HEMA LABBB Flashcards
measures the number of red blood cells in a volume of blood
RBC count
Normal Values
Male:
Female:
Newborn:
4.2-5.4 x 1012/L
3.6-5.0 x 1012/L
5.5-6.5 x 1012/L
Helps differentiate types of anemia
(microcytic, macrocytic)
Anemia Evaluation
Identifies increased RBC mass
Polycythemia Screening
Evaluates the effectiveness of
therapies like erythropoietin
Monitoring treatments
Provides a reference method to validate automated counts.
Manual Counting
The space between the top of the platform
and cover glass is
0.1mm
Each large square is
1mm wide and 1 mm long
the entire ruled area is
9mm2
The volume of one entire platform is
0.9uL
What type of pipette is used for RBC counting
Thoma RBC pipet (1:200)
RBC diluting fluid
a. Trisodium citrate with formalin
b. Hayem’s solution
c.Isotonic saline, isotonic Gower’s solution and Citrate formalin solution
causes roleaux and agglutination in patients with hyperglobulinemia
Hayem’s solution
COMPUTATION FOR RBC COUNT
No. of cells counted x Correction for Dilution x Correction for Volumex106
Dilution
200
Correction for Volume
50
Specimen for peripheral blood smear
EDTA-anticoagulated whole blood
Free-flowing capillary blood
The most commonly used stain in the hematology laboratory
Romanowsky-type stain
is defined as any stain containing methylene blue and/or its products of oxidation and a halogenated fluorescein dye, usually eosin B or Y
Romanowsky stain
are alcoholic solutions with basic and acidic components.
Wright, Giemsa, or May-Grünwald stains
Counting Method
- cross sectional method
- longitudinal method
- battlement method
Examine the RBC morphology
- Presence of inclusions and abnormalities
- Presence of immature RBCs
- Size and pallor of RBCs
- Rouleaux and agglutination
- Polychromatophilia
Immature granulocytic cells
shift to the left
Hypersegmented neutrophils
shift to the right
is an iron containing protein molecule found in red blood cells which transport oxygen from the lungs to the body’s tissues.
Hemoglobin
Hemoglobin A1
96-98%
It contains two alpha subunits and two beta subunits.
Hemoglobin A2
1.5-3.2%
It contains two alpha subunits and two gamma subunits
Hemoglobin F
0.5-0.8%
It contains two alpha subunits and two delta subunits.
Decreased Hemoglobin
Anemia
Increased Hemoglobin
Possible polycythemia
Preferred for standard measurement of hemoglobin due to accuracy and precision of result.
Automated
counter check the result released by the machine, or if there is no machine available in the area or laboratory.
Manual Testing
Direct/Visual Colorimetry
ACID HEMATIN TECHNIQUE
Hemoglobin is converted to Acid Hematin by mixing blood with
0.1 N Hydrochloric acid
Photoelectric / Light Absorbance Method
CYANMETHEMOGLOBIN METHOD (HiCN)
DRABKIN’S SOLUTION (pH 7.0 – 7.4)
Potassium cyanide 50 mg
Potassium ferricyanide 200 mg
Sodium bicarbonate 1 g
Distilled water 1 liter
Blood is lysed with the use of
non-ionic detergents
is the reference method for Hb estimation
cyanmethemoglobin method
All Hb forms except ______ is estimated
sulphaemoglobin
Another reason for turbidity is lipemic specimen. To correct this, add
0.1 ml of Patient’s plasma to 5ml of reagent and use the solution blank.
are used to correct abnormal globulins.
Addition of potassium carbonate
can be resistant to hemolysis and cause turbidity.
Hb S and Hb C
NORMAL RANGES
Adult Males:
Adult Females:
Newborns and Infants:
13-17 g/dl
11.5-16.5 g/dl
14-22g/dl
Carboxyhemoglobin =
hemoglobin + carbon monoxide
hemoglobin in which ferrous iron are oxidize to ferric state.
Methemoglobin
irreversible formation of hemoglobin from sulphonamides and aromatic amines.
Sulfhemoglobin
is the volume of RBCs expressed as a percentage of the volume of whole blood in a sample
Hematocrit
This test measures the proportion of the RBC to plasma in peripheral blood but not in the entire circulation
Hematocrit
Decreased hematocrit
Anemia
Increased hematocrit
Dehydration (Relative)
Polycythemia vera (Absolute)
Not commonly used today since it is time consuming, requires larger amounts of blood, and generally contains a higher percentage of trapped plasma
MACROHEMATOCRIT METHOD
with red band
Used for non-anticoagulated samples
Heparinized
With blue band
Used for anticoagulated samples
Plain
Capillary Tube Details
Approximately 75 mm long with
Approximately 1.2 mm inner bore