Practical Blood Physiology Lab 2 - RBC Count
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Questions and Answers

Which components make up the majority of blood volume?

  • White blood cells and platelets
  • Red blood cells
  • Plasma (correct)
  • Mineral salts

What is one of the primary functions of blood in the body?

  • Formation of platelets
  • Storage of fats
  • Circulation of oxygen and nutrients (correct)
  • Production of hormones

What percentage of blood fluid is water?

  • 92% (correct)
  • 75%
  • 55%
  • 45%

Which of the following is NOT a component of blood?

<p>Nerve cells (C)</p> Signup and view all the answers

Why might red blood cell counts increase in the body?

<p>As a reaction to high altitudes (C)</p> Signup and view all the answers

What is one of the main functions of blood?

<p>Transporting hormones (A)</p> Signup and view all the answers

What is the significance of red blood cells containing hemoglobin?

<p>To transport oxygen (C)</p> Signup and view all the answers

Why is it important to dilute the blood specimen in a red blood cell count test?

<p>To avoid hemolysis (D)</p> Signup and view all the answers

Which fluid can be used for diluting blood when conducting a red blood cell count?

<p>Normal saline (D)</p> Signup and view all the answers

What happens to platelets when bleeding occurs?

<p>They group together to form a clot (A)</p> Signup and view all the answers

What does a red blood cells count help diagnose?

<p>Anemia (B)</p> Signup and view all the answers

Under what magnification should cells be counted using a Neubauer’s counting chamber?

<p>40x objective (B)</p> Signup and view all the answers

What is a potential consequence of using normal saline in blood dilution?

<p>It may cause rouleaux formation (C)</p> Signup and view all the answers

What is the purpose of using a pipette in the blood dilution process?

<p>To measure the volume of blood accurately (B), To mix the blood with the diluting fluid (C)</p> Signup and view all the answers

What is the standard dilution factor achieved by adding 10µL of EDTA blood to 1.99mL of diluting fluid?

<p>1:200 (C)</p> Signup and view all the answers

What is the primary component of Hayem’s solution for RBCs diluting fluid?

<p>Mercuric chloride (A)</p> Signup and view all the answers

How long should the pipette be rotated before filling the hemocytometer?

<p>3 minutes (A)</p> Signup and view all the answers

What should be done to the outside of the pipette after it has aspirated blood?

<p>It should be wiped clean without touching the opening (D)</p> Signup and view all the answers

Which objective lens is used for scanning the counting area of the Neubauer chamber?

<p>10x objective (D)</p> Signup and view all the answers

Which of the following ingredients is NOT part of Hayem's solution?

<p>Sodium bicarbonate (B)</p> Signup and view all the answers

How many total small squares are counted to determine the number of red blood cells?

<p>80 small squares (A)</p> Signup and view all the answers

What is the size of the Neubauer chamber’s counting grid?

<p>3 mm x 3 mm (C)</p> Signup and view all the answers

What is the depth of the chamber used for counting cells?

<p>0.1 mm (A)</p> Signup and view all the answers

Which of the following squares should not be counted in the cell counting process?

<p>Cells touching the lower limits (A), Cells touching the right limits (D)</p> Signup and view all the answers

How many large squares are in the central grid of the Neubauer chamber?

<p>9 (A)</p> Signup and view all the answers

What is the reference range of red blood cells for adult males?

<p>4.5-6.5 10^12/L (D)</p> Signup and view all the answers

What is a possible cause of erythrocytopenia?

<p>Bone marrow failure (A)</p> Signup and view all the answers

How many small squares are included in each of the four corner squares of the Neubauer chamber?

<p>16 (A)</p> Signup and view all the answers

Which deficiency is commonly associated with megaloblastic anemia?

<p>Vitamin B12 deficiency (D)</p> Signup and view all the answers

Flashcards

Blood definition

Blood is a specialized fluid that circulates throughout the body, carrying essential substances (like oxygen and sugars) and removing waste products from cells.

Blood components

Blood is primarily composed of plasma (fluid) and cells (red blood cells, white blood cells, and platelets).

Plasma composition

Plasma is mostly water (92%) with dissolved substances like glucose, proteins, hormones, and mineral salts.

Manual RBC count

A lab technique to determine the number of red blood cells (RBCs) in a blood sample manually

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Red blood cell function

Red blood cells (RBCs) carry oxygen throughout the body, crucial for cellular function.

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Blood Functions

Blood's role in delivering oxygen and nutrients, removing waste, fighting infection, regulating pH and body temperature, and transporting hormones.

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Platelets Role

Platelets are crucial for blood clotting when bleeding occurs to prevent excessive blood loss and possible infections.

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Red Blood Cells (RBCs)

Cells containing hemoglobin that transport oxygen throughout the body.

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Hemoglobin

The substance in RBCs that binds and carries oxygen.

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Red Blood Cell Count

A test that estimates the number of circulating red blood cells to assess blood's oxygen-carrying capacity.

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Neubauer's Counting Chamber

A specialized tool used to count red blood cells.

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RBC Diluting Fluid

A fluid used in the RBC count, isotonic to blood to prevent hemolysis.

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Blood Oxygen Capacity

The capability of blood to transport oxygen dependent on RBC numbers and function.

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Red blood cell count method

A manual technique to determine the number of red blood cells per cubic millimeter of blood.

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Diluting Fluid

A solution used to dilute blood samples before counting red blood cells.

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Neubauer's Counting Chamber

A specialized microscope slide with precise grids for counting cells in diluted blood samples.

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Blood Dilution Ratio (1:200)

A 1:200 dilution is achieved by mixing 10µL blood with 1.99mL of diluting fluid.

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Sample Preparation (steps 1-3)

Cleaning the finger, pricking, and preparing the blood sample for dilution.

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Counting Procedure (steps 5-11)

The steps involved in using the counting chamber to determine the red blood cells.

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Counting Area

The specific area of the Neubauer squared counting grid to manually count the red blood cells.

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Hayem's Solution

A specific diluting solution with a composition of chemicals, commonly used for manual red blood cell counting using the Neubauer’s counting chamber.

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Neubauer chamber

A specialized microscope slide used to count cells, like red blood cells, with precisely defined areas and depth for accurate cell counts.

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Counting Grid (Neubauer)

A grid pattern on the Neubauer chamber, used to divide the area for precise cell counting.

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Counting Squares in Neubauer

Counting cells in specific corner and center squares (determined according to the grid in the Neubauer chamber).

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Erythrocytopenia

A condition where there are fewer red blood cells than normal (low red blood cell count).

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Red Blood Cell (RBC) count

The measurement of the number of red blood cells in a volume of blood.

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Reference range (RBC)

The normal range of red blood cell count for a specific population (e.g., adult males, adult females).

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Clinical Significance (Low RBC)

Low red blood cell count often indicates an underlying medical condition like anemia, impacting oxygen transport.

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Chamber Depth

The thickness of the Neubauer chamber used for cell counting (0.1mm in the described case).

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Study Notes

Practical Blood Physiology - Lab 2: Manual Red Blood Cell Count

  • Course: Practical blood physiology
  • Year: 2nd year
  • Academic Year: 2023-2024
  • Lab: 2
  • Topic: Manual red blood cell count
  • Lecturer: Karrar Abduljabar Alqershi, M.Lab.Med

Learning Objectives

  • Define blood, its components, and primary functions.
  • Understand the process and principles of manual red blood cell (RBC) counting.
  • Calculate and interpret RBC count results.
  • Know normal RBC reference ranges for males and females.
  • Identify reasons for increased or decreased RBC counts.

What is Blood?

  • Blood is a specialized bodily fluid.
  • It circulates throughout the body.
  • It transports essential substances (sugar, oxygen, hormones).
  • It removes waste from the body's cells.

Blood Composition:

  • Plasma (approximately 55%):
    • 92% water
    • Remainder includes: carbon dioxide, glucose, hormones, proteins, mineral salts, fats, and vitamins.
  • Red blood cells, white blood cells, and platelets (approximately 45%).

Functions of Blood

  • Supplying oxygen to cells and tissues.
  • Providing essential nutrients to cells (amino acids, fatty acids, glucose).
  • Removing waste (carbon dioxide, urea, lactic acid).
  • Protecting the body from infection and foreign objects (via white blood cells).
  • Transporting hormones and other signaling molecules.
  • Regulating acidity (pH) levels and body temperature.
  • Enabling blood clotting (coagulation): platelets group together to form a clot.

Manual Red Blood Cell Count: Purpose and Principle

  • Purpose: Determine the number of red blood cells.
  • Idea: Red blood cells (RBCs) contain hemoglobin, which carries oxygen. The number of RBCs impacts oxygen transport.
  • Principle: The blood is diluted with fluid (isotonic solution like normal saline) to prevent cell lysis and potential rouleaux formation. The diluted cells are counted using a counting chamber under a microscope.
  • A standardized counting method is used to provide reliable results
  • The final result is expressed as the number of red blood cells per cubic millimeter of whole blood (e.g., 4.73 x 10^9 cells/µL blood.)

Materials

  • Whole blood with EDTA or direct capillary blood.
  • RBC diluting fluid (e.g., Hayem's solution).
  • Red blood cells pipette.
  • Neubauer's counting chamber.
  • Microscope, lancets, cotton swabs, alcohol (70%).

Method (Detailed Procedure)

  • Procedure for sample collection (finger prick, pipette use, dilution etc).
  • Method for preparing Neubauer's chamber for counting.
  • Method for counting red blood cells using correct microscope settings and criteria.
  • Procedure for calculating the final red blood cell count.

Counting the Cells (Chamber)

  • Use specified squares to calculate
  • Instructions for accurate cell counting within the counting chamber.
  • Exclusion criteria for cells touching or touching the borders of the squares are carefully defined and provided..

Calculations

  • Calculate the average number of cells counted.
  • Calculate the number of red blood cells per cubic millimeter.

Reference Ranges and Clinical Significance

  • Normal red blood cell counts for adult males and females
  • What decreased red blood cell count might indicate.
  • What increased red blood cell count might indicate.

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Description

This quiz covers the key concepts from Practical Blood Physiology Lab 2, focusing on manual red blood cell counting. Students will learn about blood composition, the principles of RBC counting, interpretation of results, and normal reference ranges for RBC counts. Assess your knowledge of blood physiology and counting techniques.

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