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44 Cards in this Set

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Nutrional anemia

Lack of specific nutrion : Iron (Fe)


- Iron defiency

Anemia is?

Decreased oxygen - carrying capacity


- lack of hemoglobin


- lack of erythrocytes

Hemorrhagic anemia

Blood loss


Ex. Ulcers

Hemolytic anemia

When red blood cells rupture


Ex. Sickle cell anemia

Pernicious anemia

Lack of B12


- stomach is not secreting extrinsic factor = needed fpr B12

Renal anemia

Kidneys damaged/ diseased


= cannot produce enough erythropoieten

Aplastic anemia

Body stops producing new blood cells


Ex. Bone marrow damage

Polycythemia

Elevated count of erythrocytes


(Disorder)

Primary polycythemia

Abnormal production of red blood cells (erythrocytes) by bone marrow

Relative polycythemia

Caused by dehydration


- temporary / can cause false results of hematocrit test


- RBC normal / water loss in rbc

Secondary polycythemia

Caused by something outside bone marrow


- adaption to high altitudes


- blood doping (ex. Injection of rbc)


-chronic hypoxia ( ex. emphysema)


- genetics

Polycythemia adverse effects:

Increased blood viscosity


Decreased perfussion


Increased risk of thrombosis

Transfusion reaction

Donor blood - A


Recipient blood - B


- Recipient blood antibodies -A


Agglutinate w / type A blood given


Results in: Agglutination


- clogged arteries


- decreased perfusion


Another result:


-erythrocytes hemolyze = releasing hemoglobin into plasma / resulting in - possible kidney failure

Hemopoiesis

Formation of new blood elements


Caused by:


-Active bone marrow


- Stem cells divide


- hormone control

Blood Hormones control?

Rate of cell production


- rate stem cell divides


- controlled by maturity of RBC

Stem cells / divide by?

(Hemocytoblasts) - stem cells


Divide by Mytosis:


Produces 2 daughter cells and become:


1 stem cell


1 blood cell (RBC)

Erythrocytes

Transport oxygen + carbondioxide between tissues and lungs

Total RBC count / measured in?

Male - 5.4 million microLiter


Female - 4.8 million microLiter

Hematocrit = %

Volume of erythrocytes as % of total blood volume


Male - 46 %


Female - 42 %

Blood consist of formed elements?

Erythrocytes


Leukocytes


Platelets - suspended in a liquid called plasma

Function of blood:

-Transport:


Dissolved gasses


Nutrients


Hormones and metabolic waste


-pH balance: 7.35 - 7.45


-Coagulation


-Imunnity

Physical characteristics of blood:

-Volume :


Males - 5-6 L


Females - 4-5 L


-Viscosity:


5 x thicker then water


-pH average:


7.4 (7.35 - 7.45)

Blood Plasma:

-Volume: 55%


-Composition:


Water - 92%


-Proteins: 7%


Albumins - 60%


Globulins - 35%


Fibrinogen - 4%


(Needed for blood clotting)


- Proteins made in Liver


Other solutes: 1%


Organic nutrients


Electrolytes


Organic waste

Serum

Is = plasma - clotting proteins

Total # leukocytes per micro liter

6 - 9000 leukocytes per microliter of blood

3 groups of granulocytes

Neutrophils


Eosinophils


Basophils

Neutrophils

(Phagocitic)


Destroys bacteria from infected tissue

Eosinophils

Attack antibody labeled material


Allergens that cause allergic reactions

Basophils

Release chemicals (histamines) in dmamaged tissue

Lymphocytes

*activated by infection


Produce antibodies in response to infection


Attack foreign cells


Clone or copy self by mytosis

Monocytes

Leave blood and stay in tissue


Become macrophages

Leukopoiesis

-Rate of production by hormones called = colony stimulated factors


1 - lymphocytes produced in bone marrow migrate to lymphatic organs


2- when exposed to foreign cells they recognize, they clone monocytes


3- In result produce macrophages

Leukopoiesis disorders:

Leukopenia


Leukocytosis


Leukemia - type of cancer


(Production of abnormal leukocytes)

Leukopenia

Deficiency in leukocytes


- malaria


- lime disease

Leukocytosis

Excess # of leukocytes


- parasitic infection

Platelets

-Fragments of cells


Total = 150k - 500k


Avg. 350k


Function: prevents blood loss


Produced: when magekaryocytes are pinched off - releasing platelets into circulation

Platelet disorders:

-Thrombocytopenia : not enough platelets


- Thrombocytosis : too many platelets

Hemostasis

Prevent blood loss

Vascular spasm:

- when smooth muscle in the walls contract, when vessels are damaged


Resulting in: make the opening smaller, preventing blood loss

Platelet plugs:

Formed when platelets are attracted to damaged blood vessels and stick together

Coagulation:

Series of chemical reactions involving clotting proteins (fibrin) from plasma


Activates: plasma + calcium

Coagulation process:

1 - Factor X (clotting protein) activated ----> converted in prothrombinase (enzyme)


* catalyzes into


2. Prothrombin -----> thrombin (enzyme)


*catyzes into


3. Fibrinogen ------> fibrin

Fibrin

A sticky mesh that traps blood cells and platelets - forming blood clots

Fibrinolysis

Clot removal


- intiated by enzyme plasmin, which is activated by tissue plasminogen activator