Total Red Blood Cell Count.
Red blood cell count is typically ordered as part of a complete blood count (CBC). It is used as a screening test for anemia and polycythemia. A suitable dilution of blood (1/200) is made in formal citrate solution. This diluent lyses the white cells leaving the red cells intact. The number of RBCs in 1/5th of the RBC square is counted using an improved Neubauer counting chamber called a hematocytometer. The hematocytometer consists of 9 counting squares with each square having an area of 1mm2. Every square is filled with 0.1 ml of diluted blood. The result in expressed as RBCs/ lit of blood.
1. Blood sample collected vacutainer containing in anti-coagulant.
2. Blood counting chamber
Pipette 4 ml of RBC diluents in a tube.
Pipette 20 μl of well mixed blood into the tube containing the diluents.
Clean outside of pipette and wash out the blood in the tube containing the diluent (dil 1/200).
Mix the contents of the tube and fill the counting chamber with the diluted blood (0.1 ml of diluted blood in each square).
Leave on bench for 2-5 minutes for the cells to settle.
Count the RBCs under the microscope using the (x40) objective lens and lowering the condenser. The RBCs are counted in 1/5th of the RBC square i.e. 0.2 mm2.
N = the number of cells in 0.02 ml of diluted blood (the number of cells in five squares)
Number of cells in 1 ml of diluted blood =𝑁/0.02 𝜇𝑙 =𝑁 ×100/2= N × 50
Number of cells in 1 ml of whole blood = N x 50 x 200 = N x 10000
Normal Ranges:
v Men: 5 + 0.5 X 1012/ l
v Women: 4.3 + 0. 5 X 1012/ l
The total RBC count in the given blood same is……………………………RBC / L of blood.
Hematology is the study of blood cell counting is one of the most basic and yet most reliable ways of evaluating blood for multiple conditions of disease
How many morphologically different cell types do you observe?
What is the ratio of number of RBCs compared to WBCs you observed on your slide?
Dr. Akhilesh Prajapati
Assistant Professor, Biotechnology
akhilesh.prajapati@gsfcuniversity.ac.in