phosphorus

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Page 1: Phosphorus

الرحــمـــــن الله الرحــمـــــن بـســـــم الله بـســـــمالرحيـــمالرحيـــم

Page 2: Phosphorus

PhosphorusPhosphorus

Page 3: Phosphorus

PhosphorusPhosphorus

99 PrinciplePrinciple SampleSample ReagentsReagents ProceduresProcedures WavelengthWavelength ReadingReading CalculationCalculation Normal valuesNormal values InterpretationInterpretation

Page 4: Phosphorus

PhosphorusPhosphorusPrinciplePrinciple

Inorgaic phosphorus in serum

- ↑ - P- ↑ colour intensity

- absorbed at 640 nm

+ Ammonium molybdate

Phosphomolybdate complexStannous

chloride

Reduction byBlue

colour

Page 5: Phosphorus

Phosphorus Phosphorus SampleSample

Serum or Plasma(Not hemolyzed)

Page 6: Phosphorus

PhosphorusPhosphorusReagentsReagents

Reagent 1 (Colour reagent)Reagent 1 (Colour reagent) Ammonium molybdateAmmonium molybdate Formic acidFormic acid GlycerolGlycerol

Reagent 2 (Reducing reagent)Reagent 2 (Reducing reagent) Stannous chlorideStannous chloride

Standard Phosphorus reagent (4 Standard Phosphorus reagent (4 mg/dl)mg/dl)

Page 7: Phosphorus

PhosphorusPhosphorusProceduresProcedures

Blank Standard Test

Reagent 1(Colour reagent)

1 ml 1 ml 1 ml

Standard - 0.025 ml(25 µl) -

Sample - - 0.025 ml(25 µl)

Mix

Reagent 2(Reducing reagent)

0.1 ml(100 µl)

0.1 ml(100 µl)

0.1 ml(100 µl)

MixIncubate for 10 minutes at 37° c

Page 8: Phosphorus

Blank Standard Test

Page 9: Phosphorus

Blank

Reagent 1 (Colour reagent)

0 -1 –

2 –3 –

4 –5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

Page 10: Phosphorus

0 -0.1 –

0.2 –0.3 –

0.4 –0.5 –

0.6 –0.7 –

0.8 –0.9 -

BlankReagent 2 (Reducing reagent)

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

Page 11: Phosphorus

BlankBlank

Page 12: Phosphorus

Standard

Reagent 1 (Colour reagent)

0 -1 –

2 –3 –

4 –5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

Page 13: Phosphorus

Standard

Page 14: Phosphorus

StandardStandard

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

Page 15: Phosphorus

0 -0.1 –

0.2 –0.3 –

0.4 –0.5 –

0.6 –0.7 –

0.8 –0.9 -

StandardReagent 2 (Reducing reagent)

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

Page 16: Phosphorus

StandardStandard

Page 17: Phosphorus

Test

Reagent 1 (Colour reagent)

0 -1 –

2 –3 –

4 –5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

0 -

1 –

2 –

3 –

4 –

5 –

Page 18: Phosphorus

Test

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

Serum

0 -

0.01 –

0.02 –

0.03 –

0.04 –

0.05 –

0.06 –

0.07 –

0.08 –

0.09 -

Page 19: Phosphorus

0 -0.1 –

0.2 –0.3 –

0.4 –0.5 –

0.6 –0.7 –

0.8 –0.9 -

TestReagent 2 (Reducing reagent)

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

0 -

0.1 –

0.2 –

0.3 –

0.4 –

0.5 –

0.6 –

0.7 –

0.8 –

0.9 -

Page 20: Phosphorus

TestTest

Page 21: Phosphorus

TestStandardBlank

Page 22: Phosphorus

PhosphorusPhosphorusWavelengthWavelength

640 nm640 nm

Page 23: Phosphorus

PhosphorusPhosphorusReadingReading

Read OD of the standard and the test Read OD of the standard and the test against the blank at 640 nmagainst the blank at 640 nm

OD standard = ……….? ……….OD standard = ……….? ……….

OD test = ……….? ……….OD test = ……….? ……….

Page 24: Phosphorus

PhosphorusPhosphorusCalculationCalculation

According to Beer-According to Beer-Lambert lawLambert law

OD standard → Known conc.OD standard → Known conc. (4 (4 mg/dl)mg/dl)

OD test → -P- conc. In the OD test → -P- conc. In the sample sample

(Unknown)(Unknown)

OD test x Standard conc.-P- conc. in sample = _____________________ OD standard

Page 25: Phosphorus

PhosphorusPhosphorusInterpretationInterpretation

↑ ↑ Increased values Increased values (Hyperphosphatemia)(Hyperphosphatemia)

Normal valueNormal value

↓ ↓ Decreased values Decreased values (Hypophosphatemia)(Hypophosphatemia)

Page 26: Phosphorus

PhosphorusPhosphorusInterpretationInterpretation

↑ ↑ Increased values Increased values (Hyperphosphatemia) (Hyperphosphatemia) False (Spurious):False (Spurious):

Hemolysis:Hemolysis: movement of –P- from movement of –P- from inside the RBCs into the serum.inside the RBCs into the serum.

TrueTrueDecreased renal excretionDecreased renal excretionVitamin D toxicityVitamin D toxicityIncreased –P- intakeIncreased –P- intake

Page 27: Phosphorus

PhosphorusPhosphorusInterpretationInterpretation

↓↓ Decreased values Decreased values (Hypophosphatemia)(Hypophosphatemia) Increased renal excretionIncreased renal excretion

Shifting to inside the cells as in Shifting to inside the cells as in

Insulin adminstrationInsulin adminstration

Page 28: Phosphorus

THANKS FOR ATTENTION

ALL THE BEST