Red blood cells (RBCs) are small, round, and flexible discs in the blood that carry oxygen from the lungs to the body and bring carbon dioxide back to the lungs to be removed. Their biconcave shape makes it easy for them to move through tiny blood vessels called capillaries. RBCs are about 7.2–7.4 microns wide and, when mature, do not have a nucleus. They contain hemoglobin, an iron-rich protein that carries oxygen. Each RBC lives for about 100–120 days.
There are so many RBCs in blood that it’s impossible to count them directly with a microscope. Instead, a special counting tool called a hemocytometer or Neubauer’s chamber is used. Blood is first diluted using a special fluid (like Hayem’s or Formalin Citrate solution), which preserves the RBCs and helps in counting them accurately. Hayem’s fluid is preferred because it does not harm the cells, while normal saline can cause errors in counting. After dilution, the blood is placed in the chamber, and RBCs are counted in specific areas.
Now Apply the Following formula to get the Total Red Blood Cell Count:
Total RBC Count = N × Dilution / (Area × Depth)
= N × 200 (or 100 as the dilution is made) / (1/5 × 0.1)
= N × 10000 / mm3