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CTBT SHS
CTBT SHS
BODY
Red Blood cells
• Also called erythrocytes.
• Has Biconcave Disk shape.
– Provides 20-30% greater surface area than a
sphere
– Allows the erythrocytes to deform readily
• No Nucleus, Organelles, Centrioles or
Division.
• Count - Male 5.2-5.8 million/mm3
Female 4.3-5.2 million/mm3
• Erythropoiesis is occur in bone marrow.
• Life span of an erythrocyte is 120 days.
• Old erythrocytes become rigid and fragile and
their Hb begin to degenerate.
• Red cell destroy is occur in spleen.
Synthesis
• Produced in bone marrow – Megakaryocytes
• Regulated by – Thrombopoietin
• each megakaryocyte formed around 4000 platelets
•From differentiation of stem cell to platelets takes
around 10 days
• Smallest blood cells
• Colorless, spherical appear as dark pink in stained sections
• No nucleus cannot reproduce
• Covered with a glycoprotein surface coat
• In healthy individuals 1/3 remain in the spleen
• Life span 7 – 10 days
Reticulocytes
- measures the ability of small blood vessels to control free flow of blood
vessel wall.
DUKE’S METHOD
Procedure:
1. Cleanse the earlobe or the 3rd or 4th finger with 70% isopropyl alcohol
and allow it to dry.
2. Make a relatively deep puncture with a sterile blood lancet and start
timing.
3. Blot the blood using filter paper every 30 seconds.
Note: Do not allow the filter paper to touch the wound as this will
hasten the bleeding time.
4. Stop timing as bleeding ceases and record the
bleeding time. Normal Value: 2 – 4 minutes
Other Methods of Measuring Bleeding Time
A. Ivy’s
Procedure:
1. Apply a sphygmomanometer cuff on the patient’s upper arm. Inflate it at 40 mmHg.
Maintain this pressure during the
entire procedure.
2. Cleanse an area on the volar surface of the forearm with 70% alcohol and allow it to
dry. The selected area should be free from visible veins.
3. Make three successive punctures in the form of a triangle to a depth of 2 – 3 mm
using a disposable lancet. Start timing.
4. Blot the blood with filter paper at 30-second interval until the bleeding stops.
5. Record the time when the bleeding stops.
B. Copley-Lalitch Method
Procedure:
1. Cleanse the fingertip with
alcohol and allow it to
dry.
2. Make a puncture to a
depth of 6 mm. Start
timing.
3. Immerse the punctured finger in sterile physiologic saline solution
Other Methods of Coagulation Time
Procedure:
1. Make a skin puncture. Wipe off the first drop of blood.
2. Fill a non-heparinized capillary tube ¾ with blood.
3. Start timing as soon as blood enters the tube.
4. Set the capillary tube aside in a horizontal position for two minutes.
5. Break off about 1 cm of the capillary tube at 30-second interval until
fibrin thread bridges the broken ends of the capillary tube.
6. Record the coagulation time.