ERYTHROCYTE SEDIMENTATION RATE Flashcards
(25 cards)
Measures the degree of settling of RBCs in plasma in anticoagulated whole blood
ERYTHROCYTE SEDIMENTATION RATE
is the distance in millimeters that the RBCs fall in 1 hour
ERYTHROCYTE SEDIMENTATION RATE
ESR is non-specific measurement used to detect and monitor ________
Inflammatory responses
Most important factor affecting ESR:
Fibrinogen Factor
↑ Fibrinogen (inflammation) =
↑ ESR
Anticoagulant for ESR
EDTA/ 0.105m Na citrate
- Length = 300 mm
- Ext bore diameter = 5.5 mm
- Int bore diameter = 2.5 mm
- Graduation – 0-200 mm
Westergren Method
- Length = 115 mm
- Int bore diameter = 3 mm
- Graduation – 0-100 mm
Wintrobe Method
Acute/Chronic infections
Increased
Multiple Myeloma / Waldenstrom’s
Increased
Hyperfibrinogenemia
Increased
Anemia, Macrocytosis
Increased
AMI, ESRD, RA, DM, Gout
Increased
Neoplastic disease
Increased
Pregnancy, menstruation
Increased
Polycythemia / Pancytosis
Decreased
Poikilocytes
Decreased
Microcytosis
Decreased
Hypofibrinogenemia
Decreased
Hypogammaglobulinemia
Decreased
Newborn
Decreased
MECHANICAL/TECHNICAL FACTORS:
High temperature, tilted ESR tube, vibration:
Falsely High ESR
3o tilt = up to _____ error
30%
Low temperature, old sample, bubbles in ESR tube
Falsely low ESR