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57 Cards in this Set

  • Front
  • Back
At birth, there is ____________________________ in every bone.
bone marrow
____________ bone marrow _____________ until age 18.
Long ; decreases
Adult flat bones include:
sternum
skull
pelvis
Per day the body has:
2.5 billion red blood cells
2.5 billion platelets
1 billion granulocytes (per kg)
Even as an adult, at a time for increased demand for blood cells – functional marrow can...
Reappear quickly.
In bone marrow, the cells begin as pluri-potential....
Cells that can give rise to any of several lines of blood cells.
RBC//WBC//PLT's
Uni-potential cells split into (3)
erythropoietin
leukopoietin
thrombopoietin
Erythropoietin splits into an...
... an erythroblast
An erythroblast breaks down to a...
... a reticulocyte.
A reticulocyte breaks down to a...
... a RBC.
A Leukopoietin breaks down to a....
... to a WBC.
A thrombopoietin breaks down to a...
... to a platelet.
The most important function of hemoglobin is...
... the transfer of O2.
The reticulocyte is an immature
red blood cell.
The reticulocyte is where the synthesis of ...
hemoglobin takes place.
Blood is broken down into 2 elements. They are:
Cellular elements &
Plasma (proteins)
Cellular elements consist of 3 *ingredients*
RBC's
WBC's
Platelet's
Plasma's (protein's) consist of 3 *ingredients*
Albumin
Fibrinogen
Globulin
What is the function of albumin?
Albumin increases osmotic pressure @ the capillary level. Prevents fluid from leaking into the interstitial tissue.
What is the function of fibrinogen?
Plays a role in blood clotting.
What role do globulins play?
They play a role in substance transport and combating infection.
RBC's (erythrocytes)
4 functions?
largest cellular component of blood
reticulocyte to hemoglobin synthesis
RBC transport TO hemoglobin TO oxygen
transport carbon dioxide to lungs for excretion.
What is the life span of a RBC?
120 days.
What are the substances necessary for the development of RBC's?
B12
folic acid
Copper
Nickel
WBC's - what is the other name for white blood cells?
leukocytes
what is the function of a WBC?
component of immune process.
Where are WBC's formed?
Formed in bone marrow and lymph system.
What is necessary for the development of WBC's?
Folic acid necessary for development.
There are ___x as many WBC's in storage in the marrow as compared to what is in circulation.
3x.
What WBC's are in circulation?
granulocytes, monocytes, lymphocytes, netrophils, eosinophils
How many white blood cells?
5-10,000/mm3
Neutrophils are....
the 1st line of defense against bacteria (55-70%). Immature cells are bands.
Eosinophils are...
WBC's which break down antigen/antibody complex (1-4%).
Basophils are....
WBC's which work to keep blood flowing through microvascular system (0.5-1.0%).
Monocytes are...
WBC's that are effective bacteria killers AKA Macrophages (2-8%).
What percentage of WBC's are lymphocytes?
20-40%
What do T-lymphocytes react against?
React against foreign or abnormal cells.
What do B-lymphocytes react against?
Become antibodies when exposed to something seen as a long term threat.
How do you assess a hematological patient?
Frequent infections/bleeding/do they have the ability to perform adl's?
Gain objective information.
Physical observations: pale skin/bruising/bleeding/wounds not healing
Diagnostics: CBC/Hgb/Hct/T&C/C&S
Platelets are the ________________________ of the formed elements in the blood
smallest
Platelets are formed where?
Are formed in the bone marrow.
Where are platelets stored and released?
They are stored and released by the spleen when needed. (80% circ/ 20% storage)
What is the primary function of the platelet?
The primary function is aggregation - Aggregation is clumping together.
What does the platelet do?
It adheres to injured vessel walls and forms plugs.
What is the life span of the platelet?
Life span is 1-2 weeks.
What is the hematological function of the spleen?
1. antibody synthesis
2. hematopoiesis to phagocytosis
3. Hematopoiesis process during which aged or imperfect RBC’s are consumed by phagocytosis
a. Stores platelets
b. Filters antigens
What is the hematological function of the liver?
1. Capacity for RBC production if marrow fails
2. Blood coagulant substances.
What is the hematological function of the lymphatic system?
1. Role in differentiation of lymphocytes.
2. Filtration system.
3. Flitration is only one role of this system nodes - remove foreign particles
Patients who have had a splenectomy have a GREATER/LOWER risk of infection or sepsis. Choose one.
Greater
Hemostasis is:
Arrest of bleeding
Blood vessels are:
an internal, non-thromogenic surface
Blood vessels allow for:
smooth blood flow UNTIL injury.
Platelets aggregate to the....
Injured site.
The plasma coagulation factor is known as the
coagulation cascade.
Plasma coagulation factors include:
1. thrombin release
2. fibrin releases the clot.
The blood vessel is what allows for ________________ & __________________ blood flow.
Normal & smooth
The vessel way actually secretes an ....
antiplatelet/anticoagulant substance.