PRE LIM COVERAGE HEMA1 Flashcards
liters of blood in the body
5 liters/ 5,000 ml
functions of blood
blood transport, clears tissues, trans
port, moves wastes
the liquid portion of blood is called as
plasma/ components (provides coagulation enzymes)
3 categories of blood cell
RBC or erythrocytes, WBC or leukocytes, platelets or thrombocytes
hematology and all
study of blood in health and in pathologic condition/ haima blood and logos study of
eccentricity
measures how much cell deviates from being central (sickle shape)
athanasius kircher
anton van leeuwenhoek
guilio bizzozero
james homer wright
paul herlich
william hewson
described worms in the blood
father of microbiology
described platelets
stain
classified leukocytes
father of hematology
Morphology
cell appearance such as color, size,
Megakaryocyte
origin of platelets
Thrombopoiesis
generation of
megakaryocytes shedding into
thousands of platelets.
FUNCTIONS OF BLOOD
- Respiration/ transport - Nutrition
- Excretion
- Homeostasis (the normal balance of your
body)and Body Protection
CHARACTERISTICS OF BLOOD
Fluid in vivo (in the body
Slightly alkaline
[pH 7.35- 7.45]
Specific Gravity
[1.045- 1.065]
COMPOSITIONOF BLOOD
liquid and solid
COMPOSITIONOF BLOOD ( liquid)
Plasma,Serum
COMPOSITIONOF BLOOD ( solid)
rbc,wbc,granulocytes,agranulocytes
rbc, wbc, platelets normal values
3.8 – 6.0 x10^12/L (M/mL) – normal values
3.6-10.6 X 10^9 L (T/mL)- normal values
150-450 X 10^9/L (T/ML)- normal values
Granulocytes
BEN
Agranulocytes
LM
IDENTIFY THE TYPE OF WBC
benlm
PRIMARY SERVICES OFFERED BY
HEMATOLOGY AND HEMOSTASIS LAB
Specimen collection and preparation for
examination
- Quantitative manual and instrumental
measurements of cells
- Measurements of cell volumes
- Evaluation of cellular contents and
components
- Cellular identification
- Identification of reactive or neoplastic [can
be cancerous] alterations of cell populations
- Evaluation of leukocytes, erythrocytes and
platelet function
- Evaluation of cellular development and
formation (Bone Marrow)
- Evaluation of the hemostatic function
Occupational Safety and Health Administration (OSHA)
1996 – Standard Precautions is now used – encompasses UP (Universal Precautions) and BSI (Body
Substance Isolation)
Potentially Infectious Materials
- Blood, Semen, All Body Fluids (Identified or Unidentified), Microhematocrit Clay, Unfixed Slides
Occupational Hazards
Biological, Fire, Chemical, Electrical, Mechanical
BIOLOGICAL HAZARDS
Regardless of source, all body fluids are considered infectious and biohazard
OSHA Standards
Handwashing
- Personal Protective Clothing and Equipment
- Decontamination of work surfaces, equipment and spills
FIRE HAZARDS
Improper use or storage of cryogenic
3 levels of control
accuracy, precession, delta cheeks
linearity
closenes to the true actual value
reliability
closeness of the result that abstained repeated analysis
reference interval
ranges of values of analyte to a healthy individuals
diagnostic sensitivity
proportion pxs w/ disease with a positive result
diagnostic specificity
proportion pxs identified correctly by the test w/o disease
systematic error
errors within test system or method
CHEMICAL HAZARDS
Occupational exposure to hazardous chemicals in the laboratory
Degree of Hazard:
4 – Extreme Hazard
3 – Serious Hazard
2 – Moderate Hazard
1 – Slight Hazard
0 – No/Minimal Hazard
ELECTRICAL HAZARDS
- Electrical shock, burns, fire, or explosion
MECHANICAL HAZARDS
Improper use, storage, or disposal of glassware, sharp instruments, compressed gases, or equipment
PREANALYTICAL ERRORS
- Specimen obtain from patient
- Specimen procured at the wrong time
- Specimen collected in the wrong tube
- Blood specimen collected in the wrong order
- Incorrect labelling
- Improper processing of specimen
ANALYTICAL ERRORS
- Oversight of flagging
- Out of control Quality Control results
- Wrong assay performed
POSTANALYTICAL ERRORS
Verbal of reporting the results
lab info system incompatibility error
confusion of ref ranges
failure to report critical values ASAP
INTERNAL QUALITY CONTROL
actual running of control by the staff (internal to the lab)
est. a new ref interval (no existing analyte or methodology)
verifying a ref interval (transference)
external quality control
neqas- national external quality assessment scheme
quality control
procedure
evaluate and monitor
cxs of testing system
accurate and precision
NFPA diamond hazard symbols
yellow instability h
red fire or flashpoint h
blue health h
white special h
QUALITY ASSURANCE
- Coordinate effort to organize laboratory activities
- Provide best service to patient and doctor
Control and Monitor: - Staff competence
- Material, methods (SOP – Standard Operating Procedure Manual – needs to be updated)
- Reporting of results
- Patient and doctor satisfaction
- Financial costs
CONTROL
- Same matrix as patient sample
- Predetermined assay value (Normal, Low, High)
PRIMARY STANDARD
Calibrate instrument
- Fixed and known composition
SECONDARY STANDARD
Analyte concentration ascertained by reference to a 1* standard
CALIBRATOR
- Preserved human or surrogate cell suspension
- Determined hemorrhagic parameters
cbc
- Foundation procedures
- Disorders
- Abnormalities in RBCs, WBCs, and Platelets
cbc test
A. Hemoglobin
B. Hematocrit
C. Red Blood Cell Count with Morphology
D. White Blood Cell Count with Differential Count
E. Platelet Estimate
F. Red Blood Cell Indices
Techniques in Performing Complete Blood Count:
disadvantages and advantages
HEMOGLOBIN
estimated by: (3)
decting and assesing: (1)
principle/ gold standard:(2)
manual reagent:
drabkins solution:
HEMOGLOBIN ref values
ad,af,i,nb
HEMATOCRIT
Method
Measured
reference method
calculation:
HEMATOCRIT ref values
m,f
RED CELL INDICES
Morphologic classification
used
calculated
3 indices
mcv,mch,mchc
mcv,mch,mchc
fermtoliter,pictogram,g/dl
LEUKOCYTE DIFFERENTIAL COUNT
Relative (Percentages)
Multiply the relative number of WBCs by the Total WBC count per L
RETICULOCYTE COUNT
Juvenile Red Blood Cells
manual stain:
relative count:
absolute count:
ERYTHROCYTE SEDIMENTATION RATE (ESR)
Measure of degree of settling of RBC in plasma
2 Methods:
test
normal values