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Formed elements
Erythrocytes, leukocytes, and platelets.
Erythrocytes
Red blood cells (RBCs); use hemoglobin to transport oxygen and are the most abundant formed element.
Leukocytes
White blood cells (WBCs) with various immune functions.
Granulocytes
Leukocytes with visible granules; include neutrophils, eosinophils, and basophils.
Agranulocytes
Leukocytes without visible granules; include lymphocytes and monocytes.
Diapedesis
Movement of leukocytes out of blood vessels and into tissues.
Platelets
Cytoplasmic fragments of megakaryocytes that are important for blood clotting.
Neutrophils
Granulocytes with a multilobed nucleus and pale granules; phagocytize pathogens and debris.
Eosinophils
Granulocytes with a bilobed nucleus and red granules; kill parasitic worms and are involved in allergies and asthma.
Basophils
Granulocytes with large blue-purple granules; release histamine and other inflammatory mediators.
Lymphocytes
Agranulocytes with a large round or indented nucleus; involved in immune responses through direct cell attack or antibody production.
Monocytes
Large agranulocytes with a U-shaped or kidney-shaped nucleus; develop into macrophages and phagocytize pathogens and debris.
Erythrocyte appearance
Biconcave, anucleate disc; about 7–8 µm in diameter.
Erythrocyte concentration
About 4–6 million cells/µL of blood.
Neutrophil appearance
Multilobed nucleus with pale red and blue granules; about 10–12 µm.
Neutrophil relative concentration
About 50–70% of leukocytes; the most abundant leukocyte.
Eosinophil appearance
Bilobed nucleus with prominent red cytoplasmic granules; about 10–14 µm.
Eosinophil relative concentration
About 2–4% of leukocytes.
Basophil appearance
Lobed nucleus with large blue-purple granules; about 10–14 µm.
Basophil relative concentration
Less than 1% of leukocytes; the least abundant leukocyte.
Lymphocyte appearance
Spherical or indented nucleus with pale blue cytoplasm; about 5–17 µm.
Lymphocyte relative concentration
About 20–40% of leukocytes.
Monocyte appearance
U-shaped or kidney-shaped nucleus with gray-blue cytoplasm; about 14–24 µm.
Monocyte relative concentration
About 3–8% of leukocytes.
Platelet appearance
Small, deep-purple-staining cytoplasmic fragments; about 2–4 µm.
Platelet concentration
About 150,000–400,000/µL of blood.
Hematocrit
Percentage of total blood volume occupied by erythrocytes.
Hematocrit formula
Height of RBC layer ÷ height of all blood components × 100.
Erythrocyte layer
Bottom layer after centrifugation; normally about 45% of blood.
Buffy coat
Thin whitish middle layer containing leukocytes and platelets; less than 1% of blood.
Plasma layer
Top layer after centrifugation; normally about 55% of blood.
Normal adult female hematocrit
37–47%.
Normal adult male hematocrit
42–52%.
Normal newborn hematocrit
49–61%.
Leukocytosis
Abnormally high leukocyte count; buffy coat may make up more than 1% of blood; can result from infection or some leukemias.
Anemia
Abnormally low erythrocyte count resulting in a below-average hematocrit.
Aplastic anemia
Bone marrow does not produce enough new erythrocytes; lowers hematocrit.
Iron-deficiency anemia
Anemia in which erythrocytes are smaller; lowers hematocrit.
Hemolytic anemia
Anemia in which erythrocytes are destroyed too quickly; lowers hematocrit.
Sickle cell anemia
Anemia characterized by sickle-shaped erythrocytes; lowers hematocrit.
Hemorrhagic anemia
Anemia caused by blood loss; according to the lab slide, it is NOT detected by hematocrit.
High altitude effect on hematocrit
Lower oxygen causes increased erythrocyte production, resulting in a higher hematocrit.
Dehydration effect on hematocrit
Loss of water decreases plasma volume, making the hematocrit percentage higher.
How do you perform a hematocrit?
Draw blood into a capillary tube → centrifuge → measure total blood height and each layer → calculate the percentages.
What is the order of blood layers after centrifugation from bottom to top?
Erythrocytes → buffy coat → plasma.
Which formed element is the most abundant?
Erythrocytes.
Which leukocyte is the most abundant?
Neutrophils.
Which leukocyte is the least abundant?
Basophils.