1WBC functions
soldiers of the body
2two groups of WBCs
granulocytes
agranulocytes
3these are granulocytes
neutrophils, eosinophils, basophils
4these are agranulocytes
monocytes
lymphocytes
5number of all types of WBCs
total leukocyte count
6reference range for adult male and females
4.5 - 11.5 x 10^9/L
7significance of performing manual WBC count
1. check validity of electronic methods during calibration
2. check valiidity of results from automated machines in px with leukopenia, leukemia, or thrombocytopenia
3. faulty machines
8condition with low WBC count
leukopenia
9automated machines have the tendencies to
1. identify platelets as WBCs
2. automated results in platelet clumping is usually increased WBC count and decreased platelets
10platelet clumps are mistaken as WBC
increased WBC count
11platelet clumps cant be counted by automated machine leads to
decreased platelet count
12what pipette is used in the dilution of sample
thoma pipette
13up to what mark is the blood aspirated in the thoma pipette
0.5 mark
14condition with increased WBC
leukocytosis
15what to do with blood aspiration if px has leukocytosis
1. aspirate up to 0.2 mark
2. use RBC thoma pipette; aspirate up to 0.5 mark and dilute to 101 mark
16what to do with blood aspiration if px has leukopenia
1. aspirate up to 1 mark
2. increase number of squares counted to all 9 squares
17when adjusting volume of blood aspirated, volume of diluent should also be adjusted
18how do we remove/lyse RBCs to prevent them from concealing WBCs
use slightly acidic/hypotonic solution
19WBC diluting fluids
1. 2-3% glacial acetic acid
2. turks solution
3. 1% hydrochloric acid (HCl)
20composition of 2-3% glacial acetic acid
glacial acetic acid
distilled water
1% aqueous gentian violet
21composition of turks solution
glacial acetic acid
distilled water
methyl violet
22under normal conditions, which squares of the hemocytometer should be counted
4 large corner squares
23total volume of solution in the bulb / volume of blood aspirated
dilution factor formula
24what is the automatic amount of the dilution factor if it is not given/mentioned
20
25diluting fluid only lyse mature RBCs and leave nucleated RBCs intact
26NRBCs and WBCs are indistinguishabe under the microscope
27nucleated RBCs can falsely [ ] WBC count
increase
28if [ ] NRBCs are found during differential count, corrected WBC count should be calculated
5 or more
29uncorrected WBC count x 100 divided by number of NRBCs + 100
corrected WBC count formula
30conditions with leukocytosis
leukemia
leukomoid reaction
hemorrhage
bacterial infection
viral infection
exercise
31what WBC increases during bacterial infection
neutrophils
32what WBC increases during viral infection
lymphocytes and monocytes
33what WBC increases during parasitic infections
eosinophils
34during exercise, WBCs move from [ ] pool to the [ ] pool
marginal ; circulating
35conditions with leukopenia
bone marrow injury
splenomegaly
autoimmune disorders
overwhelming infection and inflammation