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Manual of basic techniques for a health laboratory - libdoc.who.int

Manual of basic techniques for a health laboratory - libdoc.who.int

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300 <strong>Manual</strong> <strong>of</strong> <strong>basic</strong> <strong>techniques</strong> <strong>for</strong> a <strong>health</strong> <strong>laboratory</strong>Fig. 9.63 Cleaning slides to be used <strong>for</strong> thin blood filmsTo make a spreader, select a slide with a perfectly smooth edge. Make a diagonalmark across the two corners at one end <strong>of</strong> the slide with a file. Snap <strong>of</strong>f the two filedcorners (Fig. 9.64).9.10.3 MethodCollection <strong>of</strong> specimensTake the blood from the side <strong>of</strong> the third or fourth finger as shown in Fig. 9.29.Let the blood flow freely. First take samples <strong>for</strong> determining the erythrocyte orleukocyte number concentrations, if possible (see sections 9.5 and 9.6).Important:Do not take blood from:— the index finger or thumb— an infected finger (e.g. paronychia)— the ear (too many monocytes).If it is not possible to prepare the film within 1–2 hours <strong>of</strong> collection <strong>of</strong> the bloodspecimen, EDTA dipotassium salt solution should be added. Other anticoagulantssuch as heparin alter the appearance <strong>of</strong> leukocytes and thrombocytes and shouldnot be used.Preparation <strong>of</strong> the film1. Collect a drop <strong>of</strong> blood <strong>of</strong> about 4mm diameter by touching it lightly with oneend <strong>of</strong> the slide (Fig. 9.65).2. Hold the slide with one hand. Using the other hand, place the edge <strong>of</strong> the spreaderjust in front <strong>of</strong> the drop <strong>of</strong> blood (Fig. 9.66).

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