Volume of packed red blood cells that occupies a given volume of whole blood after centrifugation of a blood sample
Also known as ________ or _________
Reported either as _________,_________,__________or __________
Hematocrit
Packed Cell volume or erythrocyte volume fraction
Percentage
Cell volume percent
Volume percent
Liters per liters
Plasma composed of (4)
Water
Proteins
Nutrients
Hormones
Buffy coat composed of (2)
White blood cell
Platelets
Hematocrit composed of (1)
Red blood cells
Adam’s microhematocrit method materials:
Specimen used:
Capillary tubes
Sealing clay
Wax
Microhematocrit centrifuge
Microhematocrit reader
Blood anticoagulated with EDTA or heparin or from capillary puncture
Two types of capillary tubes:
Blue ring:
Red ring:
Non heparinized, used for EDTA samples
heparinizef, used for skin puncture sample
capillary tube size
Length:
Bore:
Field portion:
7 - 7.5 CM
1.2 MM
5 CM
Adam’s microhematocrit method procedure:
Fill two plain capillary tubes approximately__________ full with blood anticoagulated with EDTA or heparin
Sealed end of the tube with the colored ring using_______, seal at a _______angle and plug should be at least_______long
Balance the tubes in a micro hematocrit and refuge with the clay and facing outside away from the center, touching the ________
Tighten the head cover on the head centrifuge and includes the top and centrifuge the tubes at________to______ For_______ Minutes
The values of duplicate hematocrit should agree within______
3/4
Non-absorbent ceiling clay ; 90° and 4MM
Rubber gasket
10,000g to 15,000g for 4 - 5 minutes
1%
Reference values of hematocrit in conventional unit
Male:
female:
40 to 54%
35 to 49%
Reference values of hematocrit in SI unit:
Male:
Female:
0.4 2 0.54 L/ L
0.35 to 0.49 L/ L
Sources of error of microhematocrit:
Improper sealing of the capillary tube causes a_________hematocrit reading as a result of leakage of blood during centrifugation
and increase concentration of anticoagulant _______the hematocrit reading
_____or_____ result may occur if the specimen was not mixed properly
Insufficient centrifugation or delay in reading results after centrifugation causes hematocrit reading to_______
Decreased
Decreases
Decreased or Increased
Increase
_______should not be included in the hematocrit reading because this falsely elevate the result
Disorders such as ______,_____,_____,_____,____, may cause plasma to be trapped in the RBC layer even if the procedure is performed properly
__________, amount of plasma that still remains in the RBC portion after the micro hematocrit has been spun
Trapping of the plasma causes the microhematocrit be ____to___% higher than the value obtained using automated instruments
Buffy coat
Sickle cell anemia, macrocytic anemia, hypochromic anemia, spherocytosis, thalassemia
Trapped plasma
1% to 3%
Automated methods used:
Coulter counter
Autoanalyzer
Formula of hematocrit
Hematocrit= RBC x MCV
Wintrobe method materials
Specimen used:
Wintrobe tube
Pasteur pipette
centrifuge
Blood anticoagulated with EDTA
Winthrop tube size:
length:
Bore:
11.5 CM
3 MM
Wintrobe tube 2 calibrations:
0 to 10 (RED):
10 to 0 (WHITE):
Used for erythrocyte sedimentation rate
Used for hematocrit
Anticoagulant of choice in Wintrobe method
Double oxalate
Wintrobe method procedure:
fill the wintrobe tube with blood using a_________
Centrifuge the tube at____for______
Wintrobe method hematocrit formula:
Pasteur pipette
3000 RPM for 30 minutes
Wintrobe method hematocrit formula:
Hematocrit= (height of packed RBC / height of wholeblood) x 100
Rule of three formula:
RBC x 3 = Hgb
Hgb x 3 = Hct +/-3