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TWBCs Count

1 min read

INTRODUCTION

White blood cells (WBCs), also called leukocytes, are an important part of the immune system that help fight infections and diseases. There are several types of WBCs including neutrophils, lymphocytes, monocytes, eosinophils and basophils. A complete blood count provides valuable information about the numbers and ratios of these cell types.
The total WBC count indicates the body’s immune status and is often performed as part of routine health screening. It is also useful when evaluating and monitoring conditions like infections, leukemia, inflammation and allergic reactions. The normal reference range for total WBCs is 4,500-11,000 per microliter.

Test Catageory
فئة التحليل

Hematology

Refrence Books
كتب مراجع

1. Daicw & Lewis Practical Hematology

Skills Required
المهارات المطلوبة

1. Pipetting
2. Colorimetry

Video Resources
مصادر فيديو

Resource 1
Resourse 2
3

Principle

We us Glacial Acetic Acid (GAA) and mix it with blood to brakdown RBCs, Platelets and the Membrane of WBCs . The only thing that remains is the Nucleus of WBCs which is exactly we count, where we can see them under microscope as small Shiny Round Particles.

Equipments

1. 10 – 100 ul + 100 – 100 ul Automatic Pipette
2. Small glss tubes
3. Glacial Acetic Acid
4. yellow and blue tips
5. Colorimeter or Spectrophotometer

Sample Type

EDTA Anticoagulated Sample or Direct Fingerprick using lancet

Procedure

1. Prepare the patient’s finger for blood collection using an alcohol swab in case of collecting finger blood. Allow to air dry and Use a sterile lancet to prick the side of the finger and collect 20μl of blood using a capillary tube or Pipette, “in case of EDTA only collect blood in tube using syringe and mix the sample well”.
2. in clean small tube Add 380μl of glacial acetic acid
3. Add the 20μl blood sample to 380μl of Glacial Acetic Acid in a test tube.

Test (T)
Glacial Acetic Acid380 μl
Sample20 μl

Procedure

4. Allow to stand for 2-3 minutes. This lyses the RBCs while fixing the WBCs.
5. Prepare the hemocytometer for counting
6. Mix the lysate again before charging the hemocytometer.
7. Load 10μl of well-mixed lysate under the cover slip on each side of the hemocytometer.
8. Let it stand for 2-3 minutes to allow cells to settle.
9. Count all the WBCs in the four corner squares under 10X objective lens.
10. Take the sum of cells counted on both sides.
Determine the number of cells per microliter by applying the dilution factor:
WBC count = Cells Counted in 4 corners x Dilution Factor(20) /Depth x Area counted
Dilution factor = 20
Area Counted = 4
De[th = 0.1 mm


Normal Range

Quick Notice

M. Sulieman

mohammad@mlsgaate.com

Mix sample well before loading to evenly distribute WBCs
Allow samples to settle before counting
Count cells touching upper and left borders only
Handle hemocytometer with care to prevent damage

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