blood preservation Flashcards
how to choose the right blood tube
-what test to perform
-which blood compartment is the substrate in (eg virus in plasma)
-how fast does this substrate metabolise (wg glucose: oxidative fermentation by bac)
what ions are rewuired for clotting
calcium ions
tell me about EDTA (purple) tube
EDTA coated on walls (stops calcium ions from forming clots)
purpose: anticoagulant of choice for CBC and blood smears
can sometimes cause platelet clumping (gets activated)
heparin tube (green)
contains lithium heparin that binds to enzyme inhibitor antithrombin and activates it-> AT will inactive thrombin-> no clotting
-used for biochemistry tests (organ functions)
citrate tube (blue)
contains sodium citrate
used for: coagulation tests (stops blood from clotthing, can test for enzymes invloved in blood clotting process)
-anti-coaggulant in blood transfusion bags
plain tube (red)
-no additive
-allows blood to clot ( 4-8 mins)
-ill be spun down to collect serum
serum seperated tube (yellow top)
-allows blood to clot
contains a gel that seperates solid and liquid components of blood when centrifuges (sperste cltted blood to obtain serum)
-better than red tube because ensure no blood cells are accidentally collected when collecting serum)
storage of sample before processing
-analyse within 3 hrs
if not refrigerate at 4 degrees to minimise hemolysis (RBC get destroyed) and degenerative changes
what is anemia
-decrease in RBC number
-decrease i haemoglobin concentration
what are the cuases of anemia
-inadaquate production of RBC (bone marrow disease- RBC produced in bone marrow)
-excess loss of RBC (bleeding)
-excessive destruction of RBC (hemolyic anemia)
what happens during erythropoiesis (RBC life cycle)
-cells become smaller
-nuclei become smaller and eventually disappear
-cytoplasm changes colour from blue to orange (rna lost, haemoglobin formed)
what are baby RBC know ass
reticulocytes
tell me about how reticulocytes look like
-no nucleus
-tend to appear more basophillic and larger than adult RBC
-contains RNA (causes blue colour)
what does it mean when reticulocytes appea on blood smear
reticulocytes are a hallmark of an erythrocyte (adult RBC) regenreative response (means they are trying to produce more RBC)
sign of regenativr anemia ( body is responding to the anemia by producing more RBC)
they take 24 hrs to mature once in ciculation, is not as effective as erythrocytes
what are macrocytes
-large immature RBC )eg reticulocytes and everything else before that
-seen in regenetive anemia
what are microcytes
small erythrocyes (old and tired, grandpa rbcs)
-seen in iron- defficient anemia
what does anisocytosis
(aniso= variation)
variation in size of erythrocytes (presence of both macrocytes and microcytes among normocytes)
what are spherocytes
small dark microcytes that lack centre pallar (no biconcave shape, ball shaped)
Associated with immune-mediated anemias
what are polychromasia (chrom=colour)
blue-grey erythrocytes
- young erythrocytes, usually macrocytes
bluish because of residual RNA
what is hypochromia
decreased cytoplasmic staining intensity and increased central pallor of erythrocyte (dye to insufficient haemoglobin in RBC) less haem less red hence red colour (usually due to iron deficiency)
what is agglutination meaning
clumping of RBC
what is rouleaux formation
spontaneous association of RBC in linear stack (stackin of RBC) normal in cats
what does quantitative examination for CBC cosist of
number, size and type of cells
haemocytometer (manual)
haematological analysers (automatic)
what sample is required for a CBC
-whole blood
EDTA tube (lilac(
-amount of blood needed is dependent on tube