Master the Art of Blood Collection
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Questions and Answers

What is the purpose of anticoagulant in blood collection?

  • To increase the concentration of haemoglobin
  • To improve the accuracy of biochemistry tests
  • To prevent blood clotting (correct)
  • To reduce the number of leukocytes
  • Which anticoagulant is commonly used in coagulation tests?

  • EDTA
  • Heparin
  • Sodium citrate (correct)
  • Potassium chloride
  • What is the effect of excess EDTA on blood cells?

  • Increase in MCHC
  • Increase in platelet size
  • Increase in PCV
  • Shrinkage of RBCs (correct)
  • Which anticoagulant causes morphologic distortion of platelets and WBCs?

    <p>Heparin</p> Signup and view all the answers

    What is the normal range for haemoglobin in females?

    <p>12.0 - 15.5 g/dl</p> Signup and view all the answers

    What is the function of haemoglobin in red blood cells?

    <p>Transports oxygen from the body's tissues to the lungs</p> Signup and view all the answers

    Which anticoagulant is used in a special test called osmotic fragility test?

    <p>Heparin</p> Signup and view all the answers

    Question 1

    <p>What is the purpose of using anticoagulants in blood collection?</p> Signup and view all the answers

    Answer 1

    <p>To prevent blood from clotting and ensure accurate test results.</p> Signup and view all the answers

    Question 2

    <p>Which type of blood tube is used for a complete blood picture?</p> Signup and view all the answers

    Answer 2

    <p>EDTA tube.</p> Signup and view all the answers

    Question 3

    <p>What is the effect of excess EDTA on blood cells?</p> Signup and view all the answers

    Answer 3

    <p>Reduction in PCV, increase in MCHC, shrinkage of RBCs and leukocytes, and swelling of platelets.</p> Signup and view all the answers

    Question 4

    <p>What is the most common anticoagulant used in coagulation tests?</p> Signup and view all the answers

    Answer 4

    <p>Trisodium citrate.</p> Signup and view all the answers

    Question 5

    <p>What is the normal range for hemoglobin in males?</p> Signup and view all the answers

    Answer 5

    <p>13.5 – 17.5 g/dl.</p> Signup and view all the answers

    Question 6

    <p>What is anemia?</p> Signup and view all the answers

    Answer 6

    <p>A condition characterized by a reduction in the concentration of hemoglobin in the blood.</p> Signup and view all the answers

    Question 7

    <p>What is the function of hemoglobin in red blood cells?</p> Signup and view all the answers

    Answer 7

    <p>To transport oxygen from the lungs to the body's tissues and return carbon dioxide from the tissues to the lungs.</p> Signup and view all the answers

    Question 1

    <p>What is the role of EDTA in blood collection?</p> Signup and view all the answers

    Answer 1

    <p>EDTA is an anticoagulant that binds to calcium molecules in the blood to prevent coagulation, and it is used in all haematological procedures.</p> Signup and view all the answers

    Question 2

    <p>What is the function of sodium citrate in coagulation tests?</p> Signup and view all the answers

    Answer 2

    <p>Sodium citrate prevents blood clotting by binding to the calcium in the blood, and it is the anticoagulant of choice for coagulation tests.</p> Signup and view all the answers

    Question 3

    <p>What is the normal range for haemoglobin in males and females?</p> Signup and view all the answers

    Answer 3

    <p>The normal range for haemoglobin in males is 13.5 – 17.5 g/dl, and in females, it is 12.0 - 15.5 g/dl.</p> Signup and view all the answers

    Question 4

    <p>What are the effects of excessive EDTA on blood cells?</p> Signup and view all the answers

    Answer 4

    <p>Excessive EDTA can lead to a reduction in PCV, an increase in MCHC, shrinkage of RBCs and leukocytes, and swelling of platelets.</p> Signup and view all the answers

    Question 5

    <p>What is the concentration of heparin used in blood collection?</p> Signup and view all the answers

    Answer 5

    <p>Heparin may be used at a concentration of 15–30 iu/ml of blood.</p> Signup and view all the answers

    Question 6

    <p>What is the function of haemoglobin in red blood cells?</p> Signup and view all the answers

    Answer 6

    <p>Haemoglobin transports oxygen from the lungs to the body's tissues and returns carbon dioxide from the tissues to the lungs.</p> Signup and view all the answers

    Question 7

    <p>What is the stability of blood samples for different tests?</p> Signup and view all the answers

    Answer 7

    <p>For several tests, such as the complete blood count (CBC) and platelet count, the sample stability may be maintained for up to 24 hours at 4 C. Blood should be processed within three hours of collection if peripheral blood smears are to be performed.</p> Signup and view all the answers

    Which method is currently more popular for direct measurement of PCV?

    <p>Micro-method using capillary tubes</p> Signup and view all the answers

    What is the purpose of hematocrit or PCV?

    <p>To measure the percentage of red blood cells in the total blood volume</p> Signup and view all the answers

    What is the requirement for the blood sample used in the micro-hematocrit method?

    <p>Anticoagulated venous blood or capillary blood</p> Signup and view all the answers

    What is the length of the capillary tube used in the micro-hematocrit method?

    <p>75 mm</p> Signup and view all the answers

    What is the color of heparinized tubes used in the micro-hematocrit method?

    <p>Red coded</p> Signup and view all the answers

    What is the speed of the micro-hematocrit centrifuge?

    <p>Around 15,000 RPM</p> Signup and view all the answers

    What is used to cover the capillary tube end in the micro-hematocrit method?

    <p>Clay</p> Signup and view all the answers

    What is the recommended length for filling the capillary tube in the micro-hematocrit method?

    <p>75%</p> Signup and view all the answers

    How long does the centrifugation last in the micro-hematocrit method?

    <p>5 minutes</p> Signup and view all the answers

    What is the purpose of the hematocrit reader in the micro-hematocrit method?

    <p>To hold the tube against the scale so that the bottom of the plasma corresponds to the card's O (zero) line</p> Signup and view all the answers

    What is the recommended position of the capillary tube during the reading in the micro-hematocrit method?

    <p>Straight and vertical</p> Signup and view all the answers

    What is the value given by the HCT value at the top of the RBC column in the micro-hematocrit method?

    <p>The HCT value</p> Signup and view all the answers

    Which method is more popular for direct measurement of PCV and why?

    <p>Micro-method, because it results in better red cell packing</p> Signup and view all the answers

    What is the purpose of hematocrit or PCV?

    <p>To determine the percentage of red blood cells in the total blood volume</p> Signup and view all the answers

    What is the requirement for blood sample in Micro-Hematocrit Method?

    <p>2-3 drops of blood</p> Signup and view all the answers

    What type of tubes are used for anticoagulated venous blood and blood obtained from finger puncture, respectively?

    <p>Venous blood is collected in heparinized tubes, and blood obtained from finger puncture is collected in non-heparinized tubes</p> Signup and view all the answers

    What is the length of the capillary tubes used in Micro-Hematocrit Method?

    <p>75 mm</p> Signup and view all the answers

    What is the speed of Micro hematocrit centrifuge and how long does it take for centrifugation?

    <p>Speed of around 15,000 RPM and centrifugation lasts for 5 minutes</p> Signup and view all the answers

    What is used to cover the capillary tube end in Micro-Hematocrit Method?

    <p>Clay</p> Signup and view all the answers

    What is the purpose of the Hematocrit Reader in Micro-Hematocrit Method?

    <p>To hold the tube against the scale so that the top of the RBC column corresponds to the card's O (zero) line</p> Signup and view all the answers

    What is the ideal length of the blood sample used in Micro-Hematocrit Method?

    <p>At least 50% of the capillary tube</p> Signup and view all the answers

    How long should be the centrifugation in Macro-method using Wintrobe tubes?

    <p>15 minutes</p> Signup and view all the answers

    What is the ideal speed of centrifugation in Macro-method using Wintrobe tubes?

    <p>Around 8,000 RPM</p> Signup and view all the answers

    What is the purpose of using heparinized capillary tubes for blood obtained from finger puncture in Micro-Hematocrit Method?

    <p>To prevent coagulation of blood</p> Signup and view all the answers

    What is the purpose of using clay to cover the capillary tube end in Micro-Hematocrit Method?

    <p>To prevent air bubbles from forming</p> Signup and view all the answers

    Which method is more popular for direct measurement of PCV and why?

    <p>Micro-method because it results in better red cell packing</p> Signup and view all the answers

    What is the requirement for blood sample collection in the Micro-Hematocrit Method?

    <p>Capillary blood tubes that are anticoagulated</p> Signup and view all the answers

    What is the length of the capillary tubes used in the Micro-Hematocrit Method?

    <p>75 mm</p> Signup and view all the answers

    What is the color of heparinized tubes used in the Micro-Hematocrit Method?

    <p>Red</p> Signup and view all the answers

    What is the purpose of clay in the Micro-Hematocrit Method?

    <p>To cover the capillary tube end during centrifugation</p> Signup and view all the answers

    What is the speed of the Micro hematocrit centrifuge used in the Micro-Hematocrit Method?

    <p>15,000 RPM</p> Signup and view all the answers

    How long does centrifugation last in the Micro-Hematocrit Method?

    <p>5 minutes</p> Signup and view all the answers

    What is the purpose of the hematocrit reader in the Micro-Hematocrit Method?

    <p>To read the hematocrit value</p> Signup and view all the answers

    What is the recommended length to fill the capillary tube in the Micro-Hematocrit Method?

    <p>75%</p> Signup and view all the answers

    What is the ideal blood flow for sample collection in the Micro-Hematocrit Method?

    <p>Free and low-pressure</p> Signup and view all the answers

    What is the percentage of red blood cells in the total blood volume called?

    <p>Hematocrit</p> Signup and view all the answers

    What is the difference between heparinized and non-heparinized capillary tubes in the Micro-Hematocrit Method?

    <p>Anticoagulant used</p> Signup and view all the answers

    What is the advantage of the Micro-method over the Macro-method in the direct measurement of PCV?

    <p>Micro-method results in better red cell packing</p> Signup and view all the answers

    Question 1

    <p>What is hematocrit or PCV?</p> Signup and view all the answers

    Answer 1

    <p>Hematocrit or PCV is the percentage of red blood cells in the total blood volume.</p> Signup and view all the answers

    Question 2

    <p>What are the two methods currently used for direct measurement of PCV?</p> Signup and view all the answers

    Answer 2

    <p>The two methods currently used for direct measurement of PCV are: 1. Macro-method using Wintrobe tubes 2. Micro-method using capillary tubes.</p> Signup and view all the answers

    Question 3

    <p>Why is the micro-method more popular for measuring PCV?</p> Signup and view all the answers

    Answer 3

    <p>The micro-method is more popular for measuring PCV because it results in better red cell packing and takes less time for centrifugation.</p> Signup and view all the answers

    Question 4

    <p>What is the requirement for a blood sample for micro-hematocrit method?</p> Signup and view all the answers

    Answer 4

    <p>The requirement for a blood sample for micro-hematocrit method is venous blood or capillary blood tubes (blood from a finger puncture may be used) that are anticoagulated.</p> Signup and view all the answers

    Question 5

    <p>What are the two types of capillary tubes used in micro-hematocrit method and how long are they?</p> Signup and view all the answers

    Answer 5

    <p>The two types of capillary tubes used in micro-hematocrit method are use capillary tubes for anticoagulated venous blood and use heparinised capillary tubes for blood obtained from a finger puncture. They are 75 mm long.</p> Signup and view all the answers

    Question 6

    <p>What is the difference between heparinized and non-heparinized capillary tubes?</p> Signup and view all the answers

    Answer 6

    <p>Heparinized tubes are red coded, and non-heparinized are blue coded.</p> Signup and view all the answers

    Question 7

    <p>What is a micro hematocrit centrifuge and what is its speed?</p> Signup and view all the answers

    Answer 7

    <p>A micro hematocrit centrifuge is a special type of centrifuge with a speed of around 15,000 RPM.</p> Signup and view all the answers

    Question 8

    <p>What is the function of the hematocrit reader?</p> Signup and view all the answers

    Answer 8

    <p>The function of the hematocrit reader is to hold the capillary tube against the scale so that the bottom of the red cell corresponds to the card's O (zero) line.</p> Signup and view all the answers

    Question 9

    <p>What is the procedure for filling the capillary tube in micro-hematocrit method?</p> Signup and view all the answers

    Answer 9

    <p>The capillary tube should be filled to a length of 75%, and its other end should be closed with clay or wax. Samples of blood should be as fresh as possible and well mixed. The blood flow should be free and low-pressure.</p> Signup and view all the answers

    Question 10

    <p>How long is the centrifugation process in micro-hematocrit method?</p> Signup and view all the answers

    Answer 10

    <p>The centrifugation process in micro-hematocrit method lasts for five minutes at a speed of 13,000+ 2,000 rpm.</p> Signup and view all the answers

    Question 11

    <p>What is the procedure for reading the micro-hematocrit value?</p> Signup and view all the answers

    Answer 11

    <p>The tube should be straight and vertical and moved across the card until the uppermost line of plasma is matched to 100% of the card. The line that passes through the HCT value is given by the HCT value at the top of the RBC column.</p> Signup and view all the answers

    Question 12

    <p>What is the advantage of using the micro-method for measuring PCV?</p> Signup and view all the answers

    Answer 12

    <p>The advantage of using the micro-method for measuring PCV is that it requires a small amount of blood and centrifugation lasts less time, resulting in better red cell packing.</p> Signup and view all the answers

    Question 1

    <p>What is hematocrit or PCV?</p> Signup and view all the answers

    Answer 1

    <p>Hematocrit or PCV is the percentage of red blood cells in the total blood volume.</p> Signup and view all the answers

    Question 2

    <p>What are the two methods currently used for direct measurement of PCV?</p> Signup and view all the answers

    Answer 2

    <p>The two methods currently used for direct measurement of PCV are the Macro-method using Wintrobe tubes and the Micro-method using capillary tubes.</p> Signup and view all the answers

    Question 3

    <p>Why is Micro-method more popular?</p> Signup and view all the answers

    Answer 3

    <p>Micro-method is more popular because it results in better red cell packing and centrifugation lasts less time.</p> Signup and view all the answers

    Question 4

    <p>What is the requirement for the blood sample in Micro-Hematocrit Method?</p> Signup and view all the answers

    Answer 4

    <p>The requirement for the blood sample in Micro-Hematocrit Method is venous blood or capillary blood tubes that are anticoagulated.</p> Signup and view all the answers

    Question 5

    <p>What type of capillary tubes should be used for blood obtained from finger puncture?</p> Signup and view all the answers

    Answer 5

    <p>Heparinised capillary tubes should be used for blood obtained from finger puncture.</p> Signup and view all the answers

    Question 6

    <p>What is the length of capillary tubes required for Micro-Hematocrit Method?</p> Signup and view all the answers

    Answer 6

    <p>The length of capillary tubes required for Micro-Hematocrit Method is 75 mm.</p> Signup and view all the answers

    Question 7

    <p>What is the function of clay in Micro-Hematocrit Method?</p> Signup and view all the answers

    Answer 7

    <p>Clay is used to cover the capillary tube end in Micro-Hematocrit Method.</p> Signup and view all the answers

    Question 8

    <p>What is the required speed of Micro hematocrit centrifuge?</p> Signup and view all the answers

    Answer 8

    <p>The required speed of Micro hematocrit centrifuge is around 15,000 RPM.</p> Signup and view all the answers

    Question 9

    <p>What is the time required for centrifugation in Micro-Hematocrit Method?</p> Signup and view all the answers

    Answer 9

    <p>The time required for centrifugation in Micro-Hematocrit Method is five minutes.</p> Signup and view all the answers

    Question 10

    <p>What is the function of Hematocrit Reader?</p> Signup and view all the answers

    Answer 10

    <p>Hematocrit Reader is used to hold the tube against the scale so that the bottom of the red cell corresponds to the card's O (zero) line.</p> Signup and view all the answers

    Question 11

    <p>What is the procedure for using Hematocrit Reader?</p> Signup and view all the answers

    Answer 11

    <p>The procedure for using Hematocrit Reader involves moving the tube across the card until the uppermost line of plasma is matched to 100% of the card and the line that passes through the HCT value is given by the HCT value at the top of the RBC column.</p> Signup and view all the answers

    Question 12

    <p>What is the recommended blood sample quality for Micro-Hematocrit Method?</p> Signup and view all the answers

    Answer 12

    <p>The recommended blood sample quality for Micro-Hematocrit Method is fresh and well mixed blood with free and low-pressure flow.</p> Signup and view all the answers

    What is the measure of the ability of erythrocytes to fall through blood plasma and accumulate together at the base of a container in one hour?

    <p>Erythrocyte sedimentation rate (ESR)</p> Signup and view all the answers

    What is the normal range for ESR in males and females, respectively?

    <p>0-10 mm/hr and 0-20 mm/hr</p> Signup and view all the answers

    What is the principle behind ESR measurement?

    <p>The speed of fall of red cells from their plasma</p> Signup and view all the answers

    What is the normal ratio of citrate to blood in ESR measurement according to the Westergren method?

    <p>1:4</p> Signup and view all the answers

    What is the duration of the initial period of aggregation during ESR measurement?

    <p>Around 10 minutes</p> Signup and view all the answers

    During which stage of red cell division does the majority of settling happen?

    <p>Fast settling stage</p> Signup and view all the answers

    What is the cause of a higher-than-normal ESR rate?

    <p>Inflammation in the body</p> Signup and view all the answers

    Which method of ESR measurement is commonly used?

    <p>Westergren method</p> Signup and view all the answers

    What is the cause of a falsely lowered ESR level?

    <p>Sickle cell anemia</p> Signup and view all the answers

    What is the function of ESR citrate tube in ESR measurement?

    <p>Prevents blood from clotting</p> Signup and view all the answers

    What is the function of sedimentation tube rack in ESR measurement?

    <p>Holds the ESR citrate tube</p> Signup and view all the answers

    What is the function of EDTA specimen in ESR measurement?

    <p>Prevents blood from clotting</p> Signup and view all the answers

    What is the measure of the ability of erythrocytes to fall through blood plasma and accumulate together at the base of a container in one hour?

    <p>Erythrocyte Sedimentation Rate (ESR)</p> Signup and view all the answers

    What is the normal range of ESR for females?

    <p>0-20 mm/hr</p> Signup and view all the answers

    What is the principle behind ESR measurement?

    <p>Measure of fibrinogen and serum globulin</p> Signup and view all the answers

    What is the initial period of aggregation in red cells called?

    <p>Rouleaux formation</p> Signup and view all the answers

    What is the equipment required for ESR measurement?

    <p>ESR citrate tube, sedimentation tube rack, patient specimen, timer</p> Signup and view all the answers

    What is a possible cause of a higher-than-normal ESR rate?

    <p>Inflammation in the body</p> Signup and view all the answers

    Which of the following is a method for ESR measurement?

    <p>Wintrobe method</p> Signup and view all the answers

    What is the ratio of citrate to blood in the ESR citrate tube according to the Westergren method?

    <p>1:4</p> Signup and view all the answers

    Which of the following is a possible cause of falsely lowered ESR levels?

    <p>Sickle cell anemia</p> Signup and view all the answers

    What is the duration of the fast settling stage in red cells?

    <p>40 minutes</p> Signup and view all the answers

    Which of the following is a chronic disease that can cause a raised ESR level?

    <p>Cancer</p> Signup and view all the answers

    What is the measure of the suspension stability of red cells?

    <p>Erythrocyte sedimentation rate</p> Signup and view all the answers

    Which of the following is a possible cause of falsely raised ESR levels?

    <p>Spherocytosis</p> Signup and view all the answers

    Which erythrocyte index is used to classify anemia?

    <p>Mean cell volume</p> Signup and view all the answers

    What is the normal range of mean corpuscular hemoglobin concentration?

    <p>32-36gm/dL</p> Signup and view all the answers

    Which classification of erythrocyte is characterized by an MCV of less than 80fl?

    <p>Microcytic</p> Signup and view all the answers

    What is the formula for calculating mean cell volume?

    <p>MCV = Htc x 1000/RBC</p> Signup and view all the answers

    Which erythrocyte index measures the average weight of hemoglobin in individual erythrocytes?

    <p>Mean corpuscular hemoglobin</p> Signup and view all the answers

    Question 1

    <p>What are the three erythrocyte indices used to classify anemia?</p> Signup and view all the answers

    Answer 1

    <p>The three erythrocyte indices used to classify anemia are mean cell volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC).</p> Signup and view all the answers

    Question 2

    <p>What is the normal range for MCV?</p> Signup and view all the answers

    Answer 2

    <p>The normal range for MCV is 80-100 femtoliters (fl).</p> Signup and view all the answers

    Question 3

    <p>What is the formula for calculating MCHC?</p> Signup and view all the answers

    Answer 3

    <p>The formula for calculating MCHC is MCHC=Hb/Htc, where Hb is the concentration of hemoglobin in grams per deciliter and Htc is the hematocrit in liters per liter.</p> Signup and view all the answers

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