Erythrocyte Sedemntation Rate Experiment Flashcards
Appratus used
Westergren tube
Clinical significance of experiment
Prognostic not diagnostic used for a follow up
Materials used
0.5 ml of 3.8% of sodium citrate anticoagulant
2 ml of blood so ratio is
1:4
Westergren tube
Steps
Add na citrate to blood and leave in tube and read plasma level after first and second hours
Principle of the experiment
Rbcs settle down and form the rouleaux appearance as sodium citrate cancel ca++ charges
In body plasma protein levels neutralize electrostatic charges on rbcs so decrease repulsion forces of rbcs so they adhere together
Rbcs settle down due to their 1060 specific gravity
Normal levels of experiment
In males: 5 & 8
In females: 10 & 16
Physiological and pathological variation in results
See can increase physiologically in pregnant and menstruating females
Pathologically it can increase in infections, inflammation, malignant tumor present in the body, autoimmune disease and anemia
Pathological wise it can decrease in afibrinogenemia & polycythemia
Why in inflammation the esr increase
Due to increase levels of plasma proteins so neutralize hydrostatic charges in rbcs so decrease their repulsion forces so adhere together
Plasma proteins involved in neutralizing charges
Fibrinogen & globulin
Westergren tube
Graded from upwards downwards from 0 and increasing till 200 ml