Hematology: Complete Blood Count Flashcards

1
Q

Complete Blood Count

A
  1. Cell counts
  2. Histograms
  3. Manual Cell Counts
  4. Packed cell volume (PCV, Total plasma protein)
  5. Hemoglobin concentration (Hgb)
  6. RBC indicies (MCV, MCHC, MCH)
  7. Blood smear
  8. Additional tests
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2
Q

Cell counts

A

Automated Analyzers

WBC, RBC, Platelets

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3
Q

Normal range of erythrocytes for dogs

A

5-8.5 million per microliter

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4
Q

Normal range of leukocytes for dogs

A

6,000-15,000 per microliter

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5
Q

Normal range of platelets for dogs

A

160,000-625,000 per microliter

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6
Q

How do we count the cells

A

Manual cell counts with Hemocytometer
Impedance Technology
Laser Technology

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7
Q

Impendence Technology

A

2 electrodes with constant electrical current
cells are sent through the current
when cells pass through the current they stop the current and the amount of time that the current is impeded it correlates to the size of the cell

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8
Q

Laser Technology

A

Focuses a laser beam on each individual cell
Quantifies the scatter of light on four separate detectors
The analyzer measures the amount of time it takes a cell to travel through the laser beam-“time of flight”

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9
Q

What is included in the results of a complete blood count?

A
Red blood cells
HCT/PCV
Hgb
RBC indices
Retics
WBC-% differentiation, absolute values
Platelets
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10
Q

Histograms

A

graphing cell types or morphology

Automatically produce by some CBC machines

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11
Q

Packed Cell Volume (PCV)

A

Percentage of cells in blood to the total volume

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12
Q

What is PCV measured using?

A

microhematocrit tube and centrifuge

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13
Q

What is HCT (hematocrit) measured using?

A

automated hematology analyzer

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14
Q

What is the normal PCV in dogs?

A

37-55%

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15
Q

What is the normal PCV in cats?

A

30-45%

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16
Q

What is the normal PCV in horses?

A

32-48%

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17
Q

What is the normal PCV in bovines?

A

24-46%

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18
Q

What does an elevated PCV indicate?

A

More red blood cells than normal

Dehydrated, polycythemia

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19
Q

What does a decreased PCV indicate?

A

Too few red blood cells

Anemia, over hydration

20
Q

Buffy coat

A

White (or buff) band of concentrated WBCs and platelets visible in a spun down hematocrit tube

21
Q

What is the total plasma protein of most adult mammals

A

6.8-7.2 g/dL

22
Q

What is the total plasma protein of most young animals?

23
Q

What does a high total plasma protein mean?

A

Dehydration

24
Q

What does a low total plasma protein mean?

A

Blood sucking parasites, liver disease, excessive hydration

25
Plasma proteins: Fibrinogen
For clotting | from the liver
26
Plasma proteins: Albumin
Maintains osmotic pressure Carrier protein From the liver
27
Plasma proteins: Globulins
Antibodies | From B-lymphocytes
28
What is hemoglobin's job?
Complicated protein inside RBC that carry oxygen
29
How do we measure hemoglobin?
Lasercyte and Hematrue Handheld readers Spencer hemoglobinometer
30
What are normal hemoglobin values for a dog?
12-18 g/dL
31
What are normal hemoglobin values for a cat?
8-15 g/dL
32
What are normal hemoglobin values for a warm blooded horse?
11-19 g/dL
33
What are normal hemoglobin values for a cold blooded horse?
8-14 g/dL
34
What are normal hemoglobin values for a cow
8-15 g/dL
35
What do erythrocyte indices measure?
RBC size and hemoglobin concentration
36
What are erythrocyte indices used to classify?
Anemia based on morphology
37
Anemia
Decreased oxygen carrying capacity
38
What are the causes of anemia?
Excessive blood loss Excessive RBC destruction Decreased Hgb
39
Excessive RBC destruction
immune mediated hemolytic anemia | blood parasites
40
Decreased Hgb
``` Ineffective hematopoiesis (bone marrow) Decreased erythropoietin (chronic renal failure) Hgb toxicity (tylenol in cats, onions in dogs) ```
41
What are the three erythrocyte indicies
MCV MCH MCHC
42
MCV
Mean Corpuscular Volume Normocytic Microcytic Macrocytic
43
MCH
Mean Corpuscular Hemoglobin | weight of Hgb in the average RBC
44
MCHC
Mean Corpuscular Hemoglobin Concentration Color of RBC's Normochromic Hypochromic
45
How do we calculate RBC indicies?
``` Simple math Info that is needed: PCV % RBC count Hemoglobin ```