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Cell Indices
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MCV
Mean Cell volume.
MCH
Mean Cell hemoglobin.
MCHC
Mean Cell Hemoglobin Concentration
Average HGB concentration per RBC.
RDW
Red Cell Distribution Width
MPV
Mean Platelet Volume.
How is MCV determined?
Saline Displacment.
How is MCV Calculated?
HCT/RBC x 100 = MCV
Normal Ranges for Hemoglobin weight?
27-33 Pg
Less than 27pg hemoglobin?
Hypochromic
Greater than 33Pg?
Hyperchromic
MCH calculated how?
(hgb/rbc)x10 = MCH
How is MCHC determined?
(HGB/HCT) X 100 = MCHC
Red cell width Distribution normal range?
11.5-14.5
How is RDW Calculated?
(1SD/MCV) x 100 = RDW
Mean Cell Platelet Volume normal range?
1-4 microns
6.5-8 Fl
Uncorrected Ret. count calculation?
#of retic per 1000 rbc's / 10 = uncorrected
Corrected Retic. Count Calculation?
(Uncorrected Retic. x Patient HCT) / Normal Hct = corrected
RPI calculation?
RPI = Corrected / days maturity
Days Maturity?
HCT/Days
35% / 1.5
30% / 1.75
25% / 2
20% / 2.5
15% / 3
Normal Reticulocyte range?
.5 -.1.5 %
< 0.5 % reticulocyte
No bone marrow activity
>2% reticulocyte range
indicates increased bone marrow activity/
Decreased reticulocyte cause
Radiation
Immunosuppresive drugs
Aplastic Anemia
Pernicious anemia
Leukemia (late stage)
Increased reticulocyte cause?
Blood Loss
Hemolytic anemias
autoimmune
Sickle cells
HDN; Hemolytic transfusion reaction
Iron Deficiency anemia
Thalassemias
Stain for reticulocytes?
Supravital Stain
New Methylene Blue
EDTA sample
RPI
Reticulocyte Production Index
External solution is hypotonic to cytosol.
water moves into the cells
External solution is hypertonic to cytosol
out of cell
External solution is isotonic to cytosol
no movement
Osmotic fragility?
Ability of red cells to withstand hemolysis when placed in hypotonic solutions.
Increased fragility causes.
Hereditary Spherocytosis.
Hemolyti anemias
Hereditary Sperocytosis
Hemolytic anemia due to RBC membrane defect.
Decreased fragility causes
Sicklecell
Thalassemias
Iron Deficiency
Polycythemia Vera
Heriditary eliptocytosis
Ovalocytes
elliptocytes
Normal Fragility
Decreased thermal Stability
*Become echinocytes and fragments at 47
o
Increased CHOL & phosolipids in membrane
Target Cells
Stomatocytes
Rh Null individuals
Alchoholism and drug therapy
Up to 3% normal
Drying artifact
Author
moses1424
ID
71593
Card Set
Cell Indices
Description
hematology
Updated
2011-03-08T17:59:02Z
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