Blood dilution Flashcards
reported as percentage
relative count
shows the real count/ number
absolute count
•Prior to blood cell counting using the ______, blood is first diluted with specific diluting fluids
Improved Neubauer counting chamber
RBc dilution if blood ratio
1:200
WBC dilution of blood ratio
1:20
PLT
1:100
Devices used first cell count
Thoma Pipettes, Improved Neubauer Hemacytometer, Compound microscope
RBC Pipet markings
0.5/1.0/101
WBC markings
0.5/1.0/11
RBc size of bulb
large
WBC size of bulb small
small
rbc color of bead
red
wbc color of bead
white
rbc volume in bulb
100
wbc volume in bulb
10
RBC size of bore
smaller
WBC size of bore
bigger
mark to which blood is drawn (RBC)
0.5 mark
mark to which blood is drawn (Plt count)
1 mark
the mark to which diluting fluid is drawn
101 mark
area to where both blood and diluting fluid combine
Bulb
mixes the contents; identifier of the type of thoma pipette
Red bead
to which diluting fluid is drawn (wbc)
11 mark
to which blood is drawn (wbc)
0.5 mark
Red blood cell count diluting fluids
Isotonic solutions: Hayem’s, Gower’s, or Dacie’s fluid.
WBC Count diluting fluids
2% acetic Acid; 1% Hydrochloric Acid; Turk’s Diluting fluid (Containing Acetic Acid-3ml, 1 ml of aqueous gentian violet, and 100 ml distilled water)
platelet count diluting fluid
•1% ammonium oxalate; Rees-Ecker fluid (Containing 3.8 grams of sodium citrate, 0.2 ml of 40% formaldehyde, 0.1 gram of brilliant cresyl blue in 100 ml aqueous solution)
DILUTING FLUIDS
• Cheap and Economical
• Stable, Easy to Secure and Prepare
• With Preservative Action
• High Specific Gravity
• With Buffer Action
• Non-Allergenic / Non-corrosive
• WBC Diluting Fluid must be hypotonic
• RBC Diluting Fluid must be Isotonic
device used to count erythrocyte, leukocyte, and platelets, present in blood as well as other body fluids
hemacytometer
Each chamber has a total measurement of
9mm² (Subdivided into 9 squares that measures 1mm² each)
Refers to the routine procedure that gives an approximation of the total number of leukocytes in the circulation
WBC Count
Function of the WBC is to
provide immunity- the ability to resist infection
In a normal adult, WBC ranges about
4,000-11,000/mm3
A Count above normal can is called
Leukocytosis
leukocytosis PHYSIOLOGIC CAUSE
- Exercise
- Stress
- Obstetric labor
- Anesthesia
leukocytosis parhologic causes
-Infection
-Hematologic Disorder (leukemia)
counts below normal
Leukopenia
Leukopenia causes
• Viral Infection
• ionizing Radiation
• Chemicals
• Drugs
• Hematologic problems (aplastic anemia)
For RBC Counting, Blood is diluted with
isotonic solution
WBC Dilution Ratio
1:20
WBC Dilution Factor
20
WBC Blood Units
0.5
WBC Bulb Units
10
Blood is diluted with either:
-2% acetic Acid
- 1% Hydrochloric Acid
-Turk’s Diluting fluid (containing acetic acid-3ml, 1
ml of aqueous gentian violet, and 100 ml distilled
water
When WBC is markedly elevated (100-300 x10⁹/L)
the dilution can be increased
1:100
When WBC is also below 3 x10⁹/L, the dilution can be
reduced to
1:10
Difference between the total cells counted on each
side should agree
<10%
are resistant to lysis during blood
dilution and are counted as WBC in the
hemacytometer
Nucleated RBC
If more than ___ NRBC are seen in the blood smear
during differential count, the WBC count must be
corrected.
5
Cells Touching the _____ must be
counted.
top and left lines
Cells touching the _____ shall be
ignored.
bottom and right lines
For RBC Counting, Blood is diluted with
isotonic
solution
solution with equal concentration of
solutes within cells
isotonic solution
RBC Diluting Fluids w/ components:
Hayem’s Fluid
Gower’s Fluid
Dacie’s Fluid
- HAYEM’S FLUID
• Sodium Chloride(Provides isonicity) 1 g
• Sodium Sulfate (Prevents Rouleux) 5 g
• Mercuric chloride (antiseptic) 0.5 g
• Distilled Water (Solvent) 200 ml
Provides isonicity
Sodium Chloride
Prevents Rouleux
Sodium Sulfate
antiseptic
Mercuric chloride
Solvent
Distilled Water
- DACIES’S FLUID
• Trisodium Citrate- 3.13 g
• Formaldehyde (37%) 1 ml
• Distilled water 100 ml
- GOWER’S FLUID
• Isotonic solution containing 12.5 g of sodium sulfate
and 33.3 g of glacial acetic acid in 200 ml distilled
water
• Isotonic solution containing 12.5 g of sodium sulfate
and 33.3 g of glacial acetic acid in 200 ml distilled
water
GOWER’S FLUID
RBC Dilution ratio
1:200
RBC Dilutionnfactor
200
RBc Blood up to
0.5 mark
RBc fluid up to
101 mark
For patients with ____, increase the
dilution. For _____, reduce the dilution (1:100)
polycythemia
anemia
are important in helping diagnose
bleeding disorders.
Platelet counts
Platelets Function primarily in
hemostasis and maintaining capillary integrity
Increased Platelet Count:
Thrombocytosis
Decreased platelet count:
Thrombocytopenia