Aspiration Procedures

A 65-year-old woman has had several acute gout attacks and now needs to be placed on prophylactic therapy. She has a CrCI rate of 45 mL/min and a uric acid level of 12 mg/dL. The patient refuses to undergo a joint fluid aspiration procedure, but she has 6 of the 11 criteria for epidemiologic diagnosis for gout. Which agent is the best choice for this patient ... 

Incubation with enzyme-linked specific antibody, which binds wherever the antigen is affixed, followed by washing and aspiration procedure. 

Fig. 112. After twisting the I/A tip to the opposite side the aspiration procedure is continued...

Procedure for filtering through a filtering crucible. The trap is used to prevent water from a water aspirator from backwashing into the suction flask. 

The fumes may be taken off by attaching an aspirator. This procedure assures removal of all moisture from the system. 

The procedure by which gaseous metal atoms are produced in the flame may be summarised as follows. When a solution containing a suitable compound of the metal to be investigated is aspirated into a flame, the following events occur in rapid succession ... 

A scientific procedure that turns the classical pharmacology approach upside down. Instead of finding the elusive receptor for a known hormone or transmitter what classical pharmacology aims at, reverse pharmacology is initiated through the discovery of the receptor gene and aspires to the identification of the receptors unknown ligand. 

Pyridinecarboxaldehyde (nicotinaldehyde) was supplied by Aldrich-Europe, Beerse, Belgium. The checkers purified this reagent by fractional distillation, b.p. 95-97° (15 mm.). The submitters stress that 3-pyridinecarboxaldehyde should be completely free from contamination by the acid. They stirred 150 g. of the aldehyde with 100 g. of potassium carbonate and 300 ml. of ethanol for 12 hours, filtered the suspended solid, and fractionally distilled the filtrate through a 30-cm. Vigreux column using a water aspirator. However, the checkers found that the recovery of aldehyde from this procedure was very low, and recommend vacuum distillation instead. 3-Pyridinecarboxaldehyde is a powerful skin irritant and should be handled with protective gloves. 

In figure 7 a procedure was described for aspirating a sample from a capillary tube and simultaneously adding zinc sulfate and barium hydroxide solutions in order to produce a Somogyi filtrate. Aliquots of the supernatant are suitable for assay for glucose and urea by various procedures. The reason for this is the fact that zinc hydroxide precipitates uric acid, creatinine and other substances, such as low molecular polypeptides, along with the proteins, so that there results a solution which is clear with relatively few components. 

However, conflicts between the fulfillment of different objectives and aspiration levels may prevent any feasible zone of the decision space from leading to satisfactory joint performances. If the search procedure fails to uncover at least one feasible final solution, X, consistent with y, a number of options are available to the decisionmaker to try to overcome this impasse. Namely, the decisionmaker can revise the initial problem definition, by either... 

Autologous hematopoietic stem cells are obtained (or harvested ) from bone marrow or peripheral blood. The technique for harvesting autologous hematopoietic cells depends on the anatomic source (i.e., bone marrow or peripheral blood). A surgical procedure is necessary for obtaining bone marrow. Multiple aspirations of marrow are obtained from the anterior and posterior iliac crests until a volume with a sufficient number of hematopoietic cells is collected (i.e., 600-1200 mL of bone marrow). The bone marrow then is processed to remove fat or marrow emboli and usually is infused intravenously into the patient like a blood transfusion. 

Thallium has been determined in 10 ml of ashed serum or in urine by extracting with sodium diethyldithiocarbamate into MIBK n°). More recently, Savory and co-workers 1131 described a wet digestion procedure for 50 ml of urine or 5 ml of serum in which the thallium is separated by extracting the bromide into ether, evaporating the ether and then taking up in dilute acid for aspiration. As little as 0.1 ppm is determined in urine. Curry et al.114) determined less than 1 ng of thallium in 200 /d of urine by using the tantalum sample boat technique. The sample in the boat is dried by holding the boat 1 cm from the flame and then it is inserted into the flame where it is vaporized. A similar procedure is used for >3 ng of thallium in 50-100/al of blood, except that the blood is preashed with 3 drops of nitric acid. Since the tantalum boat method is susceptible to interelement interferences, the method of standard additions is used for calibration. 

Willis 93) extracted lead directly from 200 ml of urine with APDC into 1.5 ml of methyl-n-amyl ketone. He was able to determine as little as 0.02 ppm of lead. Kopito and Shwachman 141>, on the other hand, co-precipitate the lead from urine with bismuth nitrate by adding ammonia. The precipitated bismuth hydroxide is dissolved in acid and this solution is aspirated. Coprecipitation of the lead is not quantitative, and so standards should be prepared in the same manner. It should be possible to employ this procedure with protein free filtrates of blood without the necessity of close pH control. 

---