Ch. 1 Clinical Hematology Lab Overview Flashcards
What is Hematology
The study of blood cells
What are the 3 families of blood cells?
Erythrocytes - RBCs
Leukocytes - WBCs
Thrombocytes - PLTs
Describe the function and morphology of a RBC
Morphology - non-nucleated, biconcave, filled with reddish protein (Hemoglobin)
Function - transport O2 and CO2, fats, glucose, and proteins
- moves the waste to liver and kidneys
What are the RBC parameters of a CBC?
RBC count Hgb Hct MCV - RBC cell size MCH - amount of hemoglobin / RBC MCHC - hemoglobin / volume of RBC RDW- red blood cell distribution width Retic
What are the WBC parameters of a CBC?
WBC count Neutrophil: % and Absolute Lymph : % and Absolute Mono: % and Absolute EO and BASO :% and Absolute
What are the platelet parameters of a CBC?
PLT count
MPV - mean platelet volume (like MCV)
How are RBC counts measured?
- Microscopy and Hemacytometer
- (NOW): using automated instrumentation
What clinical indications are detected with a RBC count?
Anemia - reduced RBC
Polycythemia - increase RBC
How is hemoglobin measured?
Photometry at 540 nm with the addition of drabkin’s reagent.
-OR automated profiling instrument
What is hematocrit and how is it measured?
Hematocrit: Ratio of the volume of RBC to the volume of whole blood
Measured Manually: Centrifugation to obtain PCV
How is RBC morphology observed?
Light Microscopy and Wright-stained blood smear
Automation used to confirm results
Name the 5 types of leukocytes.
Neutrophils (SEGS) & (BANDS)
Eosinophils
Basophils
Lymphocytes
Monocytes
How is WBC count measured, and what are the clinical indications derived from it?
- Manual : Light Microscopy and Hemacytometer
- Automated profiling instrument
Leukopenia - decreased WBC
Leukocytosis - increase WBC
How is platelet count measured, and what are the clinical indications derived from it?
-Phase Microscopy
Thrombocytosis - increase platelets
Thrombocytopenia - decrease platelets
What do we look for when observe RBCs through microscopy?
Size, shape, color, and cytoplasmic inclusion bodies.