complete blood count. hematology hematology testing represents an important role of the veterinary...
Post on 13-Jan-2016
Embed Size (px)
Complete Blood Count
HematologyHematology testing represents an important role of the veterinary technician: to provide accurate and reliable clinical laboratory test results to the veterinarian A complete hematology profile is indicated for diagnostic evaluation of disease state, well animal screening, (e.g. geriatric) and screening tool before surgery
CBC Include White and red blood cell countsHemoglobin concentrations Packed cell volume (PCV) Differential white blood film examination Calculation of absolute values/erythrocyte indices
Types of Cellular Elements
Red blood cells Erythrocytes White blood cells Leukocytes Neutrophils Eosinophils Basophils Lymphocytes Monocytes Platelets Thrombocytes (not true cells)
CBC Total RBC countPCVPlasma protein concentration (TP)Total WBCBlood film examination: differential WBC count, erythrocyte and leukocyte morphology, platelets estimation.Reticulocyte count when the patient is anemicHemoglobin concentrationErythrocyte indices
Quality controlAutomated analyzers can provide accurate and cost-effective results. However, care should be taken in choosing the most appropriate instrument a clinicPage 32
Cell counts Counting of erythrocytes and leukocytes is a routine part of the CBC. Cells counts can be performed by manual and automated methods. The total WBC (leukocyte) count is one of the most useful values determined in a CBCTotal RBC (erythrocyte) and platelet (thrombocyte) counts, although are more difficult and less accurate, may also be performed manually with a hemocytometer or by automated methods
Hemocytometer - Unopette The Unopette system is a standardized method for enumerating leukocytes using fresh whole blood via a capillary puncture. This system is made up of the following components:
 A reservoir that contains a premeasured volume (1.98mL) of a 3% glacial acetic acid solution. Self-filling, color coded 20 L pipet. This pipet is constructed with one end that fits into the reservoir. This end is designated as the overflow chamber. Pipet shield that covers and protects the pipet. The end of the shield is pointed for the purpose of puncturing the reservoir diaphragm before use. See Figure 1 for an illustration of the Unopette system
The Hemacytometer has counting chambers used to determinate the number of cells per microliter (l, sometimes referred to as cubic centimeters) of blood.Several models are available, but the most common type used has two identical sets of fine grids of parallel and perpendicular etched lines called Neubauer rulings
Neubaur system Page 34WWWWRRRRRhttp://www.youtube.com/watch?v=89SB1tAa6kg&feature=related
Hematocrit - PCVIn the CBC, we determine the number of RBCs in several different ways. The quickest and easiest is called the hematocrit, also referred to as the packed cell volume (PCV)
PCV / 6 = est RBC count / L
Plasma Protein Concentration Plasma Protein (TP) concentrations estimation by refractometry is an important component of the CBC in all speciesThe plasma used to determinate the PCV is collected by breaking the hematocrit tube just above the Buffy coat- plasma interface
Hemoglobin (Hgb) Hemoglobin counts are usually done with an automated analyzer. The analyzer will mix a small amount blood with a solution to lyse the cells. It will then compare the color of the lysed cells to the normal
Erythrocyte Indices Determination of erythrocyte indices is helpful in the classification of certain types of anemia The erythrocyte indices include: the mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and MCH concentration mean corpuscular hemoglobin concentration (MCHC). The indices can provide an objective measure of the size of the RBCs and their average hemoglobin concentartion.
Mean corpuscular volume (MCV) :
The MCV expresses the average volume (or size) of the individual erythrocyte. Using the total erythrocyte count, hemoglobin content and packed cell volume, it is possible to calculate the volume of an average erythrocyte and its hemoglobin concentration. Dividing the packed cell volume by the RBC concentration and multiplying by 10 determines the MCV.
Mean corpuscular hemoglobin concentration (MCHC)
The MCHC is the concentration of hemoglobin in the average erythrocyte, or the ratio of weight of hemoglobin to the volume in which it is contained.The MCHC is calculated by dividing the hemoglobin concentration by the PCV (%) and multiplying by 100.
Mean corpuscular hemoglobin (MCH)
MCH is the weight of hemoglobin contained in the average erythrocyte. The MCH is calculated by dividing the hemoglobin concentration by the RBC concentration and multiplying by 10.
Blood filmsRemember ! The blood film is used to perform the differential WBC count; estimate platelet numbers; and evaluate the morphological features of WBCs, RBCs and platelets.
Performing the Differential Cell Count This is where the different white blood cells are tallied separately. This can be done by a blood counting machine, or by hand. To manually count the different cells, first you must make a perfect slide. Stain the slide once it is dry. Using a cell counter you will tally a total of 100 cells (this will make it easy to turn the numbers into a %)
The percentages will aid in initial diagnoses, interpretation should be based on the absolute numbers of the various cells. Absolute numbers are obtained by multiplying the percentage by the total leukocyte count
Because 100 WBC are counted , the number of each WBC type observed is recorded as a percentage.This is called the relative WBC countVarious counting devices are available to help perform the differential WBCPage 44