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61 Cards in this Set

  • Front
  • Back

RBC formation

Hemopoietic stem cell


Myeloid stem cell


pro erythroblast


erythroblast


normoblast


reticulocyte


erythrocyte

What are the nutritional requirements of erythropoiesis

Iron and b12

Lack of b12 causes

pernicious anemia

Stimuli for increasing RBCs

low o2


high altitude


increase in exercise

erythrocyte disorders


polycythemia

excess of RBCs

Anemia

deficiency of RBCs or hemoglobin

Type A blood has

a antigen, b antibodies

Type B blood has

b antigen, a antibodies

Type AB blood has

both a and b antigens, neither a or b antibodies

Type O blood has

neither a or b antigens, both a and b antibodies

What is agglutinate?

RBCs form clumps because of antibodies

Universal donor?

Type O, most common blood type

Universal recipient?

Type AB, rarest blood type and can receive any blood (no antibodies)

What makes a person positive?

if they have d antigens on RBCs

Who has anti-d antibodies?

Negative people but only after exposure (sensitization)

When is a baby in danger?

- mom and + baby, 2nd baby if mom was sensitized

Hemostasis?

stop bleeding

What makes platelets?

Megakaryocytes

Where are platelets stored?

spleen

What breaks off platelets?

pseudopods

Platelet functions?

secrete vasoconstrictor


stick together to form platelet plug


secrete clotting factors


attract WBCs to sites of inflame


secrete growth factors


positive feedback



Is platelet plug permanent?

no



What are the steps in a clot?

1. vascular spasm


2. platelet phase


3. coagulation phase


4. clot retraction



Vascular spasm

the actual cut

Platelet phase

the areas without prostacyclin will cause platelets to stick and form platelet plug (positive feedback)

Coagulation phase

formation of patch made of fibrin that remains until healed

Steps in coagulation

Clotting factor + calcium


Factor X


prothrombin activator


prothrombin


thrombin


fibrinogen


fibrin


clot

Clot retraction

edges of clot pull like a drawstring


clot dissolves once healed

When clot heals?

Plasminogen -> plasmin which does -> fibrinolysis

Hemostasis

coagulation

facts about common pathway

liver is producing clotting factors


vit k is involved in process


calcium as well

Blood contains natural anticoagulants

Heparin interferes with formation of thrombin

Thrombocytopenia

platelet deficiency, decrease clotting, more bleeding

What is a thrombus?

clot

Embolus

can be floating thrombus



Pulmonary embolism

clot breaks free, travels from veins to lungs

Hemophilia

hereditary


caused by deficiencies of clotting factors, increase bleeding


usually from mom

5 types of WBC?

Neutrophils


Eosinophils


Basophils


Monocyte


Lymphocyte

Form and function of WBC?

-nucleus, contains organelles


-capable of amoeboid movement


-can migrate out of blood stream (diapedesis)


-sensitive to chemical stimuli (chemotaxis)


-engulf pathogens (phagocytosis)

Neutrophils

60-70%


most abundant


"first responders"


phagocytic

Eosinophils

2-4%


increased number in parasitic infections and allergies


phagocytic

Basophils

less than 1%


role in inflammation


NOT PHAGOCYTIC


secrete histamine and heparin

Monocytes

3-8%


leave bloodstream and transform to macrophages


phagocytic


engulf pathogens

Lymphocytes

25-33%


increased # in diverse infections and immune responses


-act against specific pathogens


come from lymphoid stem cell

Leukopenia

low WBC


chemo

Leukocytosis

high WBC


infection

Leukemia

cancer of hemopoietic tissue, produces high number of leukocytes

Blood is made up of what?

Plasma- 55%


Formed elements 45%

Plasma has?

92% water


7% plasma proteins


1% other

Formed elements has?

RBC-99.9%


WBC


Platelets

Hematocrit

formed elements

Plasma proteins?

albumins


globulins


fibrinogen


they provide osmotic pressure

what protein fills 95% of RBC

hemoglobin

Hemoglobin

reversibly binds to oxygen

Each Hb has:

4 protein chains


2 alpha, 2 beta


4 heme, 4 iron


4 oxygens, 1 bound to each iron

What makes blood brighter?

heme bound to oxygen

Oxyhemoglobin

bound to o2

Deoxyhemoglobin

when o2 isn't bound

Carbominohemoglobin

when co2 is bound to globin

production of blood in in babies

in yolk sac first 8 weeks


in liver and spleen 2-5 months


in red bone marrow at 5 months

Heme pigment...where does it go?

biliverdin -> bilirubin -> liver and then either to kidneys and out thru urine or intestines and out thru poo