Sahli Experiment Flashcards
Apparatus used
Sahli / hemoglobinometer
Importance of the test
Diagnosis of anemia and polycythemia
Materials used
0.1 diluted hcl solution plus 20 microl. of blood extracted by pipette
Distilled water and the sahli tube
Steps
Add 0.1 hydrochloric acid solution in tube till 10 % mark of tube, then add the 20 microns of blood to tube, mix blood and hcl then leave tube to incubate for ten minutes
Add distilled water till colors are the same with other tubes
Precautions of the experiment
Don’t lift tip of pipette out of blood to avoid enters of air bubbles
Insert tip below surface of hcl solution then blow out blood gently , so no air bubbles in column
Sterilize patient’s finger
Wipe out blood outside tube using filter paper
Role of hcl in the experiment
Diluted hcl rupture the red blood cells to release hemoglobin to unite with it forming acid hematin which is brown in color
Normal values for experiment
Normal for males is: 15-16 gm/100ml of blood
Normal females: 13-14 gm/100ml of blood
Above this level is polycythemia, while below that level is called anemia
Why hb in males higher than females
Due to androgens in males that stimulate rbcs production called erythropoiesis by erythropoietin hormone production
Also due to females menstrual cycles
Relationship of hb with age
Inversely proportional
Variation in hb values
New borns: 19gm/100ml of blood due to relative intrauterine hypoxia stimulate rbcs production by erythropoiesis
Kidney disease cause anemia due decreased erythropoietin hormone
People living at high altitudes have polycythemia due to hypoxia as pressure O2 at high places is low so stimulate erythropoiesis
Chronic bleeding cause anemia due to iron loss so cause microcytic microchromic anemia