Total RBC count
Aim
To determine the total number of red blood cells (RBCs) present in a unit volume of blood.
Principle
The principle of total RBC count involves counting the number of red blood cells in a diluted blood sample under a microscope. The dilution factor and the volume of the blood sample are used to calculate the total RBC count.
Equipment and Reagents Required
1. Hemocytometer
2. Microscope
3. Pipettes
4. Diluting fluid (e.g., Hayem's solution)
5. Lancing device or needle
6. Blood collection tube
Procedure
1. Collect a blood sample using a lancing device or needle and anticoagulated blood collection tube.
2. Dilute the blood sample with a known volume of diluting fluid in a specific ratio (commonly 1:200).
3. Mix the diluted blood sample thoroughly to ensure uniform distribution.
4. Transfer a measured volume of the diluted blood sample into the hemocytometer.
5. Allow the red blood cells to settle in the counting chamber.
6. Count the number of red blood cells in multiple fields of view under the microscope.
7. Calculate the average number of RBCs per unit volume of blood using the dilution factor and volume of blood counted.
Use
Total RBC count is a routine hematological test used to assess the oxygen-carrying capacity of the blood and diagnose various disorders such as anemia, polycythemia, and certain hematological malignancies.
Detected Diseases
Anemia (including iron-deficiency anemia, vitamin B12 deficiency anemia, and hemolytic anemia), polycythemia vera, chronic kidney disease, and bone marrow disorders can be detected or monitored using total RBC count.
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