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43 Cards in this Set
- Front
- Back
what are the three layers of blood vessel
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2) tunica media - middle layer, smooth muscle 3) tunic adventitia (externa) - connective tissue with fibrocytes, collagen type I and elastic fibers |
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what are the components of blood
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2) cellular component - erythrocytes, leukocytes and thrombocytes (platelets) |
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what is hematopoiesis
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creating of different blood cells from originator blood cell |
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what are erythrocytes - describe them
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no nucleus in mature state contain hemoglobin life span 120 days |
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what is eryothropoietin |
produced in kidney - stimulates erythrocyte production |
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what is hemostasis, what are the three steps
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1)vasoconstriction or vascular spasm 2) platelet clot 3) coagulation mechanism plasmin breaks down the blood clot |
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what is blood typing based on |
presence of antigens in the plasma membrane of erythrocytes |
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what antigen is involved in the Rh system of blood typing
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presence = Rh+ absence of antigen = Rh- |
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what is complete blood count
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what is leukocytosis
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associated with inflammation or infection |
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what is leukopenia |
associated with viral infections, radiation, chemotherapy |
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what is the cause of increased of eosinophils
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common in allergic responses |
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what is a morphology test
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can differentiated types of anemia |
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what is hematocrit
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percent by volume of cellular elements in blood |
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what is mean corpuscular volume
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indicates oxygen carrying capacity of blood |
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what is recticulocyte count indicate
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assess bone marrow function |
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chemical analysis of blood
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what does bleeding measure
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measured platelet function
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what is prothrombin time and partial thromboplastin time |
international normalized ratio - standardized version |
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what is thrombocytopenia
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causes bleeding into tissue, bruising and slow blood clotting |
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what to give for severe anemia or thrombocytopenia |
whole blood, packed red blood cells, packed platelets |
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why do we give plasma/colloid volume expanding solution |
to maintain blood volume |
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what are artificial blood products |
none can perform complex functions of normal whole blood |
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what is epoetin alfa
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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 |
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when are bone marrow or stem cell transplants performed
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close tissue match necessary treatment of some cancers severe immunodeficiency severe blood cell diseases |
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what does dyscrasias mean
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blood disorder |
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what is anemia
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hemoglobin deficit |
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what does anemia lead to |
less energy made, reduce cell metabolism, reproduction compensatory mechanisms start - tachycardia and peripheral vasoconstriction general signs - fatigue, pallor, dyspnea, tachycardia |
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what does oxygen deficit due to anemia lead to
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digestive tract becomes inflamed and ulcerated leading to stomatitis inflamed cracked lips dysphasia hair and skin may show degenerative changes |
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what does severe anemia lead to
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angina or congestive heart failure |
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what is iron deficiency anemia
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anemia due to insufficient iron - impairs hemoglobin synthesis sign of underlying problems one in five women is affected |
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what are some causes of anemia
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-chronic blood loss -impaired absorption of iron by duodenum -severe liver disease |
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what are signs and symptoms of iron deficiency anemia
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fatigue lethargy, cold intolerance irritability degenerative changes stomatitis and gloassitis menstrual irregulatiries delayed healing tachycardia, heart palpitations, dyspnea, syncope |
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what is pernicious anemia
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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 |
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characteristics of pernicious anemia
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-rarely caused by dietary insufficiency -genetic factors - light skinned European women -accompanies chronic gastritis -can be outcome of gastric surgery |
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relationship between vitamin B12 and nerve cells
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-can cause symptoms to peripheral nerves may be reversible |
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some manifestations of B12 deficiency
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-enlarged, red, sore shiny tongue -digestive discomfort, with nausea and diarrhea -pins and needles in limbs |
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what are some diagnostic tests for pernicious anemia
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-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 |
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what is aplastic anemia
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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 |
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what is what is pancytopenia
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deficiency of all three components of blood - red, white cells and platelets
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how is aplastic anemia related to pancytopenia
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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 |
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what is hemolytic anemia
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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 |
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sickle cell anemia
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homozygous recessive |