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BLOOD TESTS
LEARNING OBJECTIVES
Be familiar with terms: formed element, plasma, buffy coat, erythrocytes, leukocytes, platelets,
granulocytes, agranulocytes, polycythemia, anemia, agglutination, hematocrit, hemoglobin
Identify major components of blood and identify the percentage of each present in whole
blood
Identify red blood cells, platelets, and types of white blood cells on slide or diagram and
know their function
Know white blood cell type percentages in blood
Be able to conduct ABO and Rh blood typing and identify antigens present in type A, B,
identify antibodies that will produce agglutination in types A, B, and 0, and distinguish
between Rh+ and Rh-
Explain why type 0 is universal blood type
Examine blood smears microscopically and identify differences seen in slides prepared from
patients with blood disorders
Activity Minutes
Attendance 5 minutes
Platelets = thrombocytyes
Red in color
Granular Agranular
Leukocytes leukocytes
Structure Function Blood Smear
characteristics
Neutrophils Lymphocytes
Nucleus Attack pathogens and foreign Larger than RBCs
substances in the body
Round Able to see nucleus
Eosinophils Monocytes
Basophils
Normally 5,000-10,000 WBCs per microliter of blood
WHITE BLOOD CELLS (LEUKOCYTES)
NEUTROPHILS
60-70% of WBCs
Function
Phagocytocize bacteria
Characteristics
Multi-lobed nucleus connected by threads (2-5)
Small pink granules
10-12um diameter
Characteristics
Bilobed nucleus
Many brown/red-orange granules
10-12um in diameter
BASOPHILS
0.5-1% WBC, most rare
Function
Involved in immune responses to parasites
Characteristics
Large nucleus that may be obscured by granules
Large dark blue-purple/red granules
8-10um in diameter
MONOCYTE
2-10% of WBCs
Function
Precursors to macrophages, which phagocytize dead
cells and bacteria
Characteristics
Kidney bean-shaped nucleus
Largest leukocyte (12-20um diameter)
No obvious granules
Cytoplasm light blue-gray
LYMPHOCYTE
20-30% of WBCs
Function
Form B cells and T cells, which make antibodies and
attack viruses, respectively.
Characteristics
Slightly larger than RBC
Large round nucleus that stains purple—cytoplasm
may be not very visible in small lymphocytes
Granules not visible
PLATELETS
Smallest of solid components of
blood
Synthesized in red bone marrow from
megakaryotcytes (fragments of
cytoplasm)
Necessary for initiation of blood
clotting process
Anucleuated
Thrombocytopenia=decreased
platelet count
LAB EXERCISE 26.2-DIFFERENTIAL WBC COUNT
Performed to determine percentage of each of the 5 types of WBCs in a blood
sample
Mnemonic- “Never Let Monkeys Eat Bananas”
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
Count 100 WBCs and record findings in table 26.2 and percentages of each type of
blood
Determine disorder associated with your findings
DIFFERENTIAL WBC COUNT
WBC type High Count Low Count
Neutrophils Acute bacterial infection,
inflammation
Lymphocytes Acute viral infection HIV/AIDs, immunosuppression
Monocytes Viral or fungal infection Bone marrow depression
Eosinophils Allergy, parasitic worm infection,
autoimmune disorder
Basophils Cancers, hypothyroidism
BLOOD TYPING
BLOOD TYPING
RH BLOOD SYSTEM
Rh+ = Rh antigen on RBCs
Rh- = No Rh antigen on RBCs
Does not spontaneously develop anti-Rh antibody until
the person is exposed to Rh antigen from Rh+ blood.
Exposure to Rh+ blood may occur through blood
transfusion, sharing needles, or by an Rh- mother
carrying an Rh+ child.
First baby would not be affected but subsequent pregnancies with
Rh+ babies can result in Rh antibodies crossing the placenta and
causing hemolysis in the fetus’s blood
BLOOD TRANSFUSIONS
Type of blood Can receive from Can donate to
A A, O A, AB,
B B, O B, AB
AB A, B, AB, O AB
O O A, B, AB, O
Complete worksheet
HEMOGLOBIN AND HEMATOCRIT
HEMOGLOBIN
Hemoglobin
Protein that carries oxygen in RBCs
Determines oxygen-carrying capacity of blood
Made from iron
Generally relationship of hematocrit to hemoglobin is 3:1 but it is
possible to have normal hematocrit and abnormal hemoglobin
HEMATOCRIT
Hematocrit = volume of RBCS (% of RBC in a whole blood sample)
Normal level = Females (38-46%), Males (40-54%)
POWERPHYS-HEMOGLOBIN AND HEMATOCRIT
CASE STUDY: IT’S ALL GREEK TO ME
Can be found on canvas under week 6 module
WRAP UP QUIZ
BEFORE NEXT LAB
Complete Lab 7 Pre-Lab Assignment (WileyPlus)
Lab 6 Post-Lab Quiz (canvas)
Complete PowerPhys Exercise 8
Outline of Student presentations