EXPERIMENT 1: EQUIPMENTS AND MARIALS IN THE HEMATOLOGY LABORATORY Flashcards

1
Q

• Capillary or Dermal Puncture

A

Skin Puncture

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2
Q

Skin Puncture Materials

A
  1. Dry and wet cotton
  2. Blood lancet
  3. Capillary tube or microtube
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3
Q

Syringe Method Materials

A
  1. Hypodermic syringe and needle

2. Tourniquet

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4
Q

Evacuated Tube System Materials

A
  1. Adapter
  2. Two-way needle
  3. Tourniquet
  4. Collection tubes
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5
Q

• Feather lancet

A

Skin Puncture

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6
Q

o Pointed portion is inserted

A

• Triangular blade

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7
Q

• Triangular blade Standard depth

A

2mm

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8
Q

Skin Puncture Tests

A

A. Microhematocrit preparation
B. Peripheral blood smear
C. Cell counts

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9
Q

Skin Puncture Steps

  1. Collect sample
  2. Seal with [?]
  3. Label
  4. Centrifugation
A

sealing clay/paraffin wax

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10
Q

o High-speed centrifugation

o Separation of layers

A

• Microhematocrit centrifuge/microfuge

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11
Q

o Separation of layers

A

 Plasma

 Buffy coat (RBC, WBC, Platelets)

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12
Q
  • Microhematocrit centrifuge/microfuge

* Microhematocrit reader

A

Skin Puncture

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13
Q
  1. Hypodermic syringe and needle

• Standard length:

A

1 to 1.5 inch

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14
Q

• Bore:
o [?] – adult
o [?] – pediatric

A

21 to 22 gauge

23 gauge

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15
Q
  1. Hypodermic syringe and needle parts
A
  • Plunger

* Nozzle

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16
Q
  • Attachment

* Need to be secured/tightened

A

• Nozzle

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17
Q

• [?] (max volume: 12cc)

A

10 cc

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18
Q

?

A

5cc

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19
Q

• [?], highly elastic – pediatric

A

Brown rubber torniquet

20
Q
  1. Tourniquet ideal angle
A

30 to 45 degrees

21
Q
  1. Collect 12 mL
  2. Release tourniquet and fist
  3. Apply cotton
  4. Remove needle
  5. Fish-out needle
  6. Remove needle from the nozzle
  7. Transfer blood to EDTA tube (nozzle touches the tube)
  8. Invert 8 times
A

Syringe Method

22
Q

Evacuated Tube System Materials

A
  1. Adapter
  2. Two-way needle
  3. Tourniquet
  4. Collection tubes
23
Q

to avoid carry-over

A

• ORDER OF DRAW

24
Q

dispense blood in tubes before clot formation

A

• ORDER OF DISPENSING

25
• ORDER OF DRAW
26
• ORDER OF DISPENSING
``` o Blue (1st) o EDTA (2nd) o Yellow (3rd) ```
27
Acid-Hematin Method
* Sahli pipette * Sahlisquare pipette * Comparator block
28
Drabkin’s Method
* 13 x 100mm * Autopipette * Spectrophotometer
29
Hemoglobin Determination
Acid-Hematin Method | Drabkin’s Method
30
Cell Counts (RBC, WBC, Platelet)
* Thomas pipette * Sacking tube * Hemocytometer * Microscope * Tally counter
31
o 1,110mm | o Improved Neubauer
• Hemocytometer
31
o 1,110mm | o Improved Neubauer
• Hemocytometer
32
* Glass slides * Blood sample (skin puncture; EDTA) * Dry and stain preparation * Wash, dry, observe * Differential counter (100 max) * For observing red cell morphology
Peripheral Blood Smear or Differential Count
33
– hematology (w/ fixative)
o Wright’s Stain
34
1. Solution A – [?] 2. Solution B – [?] 3. Solution C – [?]
eosin methylene blue fixative or buffer solution
35
• Measures the distance travelled by red cell
Erythrocyte Sedimentation Rate
36
* [?] – smaller | * [?] – larger
Winthrobe tube | Westergren tube
37
• Incubated at room temperature for 4 hrs
Erythrocyte Sedimentation Rate
38
• Rack is used to avoid disturbing of prep
Erythrocyte Sedimentation Rate
39
• Evaluates integrity of red cell membrane
Osmotic Fragility Test
40
* Test tube rack | * 14 x 75mm test tubes
Osmotic Fragility Test
41
o Tube number caused hemolysis
o 14 (12)
42
• Not routine
Reticulocyte count
43
aim to stain cells while alive; freshly collected
• Supravital Stain
44
• Supravital Stain
1. New methylene blue (NMB) | 2. Brilliant Cresyl Blue (BCB)