WBC (White Blood Count)
The white blood cell count
measures the number of white blood cells in one microliter of blood.
White blood cells are produced in bone marrow, lymph nodes, the spleen
and thymus. They fight infection and foreign bodies and help distribute
antibodies throughout the body. Unused, a white blood cell lives for two
to three weeks, and then disintegrates.
May be Increased in the Presence of:
- Infection
- Hemorrhage
- Trauma
- Some malignancies
- Exposure to toxic substances
- Thyroid storm
- Renal failure
- Some drugs (quinine, adrenalin and others)
- Chronic inflammatory disease
- Stress reactions
- Exercise
- Heat
- Cold
- Anesthesia
- Cigarette smoking
May be Decreased in the Presence of:
- Viral infections
- Bone Marrow Disease
- Bone Marrow Depression, secondary to:
- Analgesics
- Antibiotics
- Antihistamines
- Anticonvulsants
- Antiinflammatory drugs
- Antithyroid drugs
- Arsenic
- Barbiturates
- Chemotherapy
- Diuretics
- Heavy metal contamination
- Radiation exposure
Special Considerations
- Smokers typically have elevated hematocrits in response to
chronic, low-grade carbon monoxide poisoning and other mild
respiratory ailments. Because of the carbon monoxide binding, they may
still be functionally anemic, even though their hematocrit levels look
good.
- Adaptation to high altitudes includes moderate elevation of
hematocrit.
- During the initial phases of an acute hemorrhage, the hematocrit generally doesn't change very much. Later, as extracellular
fluid is mobilized and IV fluids are incorporated, there is a
dilutional effect that will lead to a reduced hematocrit. This
fall in hematocrit may take several hours to develop.
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Normal Values*
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#/µl |
Men |
5,000-10,000 |
Women |
5,000-10,000 |
Pregnancy |
6,000-16,000 |
*These are general values taken from a variety of sources. The
actual normal values may vary from lab to lab and from one type of testing
protocol to another.
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Approved for public release;
Distribution is unlimited.
The listing of any non-Federal product in this CD is not an endorsement of the
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Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
United States Special Operations
Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323 |
*This web version is provided by
The Brookside Associates Medical Education Division. It contains
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Operational Medicine 2001
Contents
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