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19 Cards in this Set

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  • Back
What are some of the functions of blood?
Transportation - dissolved or chemically bound matter (O2, CO2, nutrients)

Regulation - hormones, maintenance of homeostasis (osmotic pressure, acid-base, conc. of dissolved substances)

Protection - defense against foreign agents (specific and non-specific immunity), hemostasis (prevention of hemorrhage)
What is the composition of blood?
Blood volume:
Male 5-6 L
Female 4-5 L

Plasma = 55 %
-fluid part

Formed elements = 45 %
-RBC, WBC, platelets
What is Hematocrit and what is it composed of?
-vol. of formed element in relation to total blood volume (measure of % RBC in blood)

top layer: lightest porton of blood = plasma

buffy coat: high concentration of WBC and platelets

bottom layer: (RBC) 40-45 % of total blood volume
What are the Hematocrit values and cases with increased/decreased hematocrit?
Values:
Male: 40-54 %
Female: 38-46 %

Decreased:
-Anemia
-Leukemia
-Bone Marrow Failure

Increased:
-Polycythemia
-High altitudes
-Dehydrated state
What is plasma and serum?
plasma: blood - cells w/ clotting elements

serum = plasma - clotting
What are the proteins found in plasma?
Albumin: most abundant, synthesized in liver

Globulins: alpha (bilirubin and steroids), beta (iron and copper), gamma (Ig or Ab made by plasma cells)

Fibrinogens: synthesized in liver, provide viscosity due to blood clotting

complement proteins: converts fibrinogen into fibrin
Where do RBCs, Platelets, and WBCs function?
RBCs and platelets within the blood vasculature

WBCs within body tissues
What is CBC and Differential Leukocyte count?
CBC (Complete Blood Count):
-normal proportion of each type of blood cell within a narrow range

Differential Leukocyte count:
-help identify specific white cell types in blood and in tissues
What are some basic characteristics of RBCs?
avg. diameter - 7.2-7.9 micrometers

anucleate

acidophillic, bi-concave

no organelle, amitotic
What is akyrin?
connects the cytoskeleton to the lipid bilayer

linked to both band 3 proteins and spectriin, attaching the spectrin-actin complex to transmembrane proteins
What is the RBC cytoskeleton?
RBC biconcave shape provides erythrocytes with a large surface-to-volume ratio faciliating gas exchange

cytoskeleton of nonerythroid cells consists of actin, alfa-actinin, and vinculin
What is Hereditary Spherocytosis?
results from defective spectrin making it incapable of binding to band 4.1 protein

therefore no spectrin-actin complex making the RBCs osmotically fragile

easily ruptured RBCs lead to anemia

worn out RBCs go to spleen leading to spleenomegaly
What is Rouleaux Formation?
caused by increase in plasma proteins such as Ig or fibrinogen

form a chain like condition
What are some basic features of erythrocytes?
120 day lifespan

destroyed in spleen and liver
What are the periods of Hemopoiesis?
Prenatal period:
-early gestation: mesoderm of yolk and later in body of fetus (mesoblastic)
-middle gestation: spleen and liver (hepatic)
-6th month onward: spaces between trabeculae of spongy bone (myeloid stage)

Post-Natal Period:
-Red Bone Marrow
What are 3 types of cells?
1. Stem cells -pluripotent cells, capable of self renewal

2. Progenitor cells - derived from stem cells, reduced potentiality and committed to single cell lineage

3. precursor cells (blasts) - initial cells in each lineage, non self renewing and no potential of switching to a different cell type. Resemble lymphocytes.
What are the different types of 3rd generation progenitor cells?
Colony Forming units:

CFU-E: produces RBC

CFU-Meg: produces platelets

CFU-GM: produces neutrophils and monocytes

CFU-Eo: Eosonophils

CFU-Bas: Basophils
How is Hemopoiesis regulated?
Growth inducers:
-stimulate growth and differentiation of all/many types of stem cells
ex. cytokines(colony-stimulating factors and interleukins) produced by RBC, WBC etc

Differentiation Inducers:
-growth and differentiation of only 1 type of stem cell
ex. Erythropoietin (EPO) produced in kidney and increases RBC precursors, Thrombopoietin (TPO) is produced in spleen and increases production of platelets
What are the sites of Bone Marrow Aspiration and Biopsy?
Posterior Iliac Crest

Sternum

Tibia