im chung gia TT v TNM m chi phi iu kin sn xut? Ti sao?


chung :V trng
V :- TN TNM khng v trng s nh hng n vic bo qun thuc
- TT-TNM ko v trng nh hng n ngi bnh. TT khng v trng lm ngi bnh
b st, ch nhit t, nhim khun TNM khng v trng c th lm bnh nhn b m
mt (c bit P. aeruginosa)

3. Thuc tim ng trong chai l thy tinh 1 thi gian s c pH tng. Ti sao?
V vt liu thy tinh lm bao b ng TT nh kim vo dung dch TT. c bit i vi thy tinh
thng c t l Na2O cao.

4. TT Lidocain n nh pH no? Dng cht g chnh pH


Theo DVN IV TT Lidocain n nh pH t 4-6
2 cht n gin nht dng c pH l NaOH 10%, HCl 10%

5. V hnh dng c ng TT c nhiu nhc im nht, lit k cc nhc im :


V hnh ng TT 2 u nhn ( nh v 1 u h, 1 u kn)

Cc nhc im :
khng ng c
phi bm thuc bng chn khng > phi ra u ng
khi s dng, b u ng c th to bi thy tinh
Kh ng u v th tch, d hao ht, nhim khun

6. Trong cng thc c TT,TNM gm c cc cht: hot cht, cht chnh pH, cht n nh, bo
qun, ng trng, to nht Cht no dc tnh ton v a v cui cng. Ti sao?
Cht ng trng
S ng trng ca dung dch ph thuc vo cc cht ha tan. Sau khi c cng thc cc cht
khc, ta c th xc nh c lng cht ng trng ha thm vo ng trng ha dung
dch

7. Nu 3 tiu ch ca nhai nha ng TNM? Lm g t c cc tiu ch


3 TC : Sch - Kh V Khun
Mun sch > ra. Mun Kh > sy. Mun V khun > Hp tit trng
8. in vo ch trng
KT tit trng Nhit - Thi gian i tng
0
PP Tyndall 60-80 C/ 30-60 pht, lp Dc phm t chu nhit
li 2-5 ln, cch nhau 24h
Khng kh nng (nhit kh) 160-1800C/ 30-120 pht Dng c thy tinh, t
dc gc v c, dung
mi du, bng gc
0
Nhit m As thng 100 C/ 30-60 pht Thuc tim hn kn, t
chu nhit, y c, dng
c phu thut
0
Nhit m As cao 121 C/ 20 pht Cc ch phm chu
c nhit cao

9. Nu 3 cch s dng Natriborat, Acid boric, NaOH trong pha ch TNM :


Dng lm cht im pH : Borat- boric, boric NaOH
Dng lm cht chnh pH : Boric , NaOH
Dng lm cht ng trng : Boric

10. ha tan Cloramphenicol cn iu chnh yu t no?


Nhit
pH (dung dch m)
Gim nng Cloram (iu ch Cloram 0,4 -0,5% thay v 1%)

11. Ti sao ch phm lidocain sau khi hp kh trng v thi gian lu th pH tng ln?
Do thy tinh nh kim

12. Khi cc ng TT c bi l lng, khng t tiu chun > khng t c tiu chun g v
iu kin ni lm vic
Khng kh

13. So snh Cloramphenicol , Km sulfat


Cloramphenicol Km sulfat
tan trong nc Kh tan nhit phng D tan nhit phng
nh hng ca nhit Tng t0, tan tng Tng t0, tan gim
Vng pH n nh 7.0 -7.5 4.5-5.5

14. Phng pha ch TT, TNM thng gi l phng gi? Nu 2 yu cu ca phng ny


Phng v khun
Yu cu : - Sch c hc (s lng, kch thc ht bi/ m3 khng kh.
- Sch sinh hc (s lng VSV/m3 khng kh)

14. V v ch thch bao b TNM?

15. iu ch Lidocain pH no l tt nht? Ti sao


C th thm 1 cht no vo thuc tim Lidocain?
iu ch tt nht pH 4-6, Lidocain bn pH acid
C th thm adrenalin t l 0.0001% ko di tc dng ca Lidocain

CU HI THUC TIM - TNM THY LM


1. Thit lp cng thc Lidocain 500ml

Lidocain 2%, 500ml cn 10g Lidocain dc dng


Natri metabisulfit 0,1%, 500ml cn 0,5g
NaOH10%, HCl 10% va iu chnh pH 4-6

Cch tnh lng NaCl : tnh theo mOsmol


Trong 500ml dd thuc tim Lidocain 2% c 10g Lidocain HCl, 0,5g Na2S2O5. Lng cht chnh
pH sd rt t (vi git) nn thc t ko ah n astt.
mn
mOsmol = x 1000
M V

Gi X gam l khi lng cht ng trng ha NaCl cn thm vo. Tng p sut thm thu ca 3
loi cht tan (Lidocain HCl.H2O, Natri metabisulfit, Natri clorua) bng 290 mOsmol

10 2 0.5 3 X 2
mOsmol = 288,8 0.5 x 1000 + 190,1 0.5 x 1000 + 58,5 0.5 x 1000 = 290

X = 1,985 g

Cng Thc 500ml Lidocain :


Lidocain dc dng 10g
Natrimetabisulfit 0,5g
NaOH 10% v
HCl 10% v
NaCl 1,99g
Nc ct pha tim v 500ml

2. Thit lp cng thc Km sulfat 0,5%, pH 4,8 h m boric

Km sulfat 0,5% > 100ml dd cn 0,5g

S dng Nipagin M vi t l dng l 0.05%


Nipagin M kh tan trong nc nn ta dng Nipagin M 20% trong cn
0.05 100
Lng Nipagin cn trong mi 100ml ch phm x x100 0.25ml
100 20

Tnh lng NaCl cn thit ng trng TNM Km sulfat 0,5%, pH 4,8

Theo bng tr s Sprowl, c 1g Zn ha tan trong 16,7ml nc c 1 dd ng trng


- 0,5g km ng trng cho 8,4ml dd
- Lng nc cn li cn ng trng = 100 8,4 = 91,6ml
- 91,6ml nc ny s c ng trng bng dd acidboric 1,9% > lng acid boric cn
ly l = (1,9 x91,6)/100 = 1,74g
Ly dd acid boric 1,9% l do tnh theo dd NaCl 0,09% l dd ng trng. 1g acid boric
tng ng 0,47g NaCl > 0,09g NaCl s ng vi 0,19g acid boric.

Cng thc :
Km sulfat dc dng 0,5g
Acid boric va ng trng 1,7g
Dd Nipagin M 20% 0.25ml (t l 0.05%)
Nc ct v 100ml

3. Nguyn tc ra ng tim
Ra theo nguyn tc Nng Lnh Nng
- Giai on nng : Nc nng l cho kk trong ng gin n > tng p sut > y phn thuc
cn dnh u ng thot ra ngoi
- Giai on lnh : nc lnh lm cho kk trong ng co li > as gim xung > ht nc bn
ngoi vo u ng, ra phn thuc cn dnh u ng
- Giai on nng : nhng vo trong nc nng tr li lm kk trong ng gin ra > tng as
trong ng > y phn nc u ng ra ngoi

4. Nu cc bc pha ch TT v cc khu kim tra bc buc

Cn ong nguyn ph liu dung mi


Kim tra chng nhm ln
Ha tan, iu chnh pH v iu chnh th
tch
Kim tra pH
Lc trong
Kim tra trong
ng ng
Kim tra iu chnh th tch
Hn ng
Kim tra ng h
Tit trng

Soi kim tra trong
Kim tra tng ng
In dn nhn
Kim tra hnh thc trnh by
ng hp

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