Blood Smear Preparation Techniques

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Questions and Answers

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?

  • Staining of blood smear (correct)
  • Blood sample collection
  • Microscopic analysis
  • Preparation of blood smear

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?

<p>Evaluation of blood chemistry (C)</p> Signup and view all the answers

Why is making a blood film considered a low-cost method?

<p>It can provide immediate results with minimal resources (D)</p> Signup and view all the answers

Which of the following is NOT a common cause of a poor blood smear?

<p>A well-made blood film (A)</p> Signup and view all the answers

What characteristic of a blood film can result from improper spreading technique?

<p>Jagged tail at the end of the smear (D)</p> Signup and view all the answers

What is a significant characteristic of a good smear regarding blood drop size?

<p>The drop should be of a uniform size. (B)</p> Signup and view all the answers

Which factor does NOT contribute to the quality of a blood smear?

<p>Type of blood used (D)</p> Signup and view all the answers

Which mistake affects the quality of the smear due to improper technique with the spreader slide?

<p>Pushing the spreader slide in a jerky manner. (C)</p> Signup and view all the answers

What issue might arise from a film that is too thick?

<p>Difficulty in distinguishing between individual cells (A)</p> Signup and view all the answers

Which of the following describes a characteristic of a poorly made blood film?

<p>Irregular size and shape of cells (C)</p> Signup and view all the answers

What issue can arise if the spreader slide is not completely pushed across the slide?

<p>Irregular spread with ridges and long tail appears. (C)</p> Signup and view all the answers

What is the initial step in creating a wedge blood smear?

<p>Fill a capillary tube three-quarters full with the anticoagulated specimen. (C)</p> Signup and view all the answers

What is the consequence of having holes in the film during the smear preparation?

<p>Slide contamination with fat or grease occurs. (D)</p> Signup and view all the answers

Which piece of equipment is necessary for preparing a wedge blood smear?

<p>A clean microscope slide for the smear. (B)</p> Signup and view all the answers

What effect can cellular degenerative changes have on the smear?

<p>Results from delay in fixing or inadequate fixing time. (A)</p> Signup and view all the answers

What volume of anticoagulated specimen is typically used for a wedge blood smear?

<p>10 μL (D)</p> Signup and view all the answers

Why is it important to use an anticoagulated specimen for a wedge blood smear?

<p>It prevents clotting, ensuring even distribution of cells. (D)</p> Signup and view all the answers

What is one of the purposes of using spreaders in the process of creating a wedge blood smear?

<p>To evenly spread a thin layer of blood across the slide. (A)</p> Signup and view all the answers

What is the first step in the staining procedure?

<p>Flood the smear with stain (C)</p> Signup and view all the answers

For how long should the stain be allowed to remain on the slide?

<p>10-15 minutes (C)</p> Signup and view all the answers

What can influence the optimal staining time?

<p>Experience of the technician (B)</p> Signup and view all the answers

What is the purpose of mixing the stain with buffer solution?

<p>To dilute the stain to a lower concentration (D)</p> Signup and view all the answers

What should be done after flooding the smear with stain?

<p>Add buffer and mix the stain (A)</p> Signup and view all the answers

What is the primary reason for fixing films after they have dried?

<p>To preserve the morphology of the cells (B)</p> Signup and view all the answers

Why should films not come into contact with water before fixation is complete?

<p>Water can distort the cell structure (B)</p> Signup and view all the answers

What should be done immediately after films have dried?

<p>Start the fixation process (B)</p> Signup and view all the answers

Fixation of films is important to prevent which of the following issues?

<p>Deformation of cell walls (D)</p> Signup and view all the answers

What can happen if fixation is delayed after drying?

<p>Cell death occurs (D)</p> Signup and view all the answers

What is the recommended fill level for the capillary tube when preparing a wedge blood smear?

<p>Three-quarters full (B)</p> Signup and view all the answers

Which piece of equipment is essential for creating a wedge blood smear?

<p>Blood capillary tube (D)</p> Signup and view all the answers

Which of the following is NOT a basic component needed for making a wedge blood smear?

<p>Stirring rod (D)</p> Signup and view all the answers

What volume of anticoagulated specimen is typically used in the preparation of a wedge blood smear?

<p>10 μL (D)</p> Signup and view all the answers

What purpose do spreaders serve in the process of preparing a wedge blood smear?

<p>To create an even distribution of blood (D)</p> Signup and view all the answers

What is the correct angle at which to hold the spreader slide when preparing a blood film?

<p>30° (B)</p> Signup and view all the answers

What should be avoided to prevent RBC artifacts when drying the blood film?

<p>Blowing to dry (C)</p> Signup and view all the answers

Why is the examination of thin blood films important in managing anemia?

<p>It allows for the assessment of blood cell morphology. (B)</p> Signup and view all the answers

What can cause issues with the shape of the blood film during preparation?

<p>Holding the slide at an incorrect angle (A)</p> Signup and view all the answers

What is the first action to take with the spreader slide during blood film preparation?

<p>Draw it back against the drop of blood (D)</p> Signup and view all the answers

In addition to anemia, what other condition can the examination of blood films help investigate?

<p>Infections (D)</p> Signup and view all the answers

What is a key indication that blood cells in a smear have undergone changes?

<p>A differential white cell count (B)</p> Signup and view all the answers

What might occur if the blood film is not allowed to air-dry completely before staining?

<p>Uneven staining (B)</p> Signup and view all the answers

What type of conditions would lead to noticeable abnormalities in a blood film?

<p>Hematological issues (A)</p> Signup and view all the answers

What specific aspect of blood film examination assists in diagnosing infections?

<p>The appearance of white blood cells (C)</p> Signup and view all the answers

What is the recommended diameter of the blood drop placed on the slide during preparation?

<p>2 mm (A)</p> Signup and view all the answers

How far from the frosted area should the drop of blood be placed on the slide?

<p>1 inch (C)</p> Signup and view all the answers

Which part of the slide should be held while preparing the blood smear?

<p>The narrow side of the non-frosted edge (D)</p> Signup and view all the answers

What surface should the slide be placed on during the preparation of the blood film?

<p>A flat surface (C)</p> Signup and view all the answers

What should be the the primary focus when placing the blood drop on the slide?

<p>Preventing contact with the frosted area (B)</p> Signup and view all the answers

What is the purpose of placing the edge of the spreader slide just in front of the blood drop?

<p>To allow for an even spread of blood across the slide (B)</p> Signup and view all the answers

How should the blood be allowed to spread on the slide according to the given procedure?

<p>Almost to the edges of the slide (A)</p> Signup and view all the answers

What technique is recommended for the proper positioning of the spreader slide?

<p>Place the smooth edge against the slide and push it forward (D)</p> Signup and view all the answers

What is a likely consequence of not allowing the blood to spread almost to the edges of the slide?

<p>The resulting smear may not be usable for analysis (D)</p> Signup and view all the answers

What should be ensured about the spreader slide before using it on the specimen slide?

<p>It has to be thoroughly cleaned and smooth on the edge (C)</p> Signup and view all the answers

Which of the following actions is likely to result in a poor blood smear due to spreading technique?

<p>Not pushing the spreader slide completely across the slide (D)</p> Signup and view all the answers

What is a consequence of using a drop of blood that is too small for smear preparation?

<p>Difficulty in achieving a thin film (A)</p> Signup and view all the answers

What defect in a blood smear may result from using a dirty or chipped spreader edge?

<p>Presence of ridges and long tails (C)</p> Signup and view all the answers

What outcome is associated with cellular degenerative changes in a blood smear?

<p>Delayed or inadequate fixation time (C)</p> Signup and view all the answers

Which issue can arise if the spreader slide is not kept flat against the other slide during the smear process?

<p>Irregular distribution of cells in the smear (B)</p> Signup and view all the answers

Flashcards

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?

To examine the different components of blood, such as red blood cells, white blood cells, and platelets.

Preparing a blood smear

Preparing a thin and even layer of blood on a glass slide for microscopic examination.

Fixing a blood smear

Treating the blood smear with a fixative to preserve the cells and prevent them from being washed away during staining.

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Staining a blood smear

Applying stain to the blood smear to highlight different components of the blood, making them easier to identify under the microscope.

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Capillary tube

A small glass tube used to collect and transport blood samples.

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Spreader

A device used for spreading a thin layer of blood on a microscope slide.

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Clean slide

A glass slide that is cleaned and prepared for microscopic examination.

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Wedge blood smear

A technique for making a thin layer of blood on a microscope slide for examination under a microscope.

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Anticoagulated specimen

A blood sample that has been treated with an anticoagulant to prevent clotting.

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Incorrect blood drop size

Using too much or too little blood can make the smear too thick or too thin, making it difficult to analyze.

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Jerky spreader slide movement

Jerky movements create uneven cell distribution, making cell counting and analysis challenging.

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Spreader slide not in contact with slide

Leaving gaps or areas with no blood makes the smear incomplete and difficult to analyze.

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Incorrect spreader slide angle

Incorrect angle creates a thick smear at one end and a thin smear at the other, making it difficult to analyze.

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Dirty spreader slide

A dirty spreader slide can leave debris on the smear, obscuring cells and making analysis inaccurate.

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Cell Fixation

The process of preserving the shape and structure of cells in a blood film.

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Timely Fixation

Fixing a blood film as soon as possible after drying helps maintain the original shape and structure of the cells.

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Avoid Water Before Fixation

Water can damage and distort cells before fixation is complete, so it's crucial to avoid contact with water.

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Preservation

The act of preserving biological specimens, like blood films, to allow for study and analysis.

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Morphological Preservation

Maintaining the natural form and arrangement of cells within a blood film, preventing distortion.

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Jagged tail on a blood smear

A blood smear with a jagged tail indicates the spreader was not used correctly, resulting in an uneven or disrupted blood sample.

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Thick blood smear

A blood smear that is too thick can obscure cellular detail, making it challenging to identify different blood cell types.

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Long or wide blood smear

A blood smear that is too long or too wide can lead to uneven distribution of blood cells, potentially causing inaccurate results.

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Poorly made blood smear

A poor blood film can create an overly wide or uneven spread of blood cells, making analysis difficult.

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Well-made blood smear

A well-made blood smear should have a smooth, gradual transition from thick to thin, allowing for optimal observation of blood cells.

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Blowing an eddy

A technique used during blood smear staining to mix the stain evenly by creating a swirling motion in the solution.

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Staining time

The duration of staining a blood smear, which varies depending on the type of stain and desired intensity.

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Buffer solution

A solution added to the stained blood smear to help stabilize the stain and prevent it from spreading or fading.

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Leaving the mixture on the slide

The amount of time the stained blood smear is left undisturbed after adding buffer solution, allowing the color to set and become more permanent.

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Spreader Slide

A tool used to create a thin, even layer of blood on a slide for microscopy.

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Blood drop size

A small, round drop of blood, about 2 mm in diameter, is placed on a slide for analysis.

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Spreader slide angle

Holding the slide at a specific angle while spreading the blood drop ensures a gradual thickness transition and clear cell observation.

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Spreader slide contact

Ensure the spreader slide maintains constant contact with the slide to create a smooth, uninterrupted blood film.

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Making a Blood Smear

Creating a thin and even layer of blood on a microscope slide for microscopic examination.

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What is a blood smear?

A blood smear is a thin layer of blood spread on a glass slide. It's used to examine the different components of blood, such as red blood cells, white blood cells, and platelets, under a microscope.

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Why is a thin blood film important?

A thin blood film is crucial for proper blood cell analysis. It allows for an accurate count of different cell types and evaluation of their morphology (shape and structure) without overlapping.

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What are the characteristics of a well-made blood smear?

A good blood smear should be smooth and have a gradual transition from thick to thin. This ensures that all blood cells are spread evenly and allows for clear observation of their features.

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Why is fixing a blood smear important?

The blood smear is fixed soon after drying to preserve the shape and structure of the cells. This prevents them from being washed away during staining and ensures accurate analysis.

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Why should water be avoided before fixation?

Water can damage and distort blood cells before fixation. It's crucial to avoid contact with water before the fixation process is complete.

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Blood Film Preparation

The process of spreading blood on a microscope slide to create a thin, even layer for analysis.

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Smooth Spreader Slide Movement

Pushing the spreader slide across the slide in a smooth, steady motion ensures even cell distribution.

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Wedge Blood Smear Technique

A technique involving drawing a spreader slide across a blood drop at a 30° angle to create a blood smear.

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Avoid Blowing on a Blood Film

The moisture from your breath can cause artifacts or distortions in the red blood cells, making them difficult to analyze.

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Air-drying Blood Film

Allowing the blood film to air-dry completely before staining is important to preserve the cells' natural shape and structure.

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Complete Spreader Slide Movement

Pushing the spreader slide fully across the slide ensures a complete spread of blood cells, making analysis easier.

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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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