Introduction: A red blood cell count is a blood test that your doctor uses to find out how many red blood cells (RBCs) you have in your blood. It is also called an erythrocyte count . This test is important because RBCs contain hemoglobin, which carries oxygen to your body’s tissues. The number of RBCs you have can affect how much oxygen your tissues are receiving. Your tissues need oxygen to function effectively, This test also evaluates the shape and the size of the red blood cells. All of this information is then used to determine the number of red blood cells per microliter of blood . Red blood cell count values vary according to the age and the sex of a patient. The RBC count ranges from 4.2-5.0 million red blood cells per microliter of blood for women and 4.6-6.0 million for men. A normal red blood cell count for children is typically between 3.8 and 5.5 million red blood cells per volume . This blood test is considered a very important indicator of a patient’s health. A low red blood cell count might mean the patient has anemia, acute or chronic blood loss, malnutrition, chronic inflammation, or a number of nutritional deficiencies including iron, copper, vitamin B- 12, or vitamin B-6. On the other hand, a higher than average RBC count, called polycythemia, can be a sign of congenital heart disease, pulmonary fibrosis, or renal problems. An increase of red blood cells can also happen naturally, though. People who live at high altitudes tend to have a higher-than-average RBC count, and smokers generally have a higher number of red blood cells than non- smokers. Drugs that can increase the RBC count include: Gentamicin, Methyldopa while the Drugs that can decrease the RBC count include :Chemotherapy drugs ,Chloramphenicol , Quinidine Methods : 1- Manual method 2- Electronic method Manual method : Materials : 1-Capillary blood (lancet, alcohol) 2-Diluting fluid ( haymes solution in which contain: a- HgCl2 0.25 gm b- Na2SO4 2.5 gm c- NaCl 0.5 gm d- Distilled water 100.0 ml 3--heamocytometer: a- RBCs pipette b- rubber c- mouth piece - Neubauers counting chamber with cover slip ( two types: a- Improved ( has groves and 25 middle squares) b- Ordinary ( without groves and 16 middle squares) - Light Microscope Procedure : 1-The red blood cell pipette is filled with blood to the 0.5 mark in an identical manner and then filled to the 101 mark with haymes solution. which prevents lysis and crenation of erythrocytes. haymes solution also contains a fixative which acts as a preservative and prevents agglutination of cells if counting cannot be done within an hour. 2-Mixing is accomplished just as with the red cell pipette. 3-The counting chamber is conveniently located on the microscope stage. Place the cover slip over the counting area with the edge resting on the cover glass supports . 4-Shake the pipette again to insure adequate mixing. Expel the fluid from the lower stem of the pipette and wipe the tip . 5-Place the tip of the pipette exactly at the junction of the cover glass and the chamber. The capillarity of the space between the cover glass and the chamber will immediately pull fluid from the pipette to fill the chamber. If the fluid spills into the moats or should bubbles form under the cover slip, the chamber will have to be cleaned and the procedure repeated. calculation: By using special formula we can multiply total countable erythrocytes by 10000 (micro liter) or104 Total n. of RBC=N *10000 N=countable RBC in 80 squares.