Calculation of Red Blood Cell indices

The quantative measurements of the average size by volume (V) hemoglobin content by weight (W) and hemoglobin concentration (W?V) of the Red Blood cells. Are of substance aid in diagnosis of various types of anaemias. For the manual procedure these various are calculated from the total number of Red cells. The hemoglobin concentration and the hematocrit . these are called red cell indices , three commonly used red cells indices are.  

    
a)      MCV  - Mean Cell Volume.
b)      MCH  - Mean Cell hemoglobin Corpuscular
c)      MCHC – Mean Cell hemoglobin Concentration


MCV  - Mean Cell Volume.

     The average volume (V) of Red cells. Because the size of the cell is very small the volume is expressed in femto liter ( 10 - 15L) or cubic micro meter.

                                                      Hct (%)  x  10             
                               MCV   =   ---------------------------
                                                  RBC count in Millions


MCH  - Mean Cell hemoglobin Corpuscular

 The MCH is the average hemoglobin content (by weight “W”) of a red Cells. Because the amount is very small. The weight is expressed in pico-gram (pg). the MCH is Calculated by

                                                      Hb(g/dl)  X 10 
                   MCH        =     ----------------------------------
                                                  RBC count in Millions


 MCHC – Mean Cell hemoglobin Concentration

The MCHC is an expression of the average hemoglobin concentration per unit volume (100) of packed red cells (W/V). this volume is expressed in g/dl or in % there are for formula used in the calculation of MCHC and both gives the same results.

                                   MCH
MCHC      =  ----------------------  X   100
                                    MCV
   

                                Hb(g/dl)
MCHC        =    ----------------- X 100
                                  Hct (%)
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