QBC STAR CBC INSTRUMENT Flashcards
What are these results of?
- Hematocrit (Hct)
- Hemoglobin (Hgb)
- Mean Corpuscular Hemoglobin Concentration (MCHC)
- White Blood Cells (WBC)
- Granulocytes
- % Granulocytes
- Lymph/Mono
- % Lymph/Mono
- Platelets
Complete Blood Count (CBC) results
What is the most frequently ordered lab?
Complete Blood Count (CBC)
What supplies useful information regarding the concentration of the different cellular and non-cellular elements of blood and applies to multiple disorders?
CBC
What are some of the things that a CBC normally includes?
- Leukocyte (WBC) count
- Erythrocyte (RBC) count
- Hemoglobin (Hgb)
- Hematocrit (Hct)
- RBC indices
What is included with RBC indices?
- Mean Corpuscular Volume (MCV)
- Mean Corpuscular Hgb (MCH)
- Mean Corpuscular Hgb Concentration (MCHC)
- RBC distribution Width (RDW)
Is a platelet count normally included in a CBC?
Yes
What are the normal adult ranges for an RBC in a CBC?
- Males 4.5-5.9 x 106 cells/uL
2. Female 4.5-5.1 x 106 cells/uL
What is the number of red cells in a given volume of blood?
RBC
What are the normal adult ranges for Hemoglobin (Hgb) ?
- Males 14-17.5 g/dL
2. Females 12.3-15.3 g/dL
What is the main component of a red blood cell?
Hemoglobin
What is a protein that serves as a vehicle for the transportation of oxygen and carbon dioxide?
Hemoglobin
What provides a direct indication of the oxygen transportation capacity of the blood?
Hemoglobin (Hgb) concentration
What are the normal adult ranges for Hematocrit (Hct) ?
- Males 42-52%
2. Females 37-47%
What is the ratio of the volume of erythrocytes to that of the whole blood?
Hematocrit (Hct)
True or False
The Hematocrit (Hct) is usually 10 times the Hemoglobin (Hgb)
False
The Hematocrit (Hct) is usually 3 times the Hemoglobin (Hgb)
What are lab tests that are specifically used to assess red blood cell characteristics?
RBC indices
What is the normal range for the Mean Corpuscular Volume (MCV)
76-96 fL/cell
What is an estimate of the average volume (size) of RBC’s and is the most clinically useful of the RBC indices?
Mean corpuscular volume (MCV)
An increase in the MCV is normally associated with what?
Vitamin B12 or Folate deficiency
A decrease in the MCV is normally caused by what?
iron deficiency
What is the normal range for Mean Corpuscular Hemoglobin (MCH) ?
27-32pg/cell
What is known as the amount of hemoglobin per RBC?
Mean corpuscular Hemoglobin (MCH)
What is the normal range for the Mean Corpuscular Hemoglobin Concentration (MCHC)?
30-35 g/dL
What is known as the hemoglobin divided by the hematocrit?
Mean Corpuscular Hemoglobin Concentration (MCHC)
What is the normal range for the Platelet Count ?
150,000-400,000/uL
A low platelet count (<20,000 mm3) could make you at risk for what?
Hemorrhage
A high platelet count (>1,000,000/mm3) could put you at risk for what?
Thrombosis
What is abnormally high platelet count and has many causes such as stress or infection but may also be caused by: Splenectomy, Trauma, Iron deficiency anemia or Cirrhosis?
Thrombocytosis
What is an abnormally low platelet count below 150,000/ mm3 this may be caused by various diseases such as TTP or DIC and may also be seen in leukemia and metastatic cancers?
Thrombocytopenia
What is the normal WBC range?
4.5-11.0 x 103 cells/mm3
What is considered a low WBC and what is considered a high WBC?
Low: <2,000/mm3
High: 30,000/mm3
What is a low number of white blood cells referred to as?
Leukopenia
These can all be causes for what?
- Bone marrow deficiency
- Collagen-vascular diseases
- Diseases of the liver or spleen
- Radiation therapy or exposure
Leukopenia
What is a referred to as a high number of WBC’s?
Leukocytosis
What could be some causes for leukocytosis?
- anemia
- bone marrow tumors
- infectious diseases
- Inflammatory disease
- leukemia
- emotional or physical stress
- Burns
What is the normal range for neutrophils?
50-70%
What is the normal range for bands?
0-5%
What is the normal range for Eosinophils?
0-5%
What is the normal range for basophils?
0-1%
What is the normal range for monocytes?
1-6%
What is the normal range of lymphocytes?
20-40%
During an acute infection there is an increase in the percentage of what cells, resulting in what?
- Neutrophils
2. Neutrophilia
Lymphocytosis (an increase in the total number of lymphocytes in relation to the total number of WBC) is typically an indication of what?
viral infection
An increase in eosinophils (eosinophilia) is typical in what?
parasitic infections and allergic disorders
How can you get the total for Mean Corpuscular Hemoglobin (MCH)?
MCH=Hgb x10 divided by RBC
How can you get the total value of the Mean Corpuscular Hemoglobin Concentration (MCHC) ?
MCHC=Hgb/Hct x 100
What is the ratio of the volume of erythrocytes to that of the whole blood?
Hematocrit
What can be measured indirectly as the product of the MCV times RBC count in automated instruments?
Hematocrit
What are the normal values for hematocrit in males and females ?
Males: 42-52%
Females: 37-47%
What is the main function of hemoglobin?
to transport oxygen from the lungs
What is the average concentration of hemoglobin in a given volume of packed red cells?
Mean Corpuscular Hemoglobin Concentration (MCHC)
MCHC = Hbg/Hct x 100
What is the normal platelet count in adults?
150,000-400,000 platelets per microliter of blood
What is the test used to determine the presence of an infection or leukemia ?
White blood cell count (WBC)
How many types of granulocytes are there?
three
What is a category of white blood cells characterized by the presence of granules in their cytoplasm?
Granulocytes
What are the three types of granulocytes?
- Neutrophil Granulocytes
- Eosinophil Granulocytes
- Basophil Granulocytes
What is the most abundant type of phagocyte and is important in defense against infectious disease?
Neutrophil granulocytes
50-70% of the total circulating white blood cells
What granulocytes act as phagocytes and modulate inflammatory responses?
Eosinophil Granulocytes
Normal adult peripheral blood contains what percentage of eosinophils?
0-5%
What is one of the least abundant cells in blood with a percentage of 0-1%?
Basophil Granulocytes
What are the second most numerous cell in the blood, comprising from 20-40% of the adult blood cells ?
Lymphocytes
In adults, a finding of more than 4.0 x 10^9/L lymphocytes is defined as what ?
Lymphocytosis
What is used to describe malignant appearing cells?
Atypical Lymphocytes
The presence of atypical lymphocytes might be indicative of what?
infectious mononucleosis
What is used to describe formed or benign lymphocytes?
Reactive lymphocytes
What are some causes for reactive lymphocytes?
- viral
- bacterial
- drug reaction
The monocyte is formed in the ____, transported by the ____, and migrates into the ____, where it transforms into a histiocyte or macrophage.
- Marrow
- Blood
- Tissues
The blood monocytes and tissue macrophages make up a mononuclear phagocyte system also know as what?
Reticuloendothelial System