CBC worksheet JY-1 - complete blood count PDF

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complete blood count...

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Pasadena City College: NURS 50L Complete Blood Counts Reference Values

WBC

Neutrophils

4.1-10.0

43.0- 76.0

Clinical Problems Decreased Level

Clinical Problems Elevated Level

Autoimmune disorders Bone marrow deficiencies Viral diseases Liver problem Spleen problems Severe bacterial infection Radiation therapy "Neutropenia" an abnormally low count of a type of white blood cell

Infections Cigarette smoking Leukemia Inflammatory diseases Tissue damage Physical/mental stress

It can be caused by diseases that damage the bone marrow, infections, or certain medications

This is a sign that your body has an "active bacterial infection"

"Neutrophilia" having a high percentage of neutrophils in your blood

Bacterial infection Noninfectious inflammation Intoxication from alcohol Excessive production of cortisol (Cushing’s disease)

Eosinophils

0.0-5.0

Parasitic infection Allergic reaction Cancer Basophilic disorders

Basophils

Monocytes

Lymphocytes

0.0-2.0

4.0-13.0

"Eosinophilia" a higher than normal level of eosinophils

Cancer Acute infection Serious injury

"Basophilia" an abnormally high basophil level Chronic inflammation Hypothyroidism

Lower your overall white blood cell count Cancer and other serious diseases that suppress the immune system Chemotherapy Radiation therapy (which can injure bone marrow)

"Monocytosis" when your monocyte level is high

Infections caused by viruses, fungi, parasites, or bacteria

A temporarily high lymphocyte count is a normal effect of your body's immune system working.

17.0-48.0

Viral infections Parasitic infections Chronic inflammatory disease

Leukemia Bleeding, Anemia, Malnutrition, Over hydration, Hemolysis,

Created by Jeong o fall 2013

Dehydration Cigarette smoking Congenital heart disease

Pasadena City College: NURS 50L

RBC

3.9-4.98

MCV size of red blood cell

81-93

MCH shape

28-35

MCHC color

HCT

33-37

35-45

HgB

12-15.5

Platelets

140-400

Erythropoietin deficiency, Leukemia, Multiple myeloma, Porphyria, Thalassemia, Sickle cell anemia Microcytic Iron deficiency anemia Thalassemia Anemia of chronic disease Sideroblastic anemia

MCV=MCH May be low when MCV is low Iron deficiency anemia and thalassemia

Over hydration, Nutritional deficiencies Blood loss Bone marrow suppression Leukemia, Lead poisoning Hodgkin's lymphoma, Chemotherapy

Nutritional deficiencies, Blood loss, Sickle cell anemia Renal Problems Bone marrow suppression Leukemia Lead poisoning Hodgkin's lymphoma Virus Aplastic anemia Leukemia Alcoholism Vitamin B12 & folic acid deficiency SLE, hemolytic uremic condition, HELLP, DIC, vasculitis, sepsis, splenic sequestration, cirrhosis

Pulmonary fibrosis Renal cell carcinoma Polycythemia vera

Macrocytic Vitamin B12 or folate deficiency Hemolytic anemia Liver disease, alcoholism Hypothyroidism Aplastic anemia Myelodysplastic syndrome MCV=MCH (Hyperchromia) are seen in conditions where the hemoglobin is more concentrated inside the red cells: autoimmune hemolytic anemia, burn patients, hereditary spherocytosis Dehydration Hypoxia Cigarette smoking Polycythemia vera Tumors Lung diseases Blood doping, Erythrocytosis Cor pulmonale Dehydration Cigarette smoking Polycythemia vera Tumors Erythropoietin abuse Lung disease Blood doping Cancer, allergic reactions, polycythemia vera, recent spleen removal, chronic myelogenous leukemia, inflammation, secondary thrombocytosis

Answer to the following questions: 

What is the Kidney function in RBC production?

Healthy kidneys produce a hormone called erythropoietin, which stimulates the bone marrow to make red blood cells needed to carry oxygen throughout the body.

Created by Jeong o fall 2013

Pasadena City College: NURS 50L



What does a “shift to the left” signify & suggest?

The term "shift to the left" is used when determining if a patient has an inflammatory process. It indicates a marked increase in the percentage of immature cells in the circulating blood, meaning an infection in progress. (young/immature white blood cells present. It means that there is an infection or inflammation present, and the bone marrow is producing more WBCs and releasing them into the blood before they are fully mature)



What is the purpose of the differential?

A CBC with differential is used to help diagnose and monitor many different conditions. 

What is the polycythemia & what does polycythemia cause?

Polycythemia vera is a rare blood disorder in which there is an increase in all blood cells, particularly red blood cells. The increase in blood cells makes your blood thicker. This can lead to strokes or tissue and organ damage

Medication to increase (sub Q injection) to boost wbc number Neupogen is a man-made form of a protein that stimulates the growth of white blood cells in your body used to treat neutropenia

Red blood cell size, shape, color Platelet cell in the blood that form clot and stop bleeding

Created by Jeong o fall 2013...