VETERINARY PHYSIOLOGY
Cardiovascular and Respiratory Physiology
Name ___________________________
Admission No.___________________
Compiled by
Dr. R. Kumar, Professor
Dr. K. B. Sharma, Professor
2009
2009
Name_________________________________
Admission No.________________________
Compiled by
Dr. R. Kumar, Professor
Dr. K. B. Sharma, Professor
2009
2009
TABLE OF CONTENTS
Sr.
No.
1.
Name of Experiment
Page
No.
1
Introduction to haematology
2.
Introduction to anticoagulants
3.
Clotting Time
5.
10
6.
13
7.
Estimation of Haemoglobin
16
8.
20
9.
Blood Grouping
22
10.
25
11.
30
12.
33
Platelet Counting
38
14.
41
45
16.
50
54
18.
Cardiac Output
57
Annexure:
Normal
Cardiac,
Respiratory
And
61
Date
Instructors
Signature
INTRODUCTION TO HAEMATOLOGY
Haematology is the study of blood and is concerned primarily with the study of formed
elements of blood. These include:
Erythrocytes or red blood cells (RBC)
Leucocytes or white blood cells( WBC)
Thrombocytes or platelets (PLT)
Routine haematological examination includes the determination of haemoglobin
concentration, haematocrit (HCT) or packed cell volume (PCV) of cells in circulation and
differential count of leucocytes based on the study of stained blood smear. Besides this,
bleeding time, clotting time, specific gravity of blood, erythrocyte fragility etc are also
determined.
Components of blood and their functions
Blood is the fluid tissue of the body that flows through the vascular channels (arteries,
capillaries and veins) and transports the vital nutrients and waste products of the body.
Other important functions include defending the body against micro-organisms,
homeostasis and maintenance of body temperature.
The blood has two major components- cellular and fluid. The cellular component
consists of erythrocytes, leucocytes and thrombocytes. Thrombocytes are smallest (1 to
4 m in diameter) and the leucocytes are the largest of all the cells with a wide range of
size (9 to 20 m).
Red blood cells constitute the highest number (6.3 106 /l) of formed elements in
circulation followed by platelets (2.5 -5 lakh /l) and white blood cells (5 to12 103 /l).
Note: 1 litre =106 l and 1l =1 cumm. Expression cumm is now obsolete.
Formed elements are suspended in the fluid component of blood called plasma and
are thus able to perform their functions under normal conditions. However, if blood is
removed from the blood vessel, it soon clots. The blood remains fluid as long as it
remains inside the vascular system. On clotting, the clear fluid separates out called as
serum, while the formed elements are trapped in the clot. Composition of serum is similar
to plasma except that the protein fibrinogen, which is present in plasma is absent in
serum as it is converted to fibrin and used in clot formation. Thus, if blood is being
collected for haematological examination, it should not be allowed to clot.
Gauge*
18 - 20
18 - 20
16 - 18
20 - 22
18 - 20
16 - 20
When little blood is required, it can be obtained from the ear vein. Select small vein on
the back of the earlobe, clip the hair, clean the site with methylated spirit and allow it to
dry. Keep the head steady. The vein is punctured by a sharp prick with the help of a
hypodermic needle. If the blood flow is in stasis and comes after squeezing only, then
make a fresh puncture and collect the blood.
Pigs: The blood is collected from tail, ear vein and heart using hypodermic needle of 1420 gauge and 1-6" length depending upon the site of the collection of blood. The neck of
the pig is very thick, so it is difficult to approach the jugular vein. While collecting the
blood from the heart, insert the needle between 2nd and 3rd ribs; push it downward and
forward until it pierces the heart. There will be a gush of blood. But once the heart is
injured, there will be continuous bleeding and that may lead to the death of the animal.
So the collection of blood from the ear and tail is safe.
Poultry: In poultry blood is collected from wing vein and heart. Remove the feathers over
the vein. Apply 70% methanol. Press the vein with the help of thumb and wing vein will
become prominent. Insert hypodermic needle of 20 - 24 gauge and 3/4" - 1" length in
opposite direction to the flow of the blood. A needle of 3" length and 20 - 24 gauge
should be used for collection of blood from heart. Push the needle downward and
between the clavicles or over the window on the left side of tissues formed by ventral
canal and ribs. If the heart is injured more, excessive bleeding will cause the death of the
bird.
Precautions:
1. The needle should always be inserted in opposite direction of the flow of blood.
2. The blood can be collected directly or transferred into a vial or tube containing
anticoagulants. Pressure should be released before the withdrawal of hypodermic
needle from the vein to avoid formation of haematoma.
3. Four to five ml of the blood is sufficient for all haematological examinations.
4. Syringe used must be cleaned and dried and the blood must not be allowed to
coagulate in the syringe. The syringe should be cleaned immediately after the
collection of the blood.
passing a needle through one drop at a time at one minute interval. When the fibrin
threads stick to the needle and are dragged along it, the coagulation has taken place
and the time is noted from a stop watch from the time of collection of blood to the time
of coagulum formation. In dry warm weather, the slide should be kept on beaker of
warm water to avoid evaporation.
Precaution: The blood should be collected from a sharp deep puncture and the first
few drops should be discarded.
2. Modified drop method: Two glass discs 5mm in diameter are cemented to glass
slide. Blood is placed in these and the slide is kept inverted on beaker of warm water
(40 0C). The coagulation is noted by seeing the shape of the drop while keeping the
slide vertical.
3. Capillary Method: The method is most commonly used and found satisfactory. In
this method, the blood is drawn into the fine capillary tubes. The site is cleaned, dried
and punctured with a sharp needle. First drop is wiped off. The second drop is drawn
into the capillary tube filled by capillary action. Avoid touching of the tube to the skin
of the animal. After one minute place the capillary tube in such a way that index finger
is kept above and thumb below the capillary tube and break a bit of the capillary with
slight pressure from thumb. If there is no thread formation between the two broken
ends when taken apart gently, then break the other one after every 30 seconds
intervals till the gap is bridged. Note the time from the time of receiving the blood till
the bridge formation. This is the coagulation time of that individual.
4. Lee and White Method: Take three clean test tubes rinsed with 0.85% normal saline.
Remove blood from vein with a clean syringe and needle rinsed with saline. Remove
needle and transfer gently about 1 ml of blood to each tube. Place the tube in water
bath at 370C. After about two minutes, gently tilt one of the tubes and observe for
clotting. If the clot has not formed, tilt the second tube followed by third tube. Repeat
the process after every one minute interval till the third tube shows clotting. The time
is noted since the puncturing of vein and the development of firm clot in third tube.
Precautions: The tube used should be small in internal diameter i.e. 8 mm. The vein
should be punctured cleanly with the first attempt. The suction of the blood should be
gentle to avoid drawing of air bubbles into syringe. The tube should be kept close to
the body temperature.
Haemostasis: It is the arrest of bleeding. When a blood vessel is damaged, the platelet
masses aggregate at the site of the injury occluding the flow of blood and prevent
bleeding. The immediate arrest of bleeding is aided by:
1. Constriction of blood vessel walls (by 5-HT liberated from disintegration of
platelets).
2. Formation of blood platelet plug (The platelets first of all agglutinate and then
fuse to form a solid mass). The agglutination of platelets requires the presence
of ADP, traces of thrombin and a protein factor. The action of ADP is calcium
dependent.
A few minutes after the onset of bleeding, the clotting of blood occurs. After about half
an hour when the capillaries reopen due to accumulation of the tissue metabolites, the
area is sealed and the haemostasis is maintained.
Later the clot retracts and is replaced by the fibrous tissue. The fibrin network of the
clot may act as scaffold for the new collagen and new capillaries. The haemostasis will
be normal when there is:
1. Vasoconstriction.
when the circulating platelets concentration is below 50,000/cu mm and the blood
continues to ooze in small drops (purpura haemorrhagica). The bleeding time is
prolonged due to failure of constriction of minute blood vessels, low concentration of
platelets and due to the defective coagulation.
Bleeding Time: It is the time taken for the formation of clot at the point of puncture,
detected by watching when bleeding stops as ascertained by frequent soaking of the
blood by means of a filter paper. It can be measured by:
Dukes' Method: To determine the bleeding time by Dukes' method, the hair are
clipped from the back of ear lobe. Moisten a piece of cotton with 70% alcohol and
sterilize the middle or tip of the ear of animals and middle of the finger in human being.
Let this dry. Make an incision 4 to 5 mm deep with a sharp scalpel near the tip of the
lobe of ear or in the pulp of finger. Place a half folded filter paper after half minute
interval over the site from where the blood is oozing out of the puncture. The filter paper
should be placed gently over the site. The blood spot on the filter paper become smaller
and smaller with passage of time. This shows that the flow of the blood is gradually
ceasing. When the blood ceases to flow, record the time. Bleeding time is the time
elapsed between the puncture and cessation of bleeding. The normal clotting and
bleeding time in the farm animals and man is as follows:
Animal
Coagulation Time
Bleeding Time
Horse
< 11 min.
1 to 5 minutes in most
domestic animals.
Cattle or Ox
6 min.
Sheep
1 to 2 min
Goat
2 min.
Buffalo
4 to 6 min.
Pig
3 min.
Dog
2 min.
Cat
1 min.
Fowl
4 min.
Rabbit
4 min.
Man
3 to 10 min.
Species
Clotting Time
Bleeding Time
Cattle
Buffalo
Sheep
Goat
Dog
Fowl
Human
Date:
(Instructor)
Linzenmeier method: The time required for the upper level of corpuscles to fall to
a fixed distance is measured.
2.
Westergren method: The fall of the corpuscles which have taken place during the
specified time is noted. This is widely used method and most accurate.
Method: Fill the Westergren tube up to `0' mark and fix it in the stand. While fixing the tip
of the tube, it must be pressed hard against the rubber at the bottom before releasing the
finger; otherwise the blood will flow out. Note the fall of the corpuscles after a fixed time.
3. Wintrobe method:
i)
ii)
Take a clear dry Wintrobe tube and fill the tube up to the 10 cm mark either with
the help of a syringe and needle with polyethylene catheter sufficient to reach to
the bottom of Wintrobe tube or with a Pasteur pipette.
iii)
Adjust the blood present above the mark with the help of a filter paper or cotton.
Place the tube in the stand and keep it undisturbed.
iv)
Note the fall of the corpuscles at intervals of 10, 20, 30, 60 minutes to 24 hours.
The erythrocyte sedimentation rate is always represented as mm/time interval.
Precautions:
i)
The blood collected should be used for determination of sedimentation rate within
two hours of its time of collection. Further delay may be associated with
increased suspension stability of the blood.
ii)
Since the sedimentation rate increases with the increase in temperature, so the
test be carried out at a temperature not less than 220C and not more than 370C. If
10
the blood used has previously been kept in a refrigerator, it should be allowed to
come to the above temperature before being used.
iii)
The haematocrit tubes should be kept vertical as a 30 change in the angle from
the vertical will considerably increase sedimentation rate.
ii)
iii)
iv)
v)
vi)
vii)
viii)
ix)
Position of the tube: - In horizontal condition the retardation force is equal to the
downward force, but when the tube is inclined the retardation force is less than
downward force, so there is an increase in ESR.
x)
The size of the displacing particle i.e. by aggregating the RBC (Rouleaux
formation) causes increased ESR during normal conditions, diseases and during
pregnancy.
xi)
xii)
During chronic infections, globulin and fibrinogen contents are increased i.e.
Pulmonary tuberculosis, Pneumonia, septic infections and pregnancy etc
Cattle
Dog
Pig
Cat
Min.
11
E. S. R (mm/min.)
E. S. R (mm/min.)
0
5
10
15
30
60
120
For Buffalo:
Time (Min.)
0
5
10
15
30
60
120
Date:
(Instructor)
12
Take a Wintrobe tube having a uniform 3mm bore and calibrated by a 10 cm scale
with millimetre divisions. The scale on the left side is read from top to bottom for
ESR while scale on the right in the reverse order for PCV.
ii)
iii)
The tip of the polyethylene tubing or Pasteur pipette having a long narrow end is
inserted to the bottom of the haematocrit tube (Wintrobe tube) and the blood is
forced out by pressure on the syringe/rubber bulb. The pipette is slowly withdrawn
simultaneously.
iv)
v)
Place the tubes in the centrifuge machine and centrifuge at the speed of 3000 rpm
for 30 minutes.
vi)
After thirty minutes, read the packed cell volume from the bottom to top. The
packed cell volume is read in percentage.
b) Micro-capillary Method:
Procedure:
Take micro capillary tube and fill 2/3rd of it with blood (anticoagulant mixed blood
for non-heparinized capillary and fresh blood without anticoagulant for heparinized
capillary). Apply sealing wax/clay on one side and centrifuge at 8000 rpm for 8 minutes.
Place the capillary tube on the reading plate device and PCV in percentage.
13
Precautions:
1.
Use anticoagulant added blood for estimating the PCV with Wintrobe tube method
and while using non-heparinized capillary in Micro-capillary method.
2.
The Wintrobe tube should be filled up to the top i.e. up to 0.00 and avoid formation
of air bubble(s) in the tube.
3.
In case the level of the blood has gone above 0.00 mark, adjust it immediately with
cotton or cloth.
35 (24-48)
Cat
37 (24-45)
Horse
42 (32-55)
Sheep
38 (24-50)
Dog
45 (37-55)
Goat
35 (24-48)
14
Cattle
Buffalo
-----
-----
-----
-----
PCV in % as determined by
Date:
(Instructor)
15
Colorimetric procedures.
2.
3.
4.
b) Alkali-hematin
c) Cynamethemoglobin
d) Cyanohaematin
e) Pyridine-hemochromogen
16
scale by noting the height of the column of the diluted acid haematin. The values are
always represented in gm%.
Precautions:
1. Measure the blood accurately up to the mark i.e. 20 l.
2. Wipe off the blood sticking on the outside of the pipette.
3. Air bubbles formation while mixing blood and acid should be avoided.
4. Dilution with water or Acid should be accurate. If the match point is passed, the
whole process must be repeated.
5. The same time interval should be observed on each occasion the instrument is
used. It should be standardized under same conditions.
6. In making comparisons, several rapid readings must be made and the average
of these taken; otherwise the eye will become fatigued and erroneous readings
will be accepted.
b. Alkali-Haematin Method:
Take 0.05 ml of blood in a tube containing 4 ml of N/10 HCl left at room
temperature for 48 minutes and then diluted to 5 ml with 1N NaOH.
OR
Dilute 0.05 ml of blood to 6 ml with N/10 NaOH. Heat in a boiling water bath for 4
to 5 minutes, cool and read against the standard.
Advantage:
1. The addition of excess of alkali produces a true solution of haematin and much better
solution of plasma proteins and fat where as the acid haematin method is affected by
even non-haemoglobin substances (Protein and lipid) in both plasma and cell stroma.
Moreover acid haematin is in colloidal suspension rather than a trace solution and
makes it unsatisfactory for photometry.
2. With alkali haematin, even carboxyhemoglobin, methemoglobin and sulfhemoglobin
forming 2-12% of the total haemoglobin are also converted to haematin, which is not
possible with acid.
Disadvantage: With alkali-haematin method, the blood of the new born and young
infants carrying small amount of foetal haemoglobin is alkali resistant.
17
- 11 (8-15)
Horse
- 14.4 (11-19)
Sheep
- 11.5 (9-15)
Goat
- 10.0 (8-15)
Dog
- 15 (12-18)
Cat
- 12 (8-15)
18
Exercise No. 6: Determine the haemoglobin content in gm% for the given sample.
Dog
Cattle
Date:
Sheep
Buffalo
(Instructor)
19
Goat
20
Date:
(Instructor)
21
Agglutinogen/Antigen
Agglutinin/Antibody in Serum
Anti-B
Anti-A
AB
A and B
None
None
Anti-A
No Clumping
- Group-O.
- Group - A.
- Group - B.
- Group - AB.
22
In the slide testing method shown above, three drops of blood are placed on a cavity
glass slide with liquid reagents. Agglutination indicates the presence of blood group
antigens in the blood.
Blood Group Systems: - The blood group system in different species is given in the
table below:
Species
Blood Group
Systems
Blood Group
Factors
1. Human being
14
100+
Agglutination
2. Cattle
12
80+
Haemolytic
3. Sheep
30+
Haemolytic Agglutination
4. Horses
30+
5. Pigs
15
65+
6. Dogs
11
15+
7. Cats
2+
8. Chicken
12
30+
23
Blood group
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Date:
(Instructor)
24
Diluting Solutions: Any of the following diluting solutions can be used for diluting
Hayem's Solution:
Sodium Sulphate
-2.5 gm
Sodium chloride
-0.5 gm
Mercuric chloride
-0.25 gm
Distilled water
-100 ml
II Toisson's Fluid
Sodium Chloride
-1 gm
Sodium Sulphate
-8 gm
Methyl Violet
-0.025 gm
Neutral Glycerine
-30 ml
Distilled water
-180 ml
Sodium Chloride
-0.8 gm
Potassium Chloride
-0.0075 gm
Calcium Chloride
-0.01gm
Sodium Bi-carbonate
-0.01gm
DW-
Locke's Solution:
Sodium Chloride
-0.9 gm
Potassium Chloride
-0.042 gm
25
Calcium Chloride
-0.024 gm
Sodium Bicarbonate
-0.02 gm
Glucose
-0.2 gm
DW-
Hayem's solution is the best but it should not be more than two or three weeks old.
3.
Counting Chamber:
platforms. These are separated from each other by a central moat and from the elevated
bars on each side by transverse moats. These lateral bars are so ground that a cover
slip resting on them lies exactly 0.1 mm above the ruled platforms. On each platform is
engraved a ruled area 3 mm on each side (9 sq mm). This area is divided into 9 large
squares (Primary squares) which are again sub divided, the 8 outside squares being
divided into 16 medium small squares (Secondary squares) and the central one into 400
smallest squares (Tertiary squares).
Each of the largest squares is 1 mm on the side or 1 sq mm in area. Each of the
medium squares is 0.25 mm on side. One smallest square in the central largest square
is 0.05 mm on side or 0.0025 mm2 in area. In the improved Neubauer's chamber, the
400 smallest squares in the central square are arranged into 25 groups of 16 squares
separated by "split" boundary lines (double line).
Method:
Draw blood by suction into a Thoma red cell pipette up to 0.5 mark or if
anaemic to mark 1. Wipe off the blood sticking on the outer surface of the pipette. In
case the blood has slightly passed 0.5 mark, it should be adjusted by touching the tip of
the pipette against cloth or cotton. The diluent is then drawn up to 101 mark. While
drawing the diluent, the pipette is then rotated between the finger and thumb in order to
mix the blood thoroughly with the diluent. Hold the pipette horizontally and mix for half a
minute.
For uniform mixing, hold the pipette loosely in one hand and rotate the attached
rubber tube with thumb and index finger of the other hand. Rotation in one direction
should be avoided. Mixing should be repeated each time before expelling a drop for
examination. Keep the Neubauers chamber on a smooth surface. The cover glass is
then placed on the counting chamber.
Several drops of fluid are expelled from the pipette and discarded. This is done to
expel the Hayems fluid in the capillary which is not mixed up with the blood. A small
drop of mixed fluid is then placed between the cover glass and the ruled platform. The
fluid will run under the cover glass by the capillary action. The fluid should completely
cover the chamber and none should run over the sides.
26
Allow the blood to settle for few minutes and examine for the uniform distribution of
the red corpuscles in the chamber under low power. Then place under the high power
objective of microscope and count the erythrocytes in the central small squares. The
number of cells in the four corner groups of 16 squares and one central one is recorded.
Count in L (inverted or upright) form and omitting the cells lying on or outside the
opposite line.
3mm
3mm
1mm
1mm
1mm
If the dilution is 1 to 200 (blood drawn to the 0.5 mark), then the total of cells found in
the 5 groups of 16 squares is multiplied by 10,000 in order to give the number of cells per
cu mm of blood. If the dilution is 1 to 100, then total number of cells is multiplied by
5,000.
The length of the side arm of smallest square is =0.05 mm
The area of the smallest squares is = 0.0025 sq. mm. i.e. (0.05 x 0.05 = 0.0025)
The depth
Total volume
= 0.1 mm
= 0.1 x 0.0025 = 0.00025 cumm
Since 80 such squares are counted the area covered is =0.00025x80=0.02 cumm
or the number of cells counted per cumm is = 1/0.02 or 50
as the dilution was 1 to 200.
The multiplication factor is = 50 x 200 = 10,000
27
Precautions:
1. Neubauer chamber should be free from dust or grease
2. Wash the counting chamber with lukewarm water or wipe with alcohol.
3. Wash the pipette three times each with water/alcohol and ether of equal volume
4. After washing dry the pipette.
5. A horse hair (never a wire) should be used in removing blood which has clotted in
the pipette. It is extremely important to avoid making even the slightest crack in the
bore of the pipette.
6. Always use pipette, counting and cover glass certified by the US Bureau of
Standards. If it is expensive, then one such set in the laboratory can be used as a
basis of comparison.
7.
In case Hayem's fluid is used and coarse particles are observed which could be
produced by
a. clumping of red corpuscles due to cold hemagglutinin, can be prevented by
warming the Hayems fluid before use.
b. The coarse particles may also be produced by precipitation of globulins by heavy
metals in the diluting fluid.
c. In cirrhosis of liver and a typical pneumonia, cold hemagglutinin may be formed.
Such pseudo agglutination can be prevented by using Gower's solution i.e.:
Sodium Sulphate
-12.5 gm
Acetic Acid
-33.3 gm
Distilled water
-100 ml
or
Species
Cattle
RBC Count
(millions/ l)
6-8
Sheep
8-15 (10-13)
Goat
13-20
Horse
6-9 - 12.0
Dogs
5.5 - 8.8
Poultry
1.6 - 1.5
Rabbit
4.8 - 8.5
Buffalo
RBC Count
(millions/ l)
6-8
Cat
6-8
Man
5-6
Woman
4 -5
Elephant
2.4
Camel
5.4
28
Cattle
-------------------------
Buffalo
-------------------------
Dog
------------------------
Poultry
-------------------------
Date:
(Instructor)
29
2. Cover slip
3 ml
Gentian Violet -
1 ml
30
Multiplication factor =
_____20_____
1x 1 x 0.1 x 4
= 50
where
20 =
dilution
1x1 =
0.1 =
Note:
1. Uniform distribution is ascertained only when the variation between the 4 squares
is not more than 8 cells during the normal count.
2. During leukaemia the dilution should be made in erythrocyte pipette and the
correction applied, accordingly.
Normal value of WBC
Cattle - 5000 - 12000/l
Buffalo- 9000 - 15000/l
31
Cattle
--------------
Buffalo
--------------
Dog
-------------
Poultry
-------------
Date:
(Instructor)
32
slides because of their thinner preparations and more even distribution of the leukocytes.
The cover glass in the right hand is held just over a freshly drawn drop of blood. It
will spread over the glass by capillary action. The drop should be about two to three mm
in diameter. Avoid touching of the cover slips to the skin. This cover glass is held in the
left hand in the cross wise fashion. The blood will spread quickly and uniformly between
the two surfaces. The two cover glasses are separated by drawing apart the cover
glasses horizontally in the opposite direction rather than vertically, before the blood
spreads completely. If the separation is not done immediately the clotting will take place
and it will be difficult to separate. If the preparation is successful, the blood will be spread
evenly and the RBC will neither overlap nor Rouleaux.
2. Slide Technique: A drop of blood larger than that used for the cover glass method is
placed on the surface of the slide near one end. The slide is then held between two
fingers and steadied with the little finger of the left hand. The blood may be spread by
means of another glass slide known as spreader which is held in right hand. The
spreader is held just to the left of the drop of blood and then it is pulled back to edge of
the drop. The blood will spread out behind the spreader which is then pushed to the left.
The movement must be quick and steady.
The smear will be thin or thick according to the movement of the spreader i.e.
slow or rapid and depending on the angle at which the spreader slide is held. The angle
should be about 30 degree. A good smear should be smooth, homogeneous and without
serrations, have even edges and should occupy approximately the middle third of the
slide. The slide is good for RBC examination, parasites but a differential count is not
satisfactory since the polymorphs are pushed to the edges and the lymphocytes remain
scattered throughout the smear.
Fixation of Smears:
The blood is allowed to dry on the glass in the open air. With most stains, fixation
is brought about in the first minute when the undiluted stains which contain alcohol is
applied to the smear for 5 minutes. Some stains do not require prefixing as the fixation is
done by the stain itself because these contain alcohol e.g. Leishman's stain.
33
Place the freshly prepared, air dried film, with its smeared surface upward on a
staining rack.
2.
Put on undiluted Leishmans stain for one to two minutes to fix the smears.
3.
Add double the quantity of neutral distilled water or buffer water with the help of a
dropper and mix the fluids by sucking and expelling them with the dropper.
4.
5.
Wash and dry in the air after blotting gently with a filter paper.
6.
Azur II
Eosin
= 3 gms.
Azur II
= 0.8 gms.
34
35
the counter is not available then it can be done with the help of Tally counting as given
below:
Neutrophils
33
35
Monocytes
20
Eosinophils
IIII IIII
10
Lymphocytes
Basophils
II
2
________
100
Neutrophil
Eosinophil
Basophil
Granulocytes
Monocyte
36
Exercise No. 11: Determine the Differential Leukocyte count (%) in different
species of animals.
Species
Neutrophil
Lymphocyte
Monocyte
Eosinophil
Cattle
Buffalo
Sheep
Goat
Dog
Poultry
Date:
(Instructor)
37
Basophil
Accuracy of Count
1. At best, thrombocyte counts are often unsatisfactory; the thrombocytes have their
own effective characteristics that allow them to avoid being counted, or they are
confused with artefacts. Their small size, irregular distribution, rapid disintegration,
ready agglutination and adhesion make accurate, reproducible counting difficult.
2. The thickness of the haemocytometer does not allow the oil immersion objective to be
used with the direct method, and difficulty is encountered in distinguishing
thrombocytes from other particles such as dust and debris.
3. The phase microscope with appropriate equipment provides the best method but is
usually not available
C.
Indirect method It is the simplest and most practical for the average person
No. of thrombocytes
--------------------------X total WBC count/microliter
100 leukocytes
D.
Direct method:
1.
Blood is drawn into an erythrocyte-diluting pipette to the 0.5 mark and the diluting
fluid is drawn to the 101 mark similar to the erythrocyte count. Diluents that may be used
include the following:
a. Rees-Ecker:
Sodium citrate
-3.8 g
Formaldehyde 40%
-0.2 ml
38
-0.1 g
Distilled water
-100 ml
-1.1 g
Distilled Water
-q.s. to100 ml
With the illumination partially reduced, count the thrombocytes in the entire central
Use the fine adjustment to focus on each cell to identify the thrombocytes as lilac
coloured, oval, rod or comma shaped, and considerably smaller in size than the
leukocytes that are also visible.
Calculation:
No. of thrombocytes/ microliter = No. of thrombocytes x 1000
The results obtained should be checked by making a survey of the blood smear to
determine if there is good correlation between the two methods.
39
Thrombocytes/Platelet Count
(Lakhs/l)
Cattle
-------------------
Buffalo
-------------------
Dog
-------------------
Poultry
-------------------
Date:
(Instructor)
40
between carotid artery and the manometer always keep slightly higher pressure in
manometer than the normal systolic pressure of the animal so that the blood may
not rush into catheter filled with heparinized saline solution, when the connection
is restored, and the blood should stay only up to the tip of the catheter.
7. On restoring the connections between the catheter and the manometer, the
mercury column will rise on the opposite column of U shaped mercury manometer
having a pointer floating on the mercury.
8. The column of mercury shows upward and downward deflections.
9. Record the deflection by a pointer on a kymograph.
10. Two types of deflections are recorded, one of low amplitude (B.P.) and other of
higher amplitude building up slowly and steadily (Respiration), record to stability.
41
11. Disconnect the three way cannula and bring the open end of the catheter at the
level of the heart or aorta of the animal. The column of the mercury will fall along
the pointer. Mark the line where the pointer is stabilised.
12. Measure the maximum and minimum height from the base line and multiply with 2
to determine the systolic and diastolic pressures.
(The height in mm Hg is
wrapped by a cloth. The rubber bag has two attachments, one for the manometer and
the other for the bulb which has the arrangement for inlet and outlet of air, regulated by
screw knob.
1. Wrap the cuff round the arm above the elbow.
2. Close the outlet on the bulb and make the connections between bulb and
manometer.
3. Inflate the rubber bag in the cuff until it exceeds the arterial systolic pressure (2030 mm Hg above the normal systolic pressure).
4. Place the stethoscope on the cubital fossa on the elbow joint or feel the radial
pulse towards the side of the thumb.
5. Start releasing the pressure by opening the outlet on the bulb and hear the sound
or feel the pulse.
6. When there is no flow of blood no sound is heard/no pulse is felt. As the pressure
in the cuff falls just below the systolic pressure the flow of blood will produce
turbulence and a sound is heard or a pulse will be felt with the index finger. Note
the pressure. Because this is the peak pressure during systole of the ventricle so
it is called SYSTOLIC PRESSURE, which is greater enough to force the blood
under the inflated cuff.
42
7. Then allow the pressure in the inflated cuff to fall further. The intensity of the
sound increases and finally the sound muffles or disappears. Note the pressure.
It is the minimum pressure in the artery during the diastole of the ventricle. So it is
called DIASTOLIC PRESSURE.
8. Deflate the cuff more, the murmur finally disappears completely. The sounds
disappear because after the cuff pressure is below diastolic pressure the blood
flows throughout the cardiac cycle without any turbulence so there is no sound.
Central Venous Pressure (CVP): It is measured with the help of apparatus called CVP
Saline manometer set. It carries a three way cannula connected on one side with a
scale and on other side with a bottle which carries the normal saline solution. The third
end is connected with the help of a catheter to jugular vein of patient. To record the CVP,
the scale is kept at the level of heart. The saline manometer is filled with saline expelling
air-bubbles from the tubes on all sides. One end is connected to jugular vein of the
patient through a catheter or a hypodermic needle. By clamping the tubing from where
fluid comes, it is made air tight. The connections are made between the vein and the
scale by moving three way cannula and direction is indicated by various arrows.
Immediately after connection, there is fall in saline column and wherever it stabilizes, that
observation indicates the central venous pressure i.e. CVP. It is expressed in centimetre
(cm) saline column.
43
Exercise No. 13: To measure the blood pressure by direct and indirect method.
Observations: By Indirect Method
Name of Method used:
S. No.
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Name of Student
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Date:
(Instructor)
44
= Left arm - Right arm (the negative terminal of ECG is connected to the
electrode on the right arm and positive to left arm i.e. when right arm is -ve to the left arm
there is +ve or upward deflection).
Lead II= Left Leg - Right arm (the negative terminal is connected to right arm and
positive to left leg).
Lead III= Left Leg - Left arm (the -ve terminal is connected to left arm and the positive
terminal to left leg).
The fourth electrode is applied to the right leg. This does not enter into the
electrocardiographic picture but serves to ground the machine for all leads and thus
helps to eliminate alternating current. Three standard leads are bipolar leads because
they show the activity of the heart as viewed simultaneously from two different locations
or poles i.e. double exposure view. They help in diagnosis of abnormal rhythms as
double exposure characteristic exaggerates the amplitude of P waves and makes them
more easily recognizable and may be confusing some times as waves in Lead III
resemble a cardiac abnormality and yet may result from cardiac position and are normal.
45
VR= R - (L + R + F)
VF = F - (L + R + F)
Unfortunately, the unipolar limb leads are low in amplitude and difficult to study, so
increase or augmenting their amplitude is required. Disconnecting lead from the three
tailed indifferent electrode from that extremity to which the exploring electrode is already
applied, the amplitude of the complexes will be increased by 50%. Thus aVL=L-(R+F),
aVR=R-(L+F), aVF=F-(L+R).
III. Chest Leads:
An indifferent electrode is formed by uniting all of the standard electrodes i.e. from
left arm, right arm and left leg, through a resistance of 5,000 ohms each to a central
terminal and this is connected to the negative terminal of the electrocardiograph. The
potential at the central terminal remains at Zero. The positive terminal is connected to the
electrode placed on the various areas of the chest. There are six standard positions on
46
the chest which are referred as V1, V2, V3, V4, V5 and V6. The placement of these
chest leads is:
V1= 4th intercostal space to right of sternum
V2= 4th intercostal space to left of sternum
V3= Mid way between left sternal border and mid clavicular line in a line joining position
2 and 4.
V4= 5th intercostal space in mid clavicular line.
V5= 5th Intercostal space in left anterior axillary line
V6= 5th intercostal space on left mid axillary line.
The electrical potentials in the auricle and ventricle appear in the form of
deflections called P wave, QRS and T wave. The cardiac potentials are recorded on
ECG paper which is ruled horizontally and vertically, and the paper is allowed to move at
a speed of 25mm/sec. Before making a record, the machine is to be calibrated.
Evaluation of E.C.G. Tracings:
The different waves recorded are - P wave, QRS and T wave.
P WAVE: It denotes the electrical activity over the atria i.e. wave of atrial depolarization.
It is mostly positive in all the three leads. The potential in standard lead system is 0.20.3 mV and the duration varies between 0.08 - 0.12 sec. Atrial repolarization is absent
because ventricular depolarization superimposes it. Atrial repolarization is called atrial T
wave. When ventricle is prevented from depolarization and also the gain of amplifier is
increased considerably. The T wave will appear as a low voltage with downward
deflection.
QRS Complex (Ventricular depolarization): It is the resultant of the left and right
bundles, Purkinje fibres and left and right ventricular cardiac muscle electrical activity. Its
direction, amplitude and shape depend upon the position of the heart. Q denotes the
potential on the ventricular septum. R at the apex and S at the base of the ventricle. The
base of the ventricle is the last part to be depolarized. The QRS is normally 1mV and
lasts for 0.06 to 0.10 sec.
T Wave: (Ventricular repolarization): The amplitude is normally about 0.3 mV and lasts
for 0.16 sec.
PR-Interval:
mostly absent, the interval is called PR rather than PQ. The time elapsing between the
47
activation of the SA node and the activation of AV node (Auriculo - ventricular conduction
time) normally measures about 0.16 and not more than 0.20 sec.
Q-T Interval: Extends from origin of QRS to the termination of T wave. It is also known
as intraventricular conduction time or electrical systole. It is affected by the beat of the
heart. At heart rate of 70 per minute the Q-T interval is about 0.36 sec. and at 120/min, it
is 0.28 sec.
S-T Segment: Extends from termination of QRS to the beginning of T Wave. It is also
called isoelectric phase and normally it is at the base line level. It gets elevated during
the cardiac abnormalities.
S-T Interval: Extends from the termination of QRS to the termination of T wave.
R-R Interval: Extending between two RR of two QRS complexes. It denotes total time
taken per beat. To evaluate the heart rate per minute divide 60 by R-R interval (60/R-R
interval) where 60 is the factor to convert seconds to minutes.
48
Date:
(Instructor)
49
EXERCISE NO. 15: TO RECORD RESPIRATION RATE, HEART RATE AND PULSE
RATE IN DOMESTIC ANIMALS
Respiration Rate: Normally, two terms are used i.e. respiration and breathing. The
term respiration and breathing are not synonyms.
respiration. Breathing begins with the movement of chest and the subsequent effect on
the movement of air into and out of the lungs. Respiration includes i) movement of air
into the lungs (i) oxygenation of pulmonary blood (iii) transportation of oxygenated blood
from lungs to tissues (iv) utilization of O2 and production of CO2 at tissue level (v)
transportation of CO2 by blood from tissue to lungs (vi) movements of CO2 from lungs
into the atmosphere.
parts.
(A) Inspiration and (B) Expiration.
The rate and the amplitude of the respiratory movement in the different animals
can be recorded by the use of following methods.
Physical methods:
1. Paper method: The respiration rate of animals can be recorded by placing a paper
strip close to the nostrils. The paper will move towards the nostrils during inspiration
and pushed away during expiration. The pull and push of the paper will constitute
one respiration. To record the respiration rate count the number of times the paper is
pushed per minute.
2. Abdominal method/Flank method:
recorded by standing at the back of the animal and making the observations on the
rise and fall of the abdominal flank (Differentiate it from the rise and fall of the left
abdominal flank at the time of ruminal contraction). The respiration rate of the animal
will be the number of times the flank rises per minute.
Precautions:
Always stand at the back of the animal and observe the fall and rise of
the flank unnoticed by the animal otherwise the animal once disturbed will not give the
normal respiration rate as during disturbance the respiration rate gets increased.
3. Auscultation method:
over the chest and recording the respiratory sounds during inspiration and expiration.
Experimental Methods:
1.
Cannula method:
ribs with the care to prevent the entrance of more than a small bubble of air through
the opening. Connect the catheter with a tambour/ manometer fitted with a pointer to
write on a kymograph. During inspiration, with the fall in pressure the pointer will
50
show downward deflection and during expiration due to increase in pressure in the
catheter, the pointer will show upward deflection. Take the upward and downward
deflection of the writing pen as one respiration. Count the number of respirations per
minute.
2. Tracheal cannula: Insert a tracheal cannula in the tracheal tube and connect it to a
tambour with recorder. Inspiration will decrease the pressure in the endotracheal
tube, tambour and recorder showing a downward movement of the writing lever,
expiration will cause an upward movement of writing point.
3. Pneumograph or Stethograph method: The pneumograph /stethograph is tied
around the chest. The pneumograph is connected to a recorder. During inspiration
the capacity of the pheumograph is increased and the writing lever move lower and
expiration showing upward movement.
The stethograph, a metallic cylinder is closed at both the ends (as compared to
pneumograph which a rubber coil is enclosing a rubber tubing open at one end) and
has a rubber diaphragm. The string is tied to the centre of each membrane and the
apparatus tied around the thorax. A tambour is connected by rubber tubing to a side
tube of the stethograph. Inspiration pulls up the rubber diaphragm which creates a
negative pressure in stethograph tube and tambour. Expiration produces the
opposite effect.
4. Chest Plethysmograph:
sheath and inflated rubber bag of the plethysmograph are tied over the thorax of
animal. During inspiration the air from the inflated bag goes into the spirometer,
whose inner cylinder is raised which has a writing pen. During expiration the inner
cylinder again returns to the same level.
5. Body Plethysmograph: It is used for measuring respiration rate and the respiratory
volumes.
6. Transducers:
respiration rate. The thermister transducer is placed before the nostrils i.e. in the
respiratory air stream just below the nasal passage and above the lips. The
transducer is held in position by adhesive tape. The transducer is connected to a
preamplifier of polyrite physiograph which magnifies pressure changes many times
and feed it to the writing pen through a motor. During inspiration the pen gives
downward movement and during expiration upward movement.
7. Benodict-Roth respiration apparatus: This apparatus is used for the metabolic
studies. The metabolic apparatus also imparts the information about the respiratory
frequency of the animal.
51
intercostal space on the left side of the thorax. After calibration, the heart sounds are
recorded from the region of maximum amplitude. Normally, two cardiac sounds are
recorded. The 1st which is of higher amplitude and lasts for a longer duration than the
second which is of lower amplitude and lasts for shorter duration. Some times 3rd and 4th
cardiac sounds are also recorded.
52
EXERCISE No. 15: Determine the heart rate / pulse rate and respiration rate in the
following:
Goat
Dog
Poultry Man
Heart Rate
Pulse Rate
Respiration
Rate
Tidal
Volume
Inspiratory
capacity
Expiratory
capacity
Date:
(Instructor)
53
5. Blood infusion.
The earliest method for estimating blood volume consisted of bleeding the animal
to death followed by washing out of the blood vessels and adding the blood contained in
the washing to that collected during bleeding which is a very tedious and cumbersome
method. Now-a-days blood volume and plasma volume is determined by dye-dilution
technique or by tracer technique. The different dyes used for the determination are T1824, Bengal blue, Vital red, RISA, Cr51, P32, and Fe39. Out of all these, T-1824 and
RISA have been employed successfully for the determination of blood volume and
plasma volume.
Determination of Plasma and Blood Volume by Dye Method
Principle: When a known volume of a substance, a non-toxic azodye, Evan's blue is
injected into circulation, it is uniformly distributed after some time (normally 10 minutes).
The extent of dilution in the circulating plasma is determined by measuring the
concentration of dye in the plasma. The total volume of the fluid is determined from the
equation;
V = A/C,
where
V = Volume of plasma
54
Plasma Volume
1 Ht
55
Exercise No.16: Determine the blood volume and plasma volume in the following
species of animals.
Cattle
Buffalo
Sheep
-------
Blood volume
-------
------
Goat
Dog
-----
------
-----
-------
-----
------
-----
-------
Date:
Fowl
(Instructor)
56
For cardiac catheterization (Right ventricle) keep the animal off feed and water for 12
hours and note temperature, pulse, respiration and body weight.
2.
Clean and shave about 2 sq. inches area of skin over the left jugular vein.
3.
Inject I/M local anaesthesia 2% procaine hydrochloride solution in the area and
perform the venipuncture with 4-1/2 inch 14 gauge needle and pass a polyethylene
catheter (PE 200 ID 0.14 cm length 90 cm) filled with heparinized saline into the right
ventricle. Ascertain the presence of catheter in the right ventricle from the ventricular
pressure.
4.
Remove the hypodermic needle carefully and keep the catheter in the position.
5.
Similarly isolate the carotid artery and catheterize on the other side of the neck.
Dye dilution technique: The dye dilution method of Fisher and Dalton (1961), Stowe
and Good (1960) using T-1821 (Evan's Blue) for the determination of cardiac output is as
follows:
1.
2.
Dissolve Evan's blue in normal saline and prepare a stock solution of 5%.
3.
Inject the Evan's blue dye @ 0.25-0.40 mg/kg body weight through jugular catheter
into right ventricle.
57
4.
Immediately flush with the normal saline the remains of the dye in the syringe, or
flush the dye by drawing the blood into the syringe and re-injecting it into the
catheter i.e. in the right ventricle.
5.
Immediately after injecting the dye, start collecting arterial blood samples from the
carotid catheter in the heparinized tubes at an interval of 1-2 sec. Maintain the
constant time interval between the consecutive samples collected.
6.
Collect fourteen such blood samples from the carotid catheter for the determination
of average concentration of dye circulated.
7.
8.
Take blood plasma without dye (from the blood collected before injecting the dye T1824) through the jugular catheter as No.1) as blank, determine the optical
densities of the unknown 14 samples collected from the carotid catheter, in
Spectronic 20 at 620 nm.
9.
10. Plot the concentration of dye in blood plasma (mg/ml) against time (sec) on a log
paper and draw a concentration curve.
11. Extrapolate the concentration curve to the base line and measure the total
concentration under the curve.
12. From the area under the curve, the average concentration of the dye (mg/ml) is
determined.
13. Determine the hematocrit value (%) by the Wintrobe method by centrifuging the
Wintrobe tubes at 3000 revolution per minute for 30 minutes or by microcapillary
method. The true hematocrit value is obtained by multiplying the hematocrit with a
correction factor which varies in different animals (CF. sheep- 0.95, goat- 0.81, and
buffalo calf- 0.87).
14. Determine the cardiac output by using the equation
F = __A60___
Ct (1-Ht)
Where F= Cardiac output litres/min.
A
Ht =Haematocrit value %
60 =Time factor for conversion of seconds to minute.
58
Precautions:
1. The animal should not be disturbed during the collection of blood samples.
2. The dye should be completely flushed in to the venous circulation. The process of
re-flushing the dye should be completed in 1-2 seconds.
Factors affecting cardiac output:
1. Heart rate
2. Stroke volume
3. Anaemia
5. Sleep
6. Cardiac abnormalities
7. Hyperthyroidism
8. Exercise
9. Temperature
10. Starvation
11. Emotions
59
Exercise No. 17: Determine the cardiac output in the following species of animal
and derive the various Cardiac Indices:
Cardiac
Output
Cattle
Buffalo
------
-------
Sheep
Goat
Dog
Fowl
-------
------
-----
-----
Date:
(Instructor)
60
Annexure
NORMAL CARDIAC,
CARDIAC, RESPIRATORY AND HEMATOLOGICAL
HEMATOLOGICAL VALUES IN DIFFERENT ANIMALS
Horse
Cattle
Buffalo
Camel
Sheep
Goat
Pig
Dog
Cat
Rabbit
Fowl
Man
8-16
10-30
18-30
12-20
12-20
12-20
08-18
10-30
20-30
20-30
15-30
12-20
32-44
60-70
40-60
30-40
70-80
70-80
60-80
70-120
110-130
200
200-400
60-90
99.7
101.5
101.5
102.3
103.8
102.5
102
101.5
103.1
107.1
98.4
15-38/20 2-6/24
60-65/2
1/
0.00/
0.00/
0-6/
5-25/
7-10/
4-5/24
7/2
1.6/ hour
minute
hours
hours
hour
hour
hour
30 min
60 min
hour
hour
hour
PCV (%)
33
40
32
28
32
34
41
45
40
35-57
41
44
Hb (gm/dl)
10.0
14.0
11.6
13.1
12.4
10.9
12.0
13.0
10.5
12.6
12.0
14.5
Sp. gravity
1.042/
1.046/
1.040/
1.030/
1.038/
1.042/
1.055/
1.054/
1.050/
1.050/
1.043/
1.052/
of blood
1.060
1.058
1.045
1.045
1.065
1.062
1.059
1.062
1.054
1.063
1.063
Clotting
11.5
6.5
4-6
1.5-2.5
2.5
3.5
2.5
1.5
4.5
3.5-10.0
5.5
4.5
1-4
1-4
1-4
1-4
1-4
1-4
1-4
1-4
2-6
6.9
6.3
6.8
8.2
8.1
13.9
11.4
6.2
7.2
5.9
3.2
5.4
Resp. Rate
/minute
Heart
rate/min
Rectal
Temp. oF
ESR
Time (min)
Bleeding
Time (min)
TEC
millions/ l
61
Horse
WBC Thousand/l 5-11
Cattle
Buffalo
Camel
Sheep
Goat
Pig
Dog
Cat
Rabbit
Fowl
Man
5-12
8.9-15.2
18-20
4-10
5-14
7-20
8-18
9-24
8.2
16-40
30-65
25-45
22-32
30-60
10-50
30-48
28-47
60-70
35-75
42
13
60-65
25-70
45-75
45-66
33-58
40-75
50-70
39-62
12-30
20-55
52
75
15-30
1-7
2-7
8-9
1.5-6.0
0-6
0-4
2-10
3-10
1-5
5.7
3-7
0-11
2-20
8-22
2-17.5
0-10
1-8
1-11
2-10
2-12
2.5
1-4
0-3
0-2
0-0.2
0-0.5
0-3
0-1
0-2
2.4
0.5-1
163
125-166
125
110
120
169
150
140-170
100
135
100
68
59-85
78
58-74
70
58-95
92
70
60-75
40-50
70
43-63
37-54
50-55
46-53
53
36-50
43-58
46-48
40-55
46
50
75
99-113
119
107-114
129
138
69
121
70
850
580
230
53
14
72
D
L
C
Blood Pressure
(mmHg) mean
Blood Volume
(ml/kg)
Plasma Volume
(mm/Kg)
Cardiac Output
(ml/kg/min)
Stroke
Volume(ml/beat)
(Calf)
62