ESR and Reticulocyte count Flashcards
for assessment of rbc and erythropoietic activity
reticulocyte count
supravital stains
new methylene blue and brilliant cresyl blue
5th stage in the developmental series of erythrocytic cell line
reticulocyte
young, premature, non nucleated rbc contain reticular materials (_____) that stain gray blue
RNA
specimen requirement for reticulocyte count
whole blood anticoagulated with edta
designed to reduce this labor-intesive process due to large numbers of rbc
miller disk
refererence range for adults in miller disk
0.5-1.5
refererence range for newborn in miller disk
4.0-6.00
sources of error in miller disk
anemia or polycythemia
Important reasons for DISCREPANCIES in reticulocyte counting
variation in the definition of reticulocytes, size of sample evaluated, type of film examined and lack of stardardized area if a calibrated is not used
normal value of absolute reticulocyte count
20-115 x 10 raise to 9/L
The premature reticulocytes are called
stress reticulocytes
correction for both the RBC count and the presence of stress reticulocytes value obtained is called the
reticulocyte production index
An adequate bone marrow response usually is indicated by an RPI that is greater than 3. An
inadequate erythropoietic response is seen when the RPI is less than 2.
reference interval
this test is reported in mm/hr
esr test
This test determines the rate at which erythrocytes fall to
the bottom of a vertical tube of anticoagulated blood
within a specific period.
erytrocyte sedimentation rate
Measure of magnitude of electrostatic charge or repulsion/attraction between particles
zeta potential
Zeta potential results from negatively charged _____________________
sialic acid groups on rbc’s membrane
three stages of esr
rouleaux formation, sedimentation , packing
first 10 mins, piling up of RBC’s take place
rouleaux formation
40 minutes, Settling of RBC’s occurs at constant rate
sedimentation
10 minutes, sedimentation slows and cells start to pack at the bottom of the tube
packing
factors influencing esr
plasma, red cell, mechinal and technical factor
in mechanical factor, a tilf of ____: cause error up to ____ %
3 degrees , 30
This test measures the distance that RBCs will fall
in a vertical tube over a given time period.
westergren method
this is the international reference method
westergren method
It can be used for both ESR and hematocrit determination
wintrobe and landsberg method
normal value of wintrobe and landsberg method in women
0-20 mm/hr
normal value of wintrobe and landsberg method in men
0-9 mm/hr
normal value of wintrobe and landsberg method in children
0-13 mm/hr
Used in case of infants and if the blood is inadequate
micro-esr method
0.2 mL blood to fill a plastic disposable tube _____________________
230 mm long with a 1 -mm internal bore
micro-esr method utilizes whole blood to completely fill _____________
75-mm heparanized microhematocrit capillary tube