Question

34. The following results were obtained on a hematology analyzer: Test WBC Patient Results +44+4 2.01 X 1012/L 7.7 g/dL 28% 141 f 38 g/dL 289 X 10/L N RBC Hgb y Hct MCV MCHC Platelet What should the technologist do before repeating the sample? 35. The following results were obtained on a hematology analyzer: Test Patient Results 61.3 X 10/L 1.19 X 1012/L 9.9 g/dL 21% 125 fl 54.1 g/dL 400 X 10/L N-RBC 个MCV 个MCHC Platelet What should the technologist do next to obtain accurate results?

Answer 1

Hematological Analysis
34. Here, in this result, WBC result shows
+++++ which can be an error of the machine or the range may be very high. Hence, the technologist should definitely run a blank cycle before repeating to prevent a carryover to next sample. Assuming the patient an anemic, collect only required amount of blood in specific collection tubes only to the required level and test should be done within 24hrs of collection.
Meanwhile, report the same to Physician for correcting the underlying defect, if any, in patient. Transfusion may be needed to correct blood levels.
35.
Here, in this result, it shows a low RBC and Hct count whereas a high WBC, Hgb, MCV, MCHC counts. It shows the patient is in dehydration. Allow the patient to have enough water before taking samples again to run the test.
Physician can assume the presence of infection and anemia in this patient.