Podcast
Questions and Answers
What is the first step in the process of making a blood film?
What is the first step in the process of making a blood film?
- Preparation of blood smear (correct)
- Staining of blood smear
- Fixation of blood smear
- Collection of blood sample
Which of the following steps comes after fixation in the blood film preparation process?
Which of the following steps comes after fixation in the blood film preparation process?
- Staining of blood smear (correct)
- Blood sample collection
- Microscopic analysis
- Preparation of blood smear
What is the purpose of a blood film report?
What is the purpose of a blood film report?
- To determine blood type
- To diagnose infections only
- To assess nutritional deficiencies
- To provide information about a patient's condition (correct)
Which of the following is NOT one of the basic steps to make a blood film?
Which of the following is NOT one of the basic steps to make a blood film?
Why is making a blood film considered a low-cost method?
Why is making a blood film considered a low-cost method?
Which of the following is NOT a common cause of a poor blood smear?
Which of the following is NOT a common cause of a poor blood smear?
What characteristic of a blood film can result from improper spreading technique?
What characteristic of a blood film can result from improper spreading technique?
What is a significant characteristic of a good smear regarding blood drop size?
What is a significant characteristic of a good smear regarding blood drop size?
Which factor does NOT contribute to the quality of a blood smear?
Which factor does NOT contribute to the quality of a blood smear?
Which mistake affects the quality of the smear due to improper technique with the spreader slide?
Which mistake affects the quality of the smear due to improper technique with the spreader slide?
What issue might arise from a film that is too thick?
What issue might arise from a film that is too thick?
Which of the following describes a characteristic of a poorly made blood film?
Which of the following describes a characteristic of a poorly made blood film?
What issue can arise if the spreader slide is not completely pushed across the slide?
What issue can arise if the spreader slide is not completely pushed across the slide?
What is the initial step in creating a wedge blood smear?
What is the initial step in creating a wedge blood smear?
What is the consequence of having holes in the film during the smear preparation?
What is the consequence of having holes in the film during the smear preparation?
Which piece of equipment is necessary for preparing a wedge blood smear?
Which piece of equipment is necessary for preparing a wedge blood smear?
What effect can cellular degenerative changes have on the smear?
What effect can cellular degenerative changes have on the smear?
What volume of anticoagulated specimen is typically used for a wedge blood smear?
What volume of anticoagulated specimen is typically used for a wedge blood smear?
Why is it important to use an anticoagulated specimen for a wedge blood smear?
Why is it important to use an anticoagulated specimen for a wedge blood smear?
What is one of the purposes of using spreaders in the process of creating a wedge blood smear?
What is one of the purposes of using spreaders in the process of creating a wedge blood smear?
What is the first step in the staining procedure?
What is the first step in the staining procedure?
For how long should the stain be allowed to remain on the slide?
For how long should the stain be allowed to remain on the slide?
What can influence the optimal staining time?
What can influence the optimal staining time?
What is the purpose of mixing the stain with buffer solution?
What is the purpose of mixing the stain with buffer solution?
What should be done after flooding the smear with stain?
What should be done after flooding the smear with stain?
What is the primary reason for fixing films after they have dried?
What is the primary reason for fixing films after they have dried?
Why should films not come into contact with water before fixation is complete?
Why should films not come into contact with water before fixation is complete?
What should be done immediately after films have dried?
What should be done immediately after films have dried?
Fixation of films is important to prevent which of the following issues?
Fixation of films is important to prevent which of the following issues?
What can happen if fixation is delayed after drying?
What can happen if fixation is delayed after drying?
What is the recommended fill level for the capillary tube when preparing a wedge blood smear?
What is the recommended fill level for the capillary tube when preparing a wedge blood smear?
Which piece of equipment is essential for creating a wedge blood smear?
Which piece of equipment is essential for creating a wedge blood smear?
Which of the following is NOT a basic component needed for making a wedge blood smear?
Which of the following is NOT a basic component needed for making a wedge blood smear?
What volume of anticoagulated specimen is typically used in the preparation of a wedge blood smear?
What volume of anticoagulated specimen is typically used in the preparation of a wedge blood smear?
What purpose do spreaders serve in the process of preparing a wedge blood smear?
What purpose do spreaders serve in the process of preparing a wedge blood smear?
What is the correct angle at which to hold the spreader slide when preparing a blood film?
What is the correct angle at which to hold the spreader slide when preparing a blood film?
What should be avoided to prevent RBC artifacts when drying the blood film?
What should be avoided to prevent RBC artifacts when drying the blood film?
Why is the examination of thin blood films important in managing anemia?
Why is the examination of thin blood films important in managing anemia?
What can cause issues with the shape of the blood film during preparation?
What can cause issues with the shape of the blood film during preparation?
What is the first action to take with the spreader slide during blood film preparation?
What is the first action to take with the spreader slide during blood film preparation?
In addition to anemia, what other condition can the examination of blood films help investigate?
In addition to anemia, what other condition can the examination of blood films help investigate?
What is a key indication that blood cells in a smear have undergone changes?
What is a key indication that blood cells in a smear have undergone changes?
What might occur if the blood film is not allowed to air-dry completely before staining?
What might occur if the blood film is not allowed to air-dry completely before staining?
What type of conditions would lead to noticeable abnormalities in a blood film?
What type of conditions would lead to noticeable abnormalities in a blood film?
What specific aspect of blood film examination assists in diagnosing infections?
What specific aspect of blood film examination assists in diagnosing infections?
What is the recommended diameter of the blood drop placed on the slide during preparation?
What is the recommended diameter of the blood drop placed on the slide during preparation?
How far from the frosted area should the drop of blood be placed on the slide?
How far from the frosted area should the drop of blood be placed on the slide?
Which part of the slide should be held while preparing the blood smear?
Which part of the slide should be held while preparing the blood smear?
What surface should the slide be placed on during the preparation of the blood film?
What surface should the slide be placed on during the preparation of the blood film?
What should be the the primary focus when placing the blood drop on the slide?
What should be the the primary focus when placing the blood drop on the slide?
What is the purpose of placing the edge of the spreader slide just in front of the blood drop?
What is the purpose of placing the edge of the spreader slide just in front of the blood drop?
How should the blood be allowed to spread on the slide according to the given procedure?
How should the blood be allowed to spread on the slide according to the given procedure?
What technique is recommended for the proper positioning of the spreader slide?
What technique is recommended for the proper positioning of the spreader slide?
What is a likely consequence of not allowing the blood to spread almost to the edges of the slide?
What is a likely consequence of not allowing the blood to spread almost to the edges of the slide?
What should be ensured about the spreader slide before using it on the specimen slide?
What should be ensured about the spreader slide before using it on the specimen slide?
Which of the following actions is likely to result in a poor blood smear due to spreading technique?
Which of the following actions is likely to result in a poor blood smear due to spreading technique?
What is a consequence of using a drop of blood that is too small for smear preparation?
What is a consequence of using a drop of blood that is too small for smear preparation?
What defect in a blood smear may result from using a dirty or chipped spreader edge?
What defect in a blood smear may result from using a dirty or chipped spreader edge?
What outcome is associated with cellular degenerative changes in a blood smear?
What outcome is associated with cellular degenerative changes in a blood smear?
Which issue can arise if the spreader slide is not kept flat against the other slide during the smear process?
Which issue can arise if the spreader slide is not kept flat against the other slide during the smear process?
Flashcards
Blood Film Report
Blood Film Report
A blood film report can quickly and inexpensively provide valuable information about a patient's health.
What is the aim of a blood smear?
What is the aim of a blood smear?
To examine the different components of blood, such as red blood cells, white blood cells, and platelets.
Preparing a blood smear
Preparing a blood smear
Preparing a thin and even layer of blood on a glass slide for microscopic examination.
Fixing a blood smear
Fixing a blood smear
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Staining a blood smear
Staining a blood smear
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Capillary tube
Capillary tube
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Spreader
Spreader
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Clean slide
Clean slide
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Wedge blood smear
Wedge blood smear
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Anticoagulated specimen
Anticoagulated specimen
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Incorrect blood drop size
Incorrect blood drop size
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Jerky spreader slide movement
Jerky spreader slide movement
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Spreader slide not in contact with slide
Spreader slide not in contact with slide
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Incorrect spreader slide angle
Incorrect spreader slide angle
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Dirty spreader slide
Dirty spreader slide
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Cell Fixation
Cell Fixation
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Timely Fixation
Timely Fixation
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Avoid Water Before Fixation
Avoid Water Before Fixation
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Preservation
Preservation
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Morphological Preservation
Morphological Preservation
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Jagged tail on a blood smear
Jagged tail on a blood smear
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Thick blood smear
Thick blood smear
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Long or wide blood smear
Long or wide blood smear
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Poorly made blood smear
Poorly made blood smear
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Well-made blood smear
Well-made blood smear
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Blowing an eddy
Blowing an eddy
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Staining time
Staining time
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Buffer solution
Buffer solution
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Leaving the mixture on the slide
Leaving the mixture on the slide
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Spreader Slide
Spreader Slide
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Blood drop size
Blood drop size
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Spreader slide angle
Spreader slide angle
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Spreader slide contact
Spreader slide contact
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Making a Blood Smear
Making a Blood Smear
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What is a blood smear?
What is a blood smear?
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Why is a thin blood film important?
Why is a thin blood film important?
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What are the characteristics of a well-made blood smear?
What are the characteristics of a well-made blood smear?
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Why is fixing a blood smear important?
Why is fixing a blood smear important?
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Why should water be avoided before fixation?
Why should water be avoided before fixation?
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Blood Film Preparation
Blood Film Preparation
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Smooth Spreader Slide Movement
Smooth Spreader Slide Movement
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Wedge Blood Smear Technique
Wedge Blood Smear Technique
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Avoid Blowing on a Blood Film
Avoid Blowing on a Blood Film
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Air-drying Blood Film
Air-drying Blood Film
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Complete Spreader Slide Movement
Complete Spreader Slide Movement
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Study Notes
Blood Smear Preparation
- Blood smears are crucial for diagnosing anemia, infections, and other conditions affecting blood cells.
- Blood smears provide rapid, low-cost information about a patient's condition.
- A well-made blood film is thick at the drop end and thin at the opposite, centrally positioned and margin free.
- Preparation involves three basic steps: preparing the smear, fixing, and staining.
- Different methods exist, such as the cover glass smear and the wedge smear.
- EDTA-anticoagulated blood is used for peripheral blood smears.
- Smears should be created within one hour of collection to preserve cell morphology.
- Finger-prick blood samples can also be used.
- Methods may include cover slip or wedge smear.
Equipment
- Spreaders
- Clean slides
- Blood capillary tube or micropipette (10 µL)
Procedure
- Fill the capillary tube three-quarters full with anticoagulated blood.
- Place a blood drop (about 2 mm in diameter) on a slide an inch from the frosted area.
- Hold the slide with the non-frosted edge between your thumb and forefinger.
- Place the spreader slide at a 30° angle against the blood drop.
- Draw the spreader slide back and forth to create a thin, feathered-edge film.
- Allow the smear to air dry completely before staining. Avoid blowing on it.
- Label the frosted edge with patient information (name, ID#, date).
Fixation of Blood Smear
- Fix the blood film as soon as possible after drying to preserve cell morphology.
- Prevent contact with water before fixation to maintain integrity.
- Methyl alcohol (methanol) is preferred for fixation, though ethyl alcohol can be used.
- Methylated spirit (95% ethanol) should not be used as it contains water.
Staining the Blood Smear
- Air dry the thin smear.
- Flood the smear with stain.
- Stain for 1–5 minutes; adjusting time based on experience.
- Add an equal amount of buffer solution and mix the stain.
- Leave the mixture on the slide for 10–15 minutes.
- Wash the slide with running water, directing it to the center to prevent precipitated stain residue.
- Stand the slide on its end, and let it air dry.
- Using Leishman's stain is a common method.
Common Causes of a Poor Blood Smear
- Blood drop too large or too small
- Jerky spreader movement
- Spreader not placed flat against the slide
- Failure to maintain the angle of the spreader slide
- Inadequate smear spreading or uneven spreading
- Contaminated / damaged slides (e.g. holes or grease, dust)
- Delayed or improper fixation
- Fixative or staining liquid contamination (methanol contamination).
Characteristics of a Good Blood Smear
- Thick at the drop end, thin at the opposite end
- Occupies the center of the slide
- Does not touch the edges, except at application point.
- Margin free
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