85045 Blood count; reticulocyte, automated

Name of the Procedure:

Blood Count; Reticulocyte, Automated
Common name(s): Retic Count, Automated Reticulocyte Count

Summary

A blood count to measure reticulocytes, a type of immature red blood cell, using automated technology. This test helps in assessing how well the bone marrow is producing red blood cells.

Purpose

The procedure is primarily used to diagnose and monitor conditions affecting red blood cell production, such as anemia and bone marrow disorders. It helps determine if the bone marrow is responding properly to the body's need for more red blood cells.

Indications

• Symptoms of anemia (fatigue, weakness, pallor)
• Monitoring response to treatments like chemotherapy
• Evaluation of bone marrow function in various diseases
• Detection of increased red blood cell destruction (hemolysis)

Preparation

• Generally, no special preparation is required.
• It's advisable to inform the healthcare provider about any medications or supplements being taken.
• Follow any specific instructions given by the healthcare provider.

Procedure Description

1. Blood Sample Collection: A small needle is used to draw blood from a vein in the arm.
2. Laboratory Analysis: The blood sample is sent to a laboratory where an automated machine counts the reticulocytes.
3. Technology Used: Automated hematology analyzers equipped with flow cytometry are typically used.
4. No Anesthesia Needed: The procedure does not require anesthesia or sedation as it is minimally invasive.

Duration

The sample collection takes about 5-10 minutes. The overall process, including lab analysis, typically is completed within a few hours to days, depending on the lab.

Setting

The blood sample can be collected in various settings:

• Outpatient clinic
• Hospital
• Diagnostic laboratory

Personnel

• Phlebotomist or nurse for blood sample collection
• Laboratory technicians and pathologists for analysis

Risks and Complications

• Common Risks: Mild discomfort, bruising at the needle site.
• Rare Risks: Infection at the puncture site or excessive bleeding.

Benefits

• Provides crucial information about bone marrow function.
• Helps in diagnosing and monitoring anemia and other blood disorders.
• Results usually available quickly, aiding timely treatment decisions.

Recovery

• Minimal recovery time; patients can resume normal activities immediately.
• Instructions may include keeping the puncture site clean and monitoring for signs of infection.

Alternatives

• Manual Reticulocyte Count: More labor-intensive and potentially less precise.
• Bone Marrow Biopsy: More invasive, used when more detailed marrow analysis is needed.
• Hemoglobin Electrophoresis: Used to diagnose specific types of anemia.

Patient Experience

• During the procedure: Minor pain or discomfort from the needle prick.
• After the procedure: Rarely any lingering pain; some might have minor bruising at the site.
• Pain Management: Usually not needed, but a cold pack can alleviate any discomfort at the puncture site.