====WDI OF RETICULOCYTE STAINING PROCEDURE==== Preparation of RC stain:\\ New Methylene Blue -------- 1.0 gm\\ Sodium Chloride --------------0.89 gm\\ Distilled Water ---------------100 ml\\ • Take reticulocyte diluting fluid out of the refrigerator and bring it to the room temperature.\\ • Take two drops of RC diluting fluid in plastic test tube.\\ • Take two drops of whole blood and put in the same test tube as reagent.\\ • Incubate the test tube for half an hour in the incubator at 37oc\\ • After completion of incubation prepare thin smear for examination.\\ ==6) RETICULOCYTE COUNT== Count Reticulocyte in Oil Immersion in %\\ Biological ref. value\\ Adult: 0.5 to 2.5%\\ Infants & New born: 2.5 to 6 %\\ **Corrected RC=** \\ Patient's RC X Patient's HCT _________________________________ Normal RC X Normal HCT **Reticulocyte Production Index =**\\ CRC X 1 _________________ Maturation Time ^HCT^Maturation Time^ |45|1.0| |35|1.5| |25|2.0| |15|2.5| **RPI >2 Normal Erythropoiesis**\\ **RPI <2 Ineffective Erythropoiesis.**\\ __High Reticulocyte Count causes-__\\ Hemolytic Anaemias like sickle cell anaemia\\ Autoimmune hemolytic anaemia.\\ Regenerative phase of anaemia.\\ __Low Reticulocyte count causes-__\\ Myelofibrosis\\ Deficiency anaemias\\ Radiation Sickness\\ Aplastic anaemia\\ Cytotoxic drug therapy\\ Deficiency anaemia.\\