PLATELET COUNT
Prepared by
Reviewed by:
Mr. Mohideen Sharfan S A
PPT Review committee
Assistant Professor
YSAHS
Medical Laboratory Technology
YSAHS
LESSON PLAN
Specific learning objective:
At the end of the session student should be able
to:
Describe different methods used for Platelet count.
Explain the principle and procedure of manual method,
platelet count by using hemocytometer.
To know the normal values and the abnormal clinical
significance.
Platelet count in the blood can be measured either
by manual method using an improved neubauer
chamber or by automated analyzer.
Manual Method
Improved neubauer counting chamber.
RBC pipette.
Principle
Anticoagulated blood is diluted with a diluent that
lyses the red cells(1% Ammonium Oxalate) leaving
visible platelets.
Platelet Diluting Fluids
Dacie’s Fluid
Rees-Ecker Fluid
Brecher-Cronkite Fluid: consist of 1% ammonium
oxalate solution which is filtered and stored at 4c.
Composition of Dacie’s fluid:
constituents quantity
Sodium citrate 5.0g
dihydrate
formalin 1ml
Distilled water 100 ml
Procedure
Gently mix the blood in the EDTA vial so that the
cells mix well with plasma.
Draw the blood up to 0.5 mark of RBC pipette.
Dip the tip of the pipette in the 1% Ammonium
Oxalate and draw the fluid upto mark 101.
Holding the pipette horizontally in its long axis,
rotate it slowly to ensure through mixing of blood
and diluent.
Place the cover slip on the ruled area of the chamber
Discard the first 2 to 3 drops of RBC fluid from the
pipette.
Charge the chamber by placing the tip of the pipette
just under the coverslip and allow the fluid to flow by
capillary action till the counting chamber is just
filled.
Keep the charged chamber in a petridish plate with
wet filter paper at the bottom for 5 minutes.
Platelets are counted entire central 1×1mm square.
Platelets appear is highly retractile small
structures.
Platelet count = total counted platelets in the
central square × 200 per cumm.
Normal Range
1,50,000 to 4, 50,000 platelets per cumm.
Decreased platelet count is known as
thrombocytopenia.
Increased platelet count known as
thrombocytosis.
Clinical significance
Thrombocytopenia:
Acute immune thrombocytopenic purpura.
Chronic immune thrombocytopenic purpura.
SLE.
DIC.
Thrombocytosis:
Essential Thrombocytosis.
Polycythemia Vera.
Chronic myeloid Leukemia.
Summary
Platelets are the formed elements of blood.
Estimation of platelet counts is an essential hematologic
investigation which may be performed by manual methods
or by automated analyzers.
The improved Neubauer chamber, RBC pipette and
diluting fluids are used for manual counts of any cell.
FAQ
Write the principle and procedure of manual method of
Platelet count. (4)
Causes of increased platelet count. (2)
Composition of platelet diluting fluid. (2)
References
Nayak R, Rai S. Essentials in Hematology and clinical
pathology.2nded.India:Jaypee the health science
publisher;2017.
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