HEMATOLOGY (LAB)
Our Lady of Fatima University Laguna| BSMLS | 3-YA-2
Topic: Hematocrit Determination
HEMATOCRIT SOURCES OF ERROR
▪ AKA Packed Red Cell Volume (PCV) is the relative FALSE INCREASE
percent volume of red blood cell in a given portion → Under centrifugation
of blood. → Prolonged standing (10 mins)
▪ Expressed as % v/v → Inclusion of buffy coat
▪ PRINCIPLE: A whole blood is spun to separate its
component; the percent amount of red cell is then FALSE DECREASE
measured. → Over centrifugation
→ Improper sealing
METHODS OF MEASUREMENT → Hemolyzed specimen
• Macrohematocrit (Wintrobe method) → Increased concentration of anticoagulation
• Microhematocrit (Clay-Adam’s Method) → Underfilling the capilet
• REFERENCE RANGE: Male – 40 to 50% | Female – PATHOLOGIC CONDITIONS:
35 to 45% → Sickle cell anemia, thalassemia, macrocytosis, blood
loss, dehydration, hemoconcentration
MACROHEMATOCRIT METHOD
MATERIALS NEEDED RED BLOOD CELL INDICES:
• Wintrobe tube • Hematologic parameters whose computed values
• Test tube are used for differential diagnosis of anemia.
• Cotton/Gauze pad • Mean Cell Hemoglobin, Mean Cell Hemoglobin
• Centrifuge Concentration, and Mean Cell Volume
• EDTA blood sample
MICROHEMATOCRIT METHOD
MATERIALS NEEDED
• Lancet
• Capillary tube (Red)
• Cotton
• Clay seal
• Wax
• Microhematocrit centrifuge
• Microhematocrit reader
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