Hello blazegel,
I used to use this formula quite often when working in a heme/onc lab,
before our hematology analyzers printed out all the parameters. Today
I actually had to work it out on paper as I no longer had it down pat.
If you are calculating the absolute WBC from the automated CBC, add up
all of the differential WBC parameters your analyzer reports, but NOT
the total WBC. (Some analyzers measure immature forms such as blasts,
myelos, metas, and bands separately.)
Example:
Total WBC = 1500
Neutrophils = 3%
Blasts =1%
Absolute = 60
1500 x .04 = 60
(WBC) x (per cent of neutrophils and blasts)
This formula applies to manual differential counts as well as
automated differentials.
Your laboratory protocol may, however exclude immatures, or blast
forms only, from the calculation,depending on the hematological
picture of the patient.
If you go to this eMedicine site, there is an actual online calculater
for you to use!
http://www.emedicine.com/splash/etools_xml.pl?file=0absolute_neutrophil_count&prog=edcalc
If this is not the answer you were hoping for, please request an
answer clarification.
Regards,
~ crabcakes |