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64 Cards in this Set

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Scattered Cells - Formed Elements


Matrix - Plasma

Blood is the body's only fluid connective tissue.


What does its scattered cells consist of? Its matrix?

Erythrocytes


Leukocytes


Thrombocytes

Formed Elements


- Red blood cells


- White blood cells


- Platelets

Hematocrit

- Percentage of Erythrocytes out of the total blood volume




- Varies between males > females because there is more blood volume in men.

Wright's Stain

- What stain is used to distinguish white blood cells by DWBCC? (Differential White Blood Cell Count)

Veins

- Blood is drawn from ________, because they are closer to the surface of the skin, their lumens are wider, and they are not pulsing

- Plasma 55%


- Buffy coat: Leukocytes/Platelets <1%


- Erythrocytes 45%

Blood Transfusion Sample consists of 3 Parts (Give percentages)

7.35 - 7.45




38C




8%

- The pH of blood is slightly basic at this range because it contains many buffers transporting carbon dioxide waste




- The temperature of blood is:




- It accounts for about __% of body weight, 5-6L for males, 4-5L for females.

Distribution


Regulation


Protection

3 Functions of Blood

Oxygen


Metabolic Wastes


Hormones

- 3 Things Blood distributes

- Temperature


- pH


- Fluid Volume

- 3 Things Blood Regulates

- Antibodies


- Leukocytes

Blood helps prevent infection through these 2 things

Plasma

- Contains most of the calcium that we need


- 55% of whole blood


- Proteins: albumin, globulins, fibrinogen


- Fecal Waste: Lactic acid, urea, creatinine


- Organic nutrients: Carbohydrates, proteins


- Electrolytes: Sodium, potassium, magnesium


- Respiratory gases: CO2, O2

Albumin


Globulins


Fibrinogen

3 Proteins of Blood Plasma

Lactic Acid


Urea


Creatinine

3 Fecal Waste products of Blood Plasma

Carbohydrates


Proteins

2 Organic Nutrients of Blood Plasma

Sodium


Potassium


Magnesium

3 Electrolytes of Blood Plasma

Carbon Dioxide


Oxygen

2 Respiratory gases of Blood Plasma

Leukocytes - Have nucleus




Erythrocytes lack nuclei or organelles


Thrombocytes are cell fragments

- The only formed elements that are considered complete cells




Why?

Erythrocytes

- Biconcave discs, "anucleate", no organelles to help provide huge surface area relative to volume


- Filled with more than 97% hemoglobin (Hb) which is a protein with a function of gas transport - mainly oxygen, some CO2


- Generates ATP anaerobically, so it doesn't consume transporting oxygen

Quaternary Protein consisting of 4 amino acid chains: 2 alpha globulin and 2 beta globulin, so it can bind to 4 oxygen molecules

Describe Hemoglobin structure - how many oxygen binding sites does it have?

Oxyhemoglobin




Carbaminohemoglobin

- The term referring to when hemoglobin is bound to oxygen


- The term referring to when hemoglobin is bound to carbon dioxide

Hematopoiesis


Hemocytoblasts


Proerythroblast


Erythroblast


Normoblaste


Reticulocyte


Erythrocyte



7 Steps of Erythropoiesis

Erythropoiesis

- Formation of erythrocytes

Hematopoiesis

- The process of blood cell formation occuring in the red bone marrow

Hemocytoblasts

- Cells that give rise to all the formed elements in the blood


- Stem cell for blood cells made in bone marrow

Leukocytes

- Make up 1% of total blood volume


- Can leave the capillaries and move through tissue spaces


- Consists of granulocytes and agranulocytes

Neutrophils (Granulocytes)


Lymphocytes (Agranulocytes)


Monocytes (Agranulocytes)


Eosinophils (Granulocytes)


Basophils (Granulocytes)

Name the different types of Leukocytes in descending order of frequency.


Which are the granulocytes? Agranulocytes?

Lysosomes (Contains digestive enzymes)

What are the granules in granulocytes?


Agranulocytes contain these cytoplasmic granules but they are not visible.

Neutrophils (bigger)


Basophils




Eosinophils

- 2 Types have dark blue granules, one of which tend to be bigger in size




- Have red granules

Neutrophils - Both - Blue


Eosinophils - Acidic - Red


Basophils - Basic - Dark Blue

- Granulocytes contain cytoplasmic granules that stain acidic, basic or both with Wright's stain.




Describe which stains what and what color it stains.

Lymphocytes




T Cells


B Cells

- Account for 25% of Leukocytes


- 2 Types, what are they called?

Red Bone Marrow

All blood cells form here, but don't necessarily mature there.

T Cells

- Don't mature in red bone marrow, migrate to thymus endocrine gland, then matured by thymosines.


- Functions in the immune response

B Cells

- Remain in red bone marrow and mature there


- Produce plasma cells which secrete antibodies - in the immune system

Monocytes

- Largest of the leukocytes


- Have purple staining, U-shaped or kidney shaped nuclei


- Leaves the blood circulation, enters tissue and differentiate into macrophages; important for phagocytosis


- Like to develop into other types of Leukocytes



Neutrophils

- Multi-lobed blue granules


- Phagocytizes bacteria

Eosinophils

- Bilobed nucleus, red granules


- Kills parasitic worms, destroy antigen-antibody complexes, inactive some inflammatory chemicals of allergy

Basophils

- Nucleus lobed; large purplish black cytoplasmic granules


- Release histamine and other mediators of inflammation; contain heparin, an anticoagulant

Heparin

Basophils release histamine and other mediators of inflammation, including an anticoagulant called?

Lymphocyte

- Spherical nucleus with pale blue cytoplasm


- Mount immune response by direct cell attack or via antibodies

Platelets

- Discoid cytoplasmic fragments containing granules; stain deep purple


- Seal small tears in blood vessels; instrumental in blood clotting by forming a temporary plug


- Fragments of megakaryocytes

T-Cells (Lymphocytes)

Hemocytoblasts matures in red bone marrow into all the formed elements (erythrocytes, leukocytes and thrombocytes), but this type matures elsewhere

Hemocytoblast


Megakaryoblast


Promegakaryocyte


Megakaryocyte


Platelets

5 Steps of Thrombocyte Production

Thrombocyte Granules

- Actually vesicles that form chemicals that function in blood vessels

Hemostasis

- Series of reactions for stoppage of bleeding

1. Vascular Spasm - Immediate vasoconstriction in response to injury


2. Platelet Plug Formation


3. Coagulation - Blood clotting


4. Clot retraction and repair

4 Steps of Hemostasis

Coagulation

- Series of reactions in which blood is transformed from a liquid to a gel


- Follows intrinsic and extrinsic pathways

- Prothrombin activator is formed


- Prothrombin is converted intro thrombin


- Thrombin catalyzes the joining of fibrinogen into a fibrin mesh

3 Final steps of Coagulation

Clot Retraction

- Stabilization of the clot

Repair of Blood Vessel

- Rebuilding of blood vessel wall


- Fibroblasts form a connective tissue patch on the wall


- Endothelial cells multiply and restore the endothelial lining of the blood vessel

Thrombus

- Clot that develops and persists in an unbroken blood vessel


- Does not perform in aorta since the vessel is very large, develops in tinier vessels such as the heart and brain

Embolus

- Thrombus freely floating in the blood stream


Coronary Thrombosis

- Thrombus in blood vessel of the heart

Pulmonary Emboli

- Impairs the ability of the body to obtain oxygen because of an embolus

Cerebral emboli

- A thrombus that can cause strokes

Agglutinogens/Antigens

- Erythrocyte membranes have cell markers that are unique to the individual and recognizes foreign counterparts if transfused into another individual


- Presence or absence of these is used to classify blood groups

Agglutinin

- Antibodies present in plasma of blood that causes clumping


Ex: anti-A and anti-B

- B


- A


- None


- Both A+B

Names the agglutinins these agglutinogens have




A


B


AB


O

O




AB

Universal Donor?




Universal Acceptor?

Rh+

- Presence of the Rhesus Factor Rh agglutinogens on erythrocytes is called?

Anti-Rh+ Antibodies

- Not spontaneously formed in Rh- individuals


- Begin to form when Rh- individual receives Rh+ blood


- Second exposure to Rh+ blood will result in transfusion reaction

Erythroblastosis Fetalis

- When mother is Rh- and first and second baby is Rh+


- Little tiny clumpings of erythrocytes all over the fetal body occur from maternal antibodies


- Liver produces bilirubin, the precursor to hemogloblin, which goes straight to brain and can cause retardation

RhoGam Injections

- Blood plasma given to Rh- women to inhibit Anti-Rh+ antibodies

A and O

- These two blood groups have incompatibilities as well