List corrective measurements for each of the following:

a. A good monolayer on a blood smear in a patient with a low hematocrit
b. A good monolayer on a blood smear in a patient with a high hematocrit
c. Platelet satellitism
d. Many smudge cells on PB smear

What will be an ideal response?


Answer:
a. Raise the angle of the spreader slide and use a larger drop of blood to ensure a sufficient monolayer area for review.
b. Lower the angle of the spreader slide and use a smaller drop of blood to ensure a sufficient monolayer area for review.
c. Check for a clot in the sample. If not present, redraw the patient in a sodium citrate tube.
d. Make a smear mixed with albumin, and stain accordingly.

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