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Patho Ch. 19
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58
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Undergraduate 4
04/11/2012

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Term
How much plasma is in your blood?
Definition
55% of total blood volume
Term
How much water is in plasma?
Definition
90%
Term
How much plasma proteins are in plasma?
Definition
7%
albuminis, globulins, and clotting factors
Term
What electrolytes are in plasma?
Definition
sodium, chloride, calcium, magnesium, etc.
Term
What nutrients are in plasma?
Definition
amino acids, glucose, lipids, vitamins, etc.
Term
What is the blood composed of?
Definition
plasma
cellular component
Term
How many erythrocytes in the cellular coment of the blood?
Definition
5 million/mm3
involved in transport of oxygen and carbon dioxide
Term
What is the only red cell that doesn't contain hemoglobin?
Definition
proerythroblast
Term
How much does the cellular compent is in your blood?
Definition
45%
48% in males and 42% in females
Term
How many subunits does hemoglobin have?
Definition
four
each containing two parts
Term
What does the heme portion contain?
Definition
iron
Term
What does the globin portion contain?
Definition
complex polypeptide
Term
What is hemoglobin in adults?
Definition
hemoglobin A (HbA)
Term
What is hemoglobin in fetus?
Definition
fetal hemoglobin (HbF)
Term
What is needed for erythropoietin?
Definition
minerals such as iron, cobalt, copper
Vitamins B12
Folic acid (maturation of RBC)
Term
How many leukocytes are in your blood?
Definition
5,000 - 10,000/ mm3
Term
What do leukocytes do?
Definition
involved in defense against infection
Term
Granulocytes
Definition
neutrophils (55%)
eosinophils (1-2%)
basophils (0.5-1%)
Term
Agranulocytes
Definition
monocytes (6%)
lymphocytes (36%)
Term
What are the characteristics of neutrophils?
Definition
survives few hours
primary defense against bacterial infection (phagocytosis)
Term
What are the charactersitics of eosinophils?
Definition
antigen-antibody reactions
elevated during asthma attacks, drug reactions, and certain parasitic infections
Term
What are the characteristics of basophils?
Definition
carry histamine and platelet- activating factors to inflamed tissue
Term
What are the characteristics of monocytes?
Definition
leave circulation and become tissue macrophages
part of mononuclear phagocyte system involved in phagocytic functions
Term
phagocytic functions
Definition
removal of injured and dead cells, cell fragments, and microorganisms
Term
What are the characteristics of lymphocytes?
Definition
T and B lymphocytes involved with immunity
Term
How many thrombocytes are in the blood?
Definition
140,000 - 340,000 mm3
Term
What are thrombocytes involved in?
Definition
hemostasis
parts of cell are called megakaryoblast, which are found in bone marrow
Term
hemostasis
Definition
stoppage of blood flow
Term
Hematopoiesis
Definition
blood cell production
Term
proliferation
Definition
mitotic division
Term
differentiation
Definition
maturation
Term
erythropoiesis
Definition
initial cell formation occurs as result of stimulating action of erythropoietin
produced by kidney
on bone marrow tissue
stimulates hemocytoblast to form proerythroblast
Term
What happens when cells are transformed into reticulocytes?
Definition
loses nucleus
Term
What's the final step of erythropoiesis?
Definition
formation of mature erythrocytes
both reticulocytes and mature erythrocytes are found primarily in circulating blood
Term
Where do all types of leukocytes arise from?
Definition
stem cell (hemocytoblast) within bone marrow
Term
What do granulocytes develop from?
Definition
precursor promyeloblast which then develops into three types within bone marrow before released into blood stream
Term
Where do monocytes develop from?
Definition
monoblast and lymphocytes develop from lymphoblast
pass into blood stream for final maturation
Term
What controls platelet production?
Definition
substance called thrombopoietin
Term
What do platelets develop from?
Definition
stem cells called megakaryocytes
Term
What's vessel spasm caused by?
Definition
local and neural reflex mechanisms
constricts the vessel and reduces blood flow
Term
What's the platelet plug?
Definition
the second line of defense which is initiated as platelets come in contact with vessel wall
Term
blood coagulation
Definition
process by which fibrin strands form and create a meshwork that cements blood components together
Term
What's blood coagulation a result of?
Definition
activation of either intrinsic or extrinsic coagulation pathways
Term
intrinsic pathway
Definition
occurs in vascular system
relatively slow
Term
extrinsic pathway
Definition
occurs in tissues
Term
clot retraction
Definition
occurs immediately once the clot has formed
requires large numbers of platelets
contributes to hemostasis by pulling edges of broken vessel together
Term
clot dissolution
Definition
dissolution of clot allows blood flow to be re-established and allows tissue repair to take place
requires sequence of steps
Term
red blood cell count
Definition
measures total number of RBC/mm3
normal: 4.2 - 5.4 million
Term
percentage of reticulocytes
Definition
normal: about 1%
provides index rate of red cell production
Term
hemoglobin
Definition
grams/100 ml of blood
normal: 12-18 gm
Term
hematocrit
Definition
measures volume of red blood cell mass in 100 ml of plasma volume
normal: 35-55%
Term
mean corpuscular volume (MCV)
Definition
reflects volume or size of RBC
normal: 81-96 microns3
Term
mean corpuscular hemoglobin concentratioin (MCHC)
Definition
amount of hemoglobin in 100 ml of packed RBC
normal: 32-36%
Term
mean corpuscular hemoglobin (MCH)
Definition
amount of hemoglobin in single RBC
normal: 27-31 picograms/RBC
Term
platelets bleeding time
Definition
duration of bleeding following a standardized superficial puncture wound of skin
Term
platelets prothrombin time
Definition
effectiveness of activity of prothrombin, fibrinogen, and factors V, VII, and X
Term
platelets clotting time
Definition
overall ability of blood to clot as measured in minutes in a test tube
Term
differential white cell count
Definition
absolute number of different types of white blood cells
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