simple fixatives Flashcards

1
Q

acetic acid (7)

A

generally used for compound fixation bc it balances shrinkage

non coagulant

swells non nuclear proteins

penetrates rapidly

preserves chromosomes, dissolves golgi apparatus and mitochondria

destroys RBCs ( will affect iron stains)

does NOT fix lipids or carbohydrates

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2
Q

safety for acetic acid

A

store in flammables cabinet not with other acids

store at room temp

store away from strong oxidizers, strong alkalis, nitric acid

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3
Q

concentrated acid safety

A

store in acid cabinet

pour in fume hood

acid carrier

add acid to water

use heavy rubber gloves

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4
Q

formaldehyde

A

types: NBF, paraformaldehyde, formalin solution

neutral buffered formalin is most common fixative used

non-coagulant, additive

colorless gas derived from methanol

37-40% full strength

diluted to 10% for use ( formalin)

methanol is added to prevent polymerization

cross links proteins

reacts with amino acids

reacts with NH2 and alters eosin staining

lipids preserved but not insoluble

penetrates quickly, fixes slowly ( 48 hrs@ rm temp )

less shrinkage than all

hardens more than all except alcohol or acetone

cheap, stable

allows more staining than other fixatives

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5
Q

formalin without buffer

A

without buffer formalin may cause pigment ( known as acid hemtin)
- acidity cause by reaction with O2 in air leads to formation of formic acid, formic acid causes pigment id pHis 6 or lower in the presence of blood

black/brown microcrystalline pigment

  • found in blood forming tissue
  • bi-fringement
  • avoid pH below 6
  • remove with alcoholic picric acid, OR 1%potassium or ammonium hydroxide in 80% alcohol
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6
Q

formaldehyde safety

A

carcinogen

eye and skin irritant

sensitizer

toxic by ingestion

waste disposal considerations

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7
Q

neutral buffered formalin

A

ph: 7.2-7.4

blood and mucous slow fixation

penetrates 1mm/ hr
fixation equals squared distance of penetration
ex. 5mm from center to periphery would be 5x5 = 25 hrs of fixation

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8
Q

paraformaldehyde

A

highly polymeric form of formaldehyde

heated and made alkaline for use in EM*

  • produces a pure formaldehyde solution
  • too difficult for routine use *
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9
Q

formalin solution ( formulas)

A

formalin ( formal) saline

calcium formalin ( phospholipids )

formal ammonium bromide ( CNS)
- good for cajal nerve stain but gives positive schiff reaction

acetate formalin ( phospholipids)

neutralized formalin ( Ca or Mg carbonate)

neutral buffered formalin *

modified millonig formalin (EM)

alcoholic formalin ( speed )

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10
Q

gluteraldehyde

A

cross links

dialdehyde

leaves a free aldehyde group ***
- false pos for periodic acid schiff ( PAS)

penetrates slowly and poorly ***

fixes as it pentrates

2 hr fixation for EM - place in buffer to avoid over hardening***

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11
Q

glyoxol

A

most recent addition to fixatives

smallest dialdehyde
- largely replaced formaldehyde in textile industry

less toxin than formalin

cross linking my be prevented

fixed after 4-6 hrs ( very fast )*

no smudgy nuclei or distorted staining

iron may be decreased - false neg iron stain *

helicobacter pylori staining is unsatisfactory***

RBCs and eosinophilic granules
-possible false neg stains

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12
Q

glyoxal safety

A

eye and skin irritant

nitrile gloves, goggles and splash proof apron

may be disposed in drain ( money saving)

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13
Q

mercuric chloride

A

sublime or dichloride of mercury
enhances staining

amorphous brown pigment cannot be prevented
can be removed using iodine followed by sodium thiosulfate ( hypo) ***
birefringent

label pigment removal reagents as “ halogen waste with mercury “ when discarding

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14
Q

mercuric chloride safety

A

very toxic
affects CNS, or kidney with tiny exposure

bad for environment

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15
Q

osmium tetroxide

A

post-fixation for EM specimens

additive
non- coagulant

*** preserves lipids and colors them black

penetrates only a few layers

expensive

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16
Q

osmium tetroxide safety

A

vaporizes easily
hazardous
fixes nasal and mucous membranes
use fume hood and extreme caution

17
Q

picric acid

A

fixes and stains

hydrolyses DNA and RNA

enhances staining and anionic dyes

decalcifies small deposits

shrinkage exceeded only by alcohol

don’t use with renal biopsies bc would not allow deparafinization for EM

MUST BE WASHES OUT OF TISSUE

  • 50% alcohol
  • lithium carbonate
  • failure to wash will harm staining and cause tissue breakdown
18
Q

picric acid safety

A

explosive when dry **

store powder under water - purchased in saturated form are safer

19
Q

potassium dichromate

A

rarely used alone
makes lipids insoluble and doesn’t preserve like osmium
fixes mitochondria
reacts with carboxyl and hydroxyl groups
increases affinity for eosin - makes eosin stain better
- opposite reaction to NBF

pigment formed is placed directly in alcohol
- wash in water before processing to prevent

pigment removal

  • keirnan says pigment is green and insoluble
  • carson says 1% hydrochloric acid in 70% alcohol however removal is not complete

most say pigment is impossible to remove but east to prevent

20
Q

potassium dichromate safety

A

oxidizer

highly toxic

carcinogen

corrosive

tracked and collected for disposal

21
Q

zinc salts

A

superior nuclear detail & better paraffin infiltration ( than formalin)

substitute for mercury

may precipitation in closed tissue processor ***** :(