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43 Cards in this Set

  • Front
  • Back
what are the three layers of blood vessel


1)tunic intima - endothelium, simple squamous epithelium


2) tunica media - middle layer, smooth muscle


3) tunic adventitia (externa) - connective tissue with fibrocytes, collagen type I and elastic fibers

what are the components of blood


1) plasma - plasma proteins


2) cellular component - erythrocytes, leukocytes and thrombocytes (platelets)

what is hematopoiesis

creating of different blood cells from originator blood cell

what are erythrocytes - describe them


-biconcave, flexible discs


no nucleus in mature state


contain hemoglobin


life span 120 days






what is eryothropoietin

produced in kidney - stimulates erythrocyte production
what is hemostasis, what are the three steps


blood clotting




1)vasoconstriction or vascular spasm


2) platelet clot


3) coagulation mechanism




plasmin breaks down the blood clot

what is blood typing based on

presence of antigens in the plasma membrane of erythrocytes





what antigen is involved in the Rh system of blood typing


-antigen D




presence = Rh+


absence of antigen = Rh-

what is complete blood count


includes red blood cells, white blood cells, platelets





what is leukocytosis


increased white blood cells




associated with inflammation or infection


what is leukopenia


decrease white blood cells




associated with viral infections, radiation, chemotherapy

what is the cause of increased of eosinophils

common in allergic responses
what is a morphology test


observing the shape of the blood cells




can differentiated types of anemia

what is hematocrit

percent by volume of cellular elements in blood
what is mean corpuscular volume


amount of hemoglobin per unit volume of blood




indicates oxygen carrying capacity of blood

what is recticulocyte count indicate

assess bone marrow function
chemical analysis of blood


serum levels of components, such as iron, vitamin B12, folic acid, cholesterol, urea and glucose



what does bleeding measure
measured platelet function

what is prothrombin time and partial thromboplastin time


measure function of various factors in coagulation process




international normalized ratio - standardized version

what is thrombocytopenia


deficiency in platelets




causes bleeding into tissue, bruising and slow blood clotting


what to give for severe anemia or thrombocytopenia

whole blood, packed red blood cells, packed platelets

why do we give plasma/colloid volume expanding solution

to maintain blood volume

what are artificial blood products


compatible with all blood types




none can perform complex functions of normal whole blood

what is epoetin alfa

artificial form of erythropoietin




since erythropoietin is normally made by kidney




can be given when chronic renal failure


can be given when anemia


can be given before surgery

when are bone marrow or stem cell transplants performed

close tissue match necessary


treatment of some cancers


severe immunodeficiency


severe blood cell diseases

what does dyscrasias mean


nonspecific disorder




blood disorder

what is anemia


causes reduction in oxygen transport


hemoglobin deficit




what does anemia lead to


oxygen deficit




less energy made, reduce cell metabolism, reproduction




compensatory mechanisms start - tachycardia and peripheral vasoconstriction




general signs - fatigue, pallor, dyspnea, tachycardia

what does oxygen deficit due to anemia lead to


decreased regeneration of epithelial cells




digestive tract becomes inflamed and ulcerated leading to stomatitis




inflamed cracked lips


dysphasia




hair and skin may show degenerative changes

what does severe anemia lead to

angina or congestive heart failure
what is iron deficiency anemia

anemia due to insufficient iron - impairs hemoglobin synthesis




sign of underlying problems




one in five women is affected

what are some causes of anemia


-low iron intake


-chronic blood loss


-impaired absorption of iron by duodenum


-severe liver disease

what are signs and symptoms of iron deficiency anemia


pallor skin, mucous membranes


fatigue lethargy, cold intolerance


irritability


degenerative changes


stomatitis and gloassitis


menstrual irregulatiries


delayed healing


tachycardia, heart palpitations, dyspnea, syncope

what is pernicious anemia


due to vitamin B12 deficiency




lack of absorption of vitamin B12 due to no intrinsic factor - thus no intestinal absorption of vitamin B12




results in large, immature, nucleated erythrocytes, carry less hemoglobin, shorter life span

characteristics of pernicious anemia

-rarely caused by dietary insufficiency


-genetic factors - light skinned European women


-accompanies chronic gastritis


-can be outcome of gastric surgery

relationship between vitamin B12 and nerve cells


needed for function and maintenance of neurons


-can cause symptoms to peripheral nerves


may be reversible

some manifestations of B12 deficiency

-enlarged, red, sore shiny tongue


-digestive discomfort, with nausea and diarrhea


-pins and needles in limbs



what are some diagnostic tests for pernicious anemia

-microscopic examination of erythrocytes


-bone marrow examination (hyperactive)


-vitamin B12 serum levels below normal


-hypochlorhydria - low hydrochloric acid secretions in stomach


-achlorhydria - absence of gastric acid

what is aplastic anemia


impairment or failure of bone marrow


temporary or permanent




can be idiopathic - cause is unknown




or myelotoxins - radiation, chemicals, drugs


viruses such as hep C


genetics - myelodysplastic syndrome, fanconi's anemia

what is what is pancytopenia
deficiency of all three components of blood - red, white cells and platelets
how is aplastic anemia related to pancytopenia


-blood counts indicate pancytopenia


anemia, leukopenia, thrombocytopenia


bone marrow biopsy may be required


erythrocytes often appear normal




-life threatening if not treated


-need to remove bone marrow suppressants to allow bone marrow recovery

what is hemolytic anemia


due to excessive destruction of red blood cells




caused by


genetic defects, immune reaction, change in blood chemistry


infection - malaria


toxins in blood


antigen-antibody reactions due to incompatible blood transfusion or erythroblastosis fetalis - maternal antibodies transmitted to fetus via placenta = incompatible Rh factors antigen D between mother and fetus= resulting in hemolytic anemia = abnormal breakdown of red blood cells



sickle cell anemia

homozygous recessive