Table 1.

Steps in the methodical interpretation of the red blood cell parameters of the CBC.

1. Interpret the HB value relative to the appropriate reference interval.
2. Interpret the MCV relative to the reference interval.
3. Interpret the MCHC relative to the reference interval.
4. Interpret the RDW relative to the reference interval.
5. Examine the rbc morphology, if available, and correlate morphology with instrument parameters for consistency and quality purposes. Also review for additional diagnostic findings.
6. As a final check on the numerical parameters, examine the RBC, HCT, MCH, and calculate the Rule of Three to ensure that the above interpretations are correct.
7. Use related test results when available, particularly reticulocyte parameters, to verify CBC findings and add diagnostic information.
8. Interpret the rbc parameters for diagnostic significance and correlate with results of wbc and plt parameters.