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This document outlines the details required for conducting an osmotic fragility test on red blood cells, including specimen type, volume, container, and special instructions.
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How to fill out OSMOTIC FRAGILITY RBC

01
Gather necessary materials: blood sample, test tubes, saline solution, and microscope.
02
Prepare a blood smear by placing a drop of blood on a microscope slide and spreading it thinly.
03
Allow the smear to air dry completely.
04
Prepare saline solutions of varying concentrations (0.5%, 0.6%, 0.7%, 0.8%, and 0.9% NaCl).
05
Place equal amounts of blood sample into separate test tubes for each saline concentration.
06
Incubate the test tubes at room temperature for a specified time, typically 30 minutes.
07
After incubation, centrifuge the samples to separate the red blood cells from the plasma.
08
Examine the red blood cells under a microscope to assess hemolysis at each saline concentration.
09
Record the results, noting the concentration at which hemolysis occurs.

Who needs OSMOTIC FRAGILITY RBC?

01
Patients suspected of having hereditary spherocytosis.
02
Individuals with unexplained hemolytic anemia.
03
Patients being evaluated for possible membrane defects in red blood cells.
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Treatment consists of oral vitamin E, given in high doses if there are neurologic deficits or if deficiency results from malabsorption. Vitamin E deficiency causes fragility of red blood cells and degeneration of neurons, particularly peripheral axons and posterior column neurons.
Hematology and biochemistry However, evidence suggests that increased fragility of RBCs is associated with decreased blood pH and increased temperature with more intense exercise or exercise stress (Hanzawa et al., 1999). Despite the presence of abnormal erythrocytes, their role in performance has not been established.
Hematology and biochemistry However, evidence suggests that increased fragility of RBCs is associated with decreased blood pH and increased temperature with more intense exercise or exercise stress (Hanzawa et al., 1999). Despite the presence of abnormal erythrocytes, their role in performance has not been established.
Red blood cell (RBC) osmotic fragility is the resistance of RBC hemolysis to osmotic changes that is used to evaluate RBC friability. To find the cause of shortened red cell survival in uremic patients, we evaluated the RBC osmotic fragility in 57 chronic hemodialyzed patients.
These red blood cells (called spherocytes) are more fragile than disk-shaped RBCs. They break down faster and more easily than normal RBCs. This breakdown leads to anemia (not enough RBCs in the body) and other medical problems.
The condition of red blood cells that are larger than usual is called macrocytosis. Macrocytosis most often has no symptoms. It's found on routine blood tests. Macrocytosis isn't a disease. But it may mean there's an underlying condition that needs medical attention.
Hereditary Spherocytosis and Elliptocytosis Molecular defects in the RBC cytoskeleton caused by deficiencies in membrane proteins lead to increased red cell fragility.
This test is done to detect conditions called hereditary spherocytosis and thalassemia . Hereditary spherocytosis and thalassemia cause red blood cells to be more fragile than normal.

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Osmotic fragility of red blood cells (RBC) refers to the susceptibility of red blood cells to hemolysis (breaking apart) when exposed to hypotonic solutions. This test is often used to assess conditions that affect red blood cell membrane integrity.
Healthcare providers and laboratories that conduct tests for conditions affecting red blood cells, such as hereditary spherocytosis or thalassemia, are generally required to conduct the osmotic fragility test.
To fill out the osmotic fragility test requisition form, provide patient identification details, indicate the specific tests to be performed, and include relevant medical history or clinical information to assist in interpretation.
The purpose of the osmotic fragility test is to evaluate the stability of red blood cells and diagnose conditions that cause them to have abnormal fragility, thereby leading to hemolytic anemia.
The report for osmotic fragility testing typically includes the patient's results, reference ranges, interpretation of findings, and any relevant notes on the methodology used during testing.
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