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22. Blood!
McGuire
27
Biology
Graduate
09/27/2011

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Term
Functions of blood
Definition
1. Transport oxygen and carbon dioxide
2. Transport nutrients
3. Transport hormones
4. Defense against infection
5. Heat distribution (vasodilation)
6. Acid/base regulation
7. Osmotic balance
8. Disposal of toxic waste
Term
Components of peripheral blood
Definition
1. Formed elements
2. Plasma
Term
Formed elements
Definition
RBCs (erythrocytes), WBCs (leukocytes), and platelets (thrombocytes).
Term
Plasma constituents
Definition
92% water 7% protein: albumin is largest component, followed by globulins (create osmotic force). 1% other: electrolytes, wastes, gases, hormones, etc.
Term
Buffy coat constituents
Definition
Contains platelets and leukocytes.
Leukocyte types: Neutrophils, lymphocytes, monocytes, eosiniphils, basophils
Term
Hematocrit
Definition
Volume occupied by RBCs.
Normal range for males: 40-50%
Females: 35-45%
Term
Blood samples with blue top
Definition
Have anticoagulant added, causes blood to separate into RBC layer at bottom, followed by buffy layer, and then plasma layer.
Term
Sedimentation rate (ESR)
Definition
Time it takes for RBCs to settle at the bottom of the tube.
Normal range:
Males: Age/2
Females: Age+10/2
Used for prognosis in lymphomas and leukemias.
Term
Blood samples with red top
Definition
Blood without anticoagulant, used to establish clotting time. Sample should form clot and serum.
Term
Blood serum
Definition
Fluid without clotting factors and formed elements.
Contains growth factors, proteins, antibodies, and factors secreted by platelets.
Term
Peripheral blood smear
Definition
Blood collected on slide and lightly smeared with glass slide to produce thin layer of blood on slide. Stain for contrast. Can do complete blood count (CBC) with ratio of specific blood cells to others (differential).
Term
Diameter of RBC
Definition
7.5 microns
Deviations from this diameter can be pathological (micro/macrocytic anemia).
Term
RBC energy source
Definition
From anaerobic glycolysis.
ATP generated through hexose monophosphate shunt.
Term
% of hemoglobin in RBC
Definition
33%
Term
RBC membrane characteristics
Definition
40% lipid
50% protein
10% oligosaccharides attached to E side
of membrane
No microtubules, microfilaments, or intermediate filaments!
Term
Proteins of RBC membrane
Definition
1. Band 4 protein (P face protein)
2. Spectrin (spokes)
3. Actin (center of tire)
4. Ankyrin (serves as link between Band 3 protein and spectrin)
5. Band 3 protein (Transmembrane protein)

Band 4->spectrin->actin->spectrin->
ankyrin->band 3 protein
Term
RBC lifespan
Definition
120 days
Term
3 sites of RBC destruction
Definition
1. Spleen 2. Liver 3. Bone marrow
Term
Recognition of old RBCs
Definition
1. Digested oligosaccharides on membrane
2. Defective transmembrane ion channels
3. Changes in cytoskeleton
Term
Reticulocytes
Definition
Immature RBCs containing residual mRNA and ribosomes.
Visualized with brilliant cresyl blue that binds to mRNA.
Usually make up 1% of RBCs, and remnant material is gone 24 hours after release from bone marrow.
Term
Reticking
Definition
Occurs when patient has >1% reticulocytes in blood. Signals large RBC production from bone marrow in response to loss of RBCs (hemorrhage or spleen disorder).
Term
RBC abnormalities
Definition
1. Reticking
2. Polycythemia
3. Anemia
4. Macrocyte
5. Microcyte
6. Hereditary Spherocytosis
Term
Polycythemia
Definition
Increased hematocrit (70-80%)
Can be normal for people living in high altitudes.
Can be associated with disease process: mutation in JAK2 kinase makes RBC precursors hypersensitive to EPO.
Severe polycythemia= increased blood viscosity, susceptibility to stroke and thrombotic events.
Term
Causes of anemia
Definition
Anemia: weakness due to low hemoglobin levels.
Caused by:
1. Blood loss
2. Decreased RBC production
3. Increased RBC disposal
4. Production of RBCs with low hemoglobin content
Term
Macrocyte
Definition
RBC pathology where RBC is larger than 9 microns.
Due to B12 deficiency, needed for cell division.
Alcoholics destroy lining of stomach, which makes intrinsic factor, can no longer absorb B12 efficiently.
Term
Microcyte
Definition
Decreased hemoglobin synthesis in RBC due to lack of Fe, divides at same rate=small cells.
Term
Hereditary Spherocytosis
Definition
Blood contains fragile RBCs that are spherical instead of biconcave. Defect in ankyrin. RBCs taken out of circulation due to defect in cytoskeleton, results in anemia.
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