Blood As A Tissue Flashcards
Hematopoiesis
Production of blood cells usually occurs in bone marrow, can also occur in spleen
Reticulocyte
Immature anucleared RBC, they are larger than and contain less hemoglobin than a mature RBC
Oxyhemoglobin
Hemoglobin that has bound to O2
Carbaminohemoglobin
Hemoglobin that has bound to CO2
Granulocyte
Neutrophils, basophils, eosinophils, contain large number of granules within cytoplasm
Band neutrophil
Hematopoietic stem cells -> band neutrophils -> neutrophils
Left shift
High number of immature neutrophils in the blood (usually bands) because increase release of immature neutrophils by bone marrow bc increased demand due to acute inflammatory disease
Innate immune response
No recognition of previous exposure to antigen needed. DO not have memory involved leukocytes like neutrophils, macrophages
Adaptive immune response
Stimulated by antigen presenting cells to lymphocytes (dendritic cells); dendritic cells are a derivative of a monocytes and are targeted against specific antigens “memory” leads to a quicker response after the second exposure to an antigen
Humoral immune response
B-lymphocytes mature to plasma cells and produce antibodies
Cell mediated immune response
T-lymphocytes regulatory effects, stimulating or surprising immune function and cytotoxic effects (killing tumor cells or virally infected cells)
Common injection/ blood draw sites
External Jugular vein, cephalic vein, saphenous vein
Red top tubes
Use for chemistry profile, no additives
Purple top tube
Use for CBC, includes anticoagulant EDTA
Green top tube
Contains heparin
Blue top tube
Use for coagulation tests
CBC
aka hemogram; Use purple top; measures blood cells and includes microscopic evaluation of blood smear (dried and stained)
Chemistry
Aka super chem; use red top; evaluates non-celluar components of blood can be performed on plasma or serum (can also be from green top tube)
How to measure hemoglobin
2 ways one use laser to detect hemoglobin in cells, second RBCs are lysed and hemoglobin is measured by chemical reaction
Components of blood
Composed of fluid phase and cell phase
Blood functions
Transportation (oxygen, co2, nutrients, waste, hormones), Immunity (flushing wound, carries WBC,, maintaining overall fluid level, helping to regulate body temperature
Plasma
Blood that has not clotted and therefore contains all of the proteins necessary for clotting (purple top or green will have anticoagulant)
Fibrinogen
Coagulation protein in highest concentration in blood
Serum
Fluid collected from blood that has been allowed to clot (does not have clotting factors in it) (red top)
Hematocrit vs Pcv
Should be within 3% of each other
Small molecules in blood
Electrolytes (sodium, potassium, chloride, bicarbonate), minnerals (calcium, phosphate, magnesium), glucose ect
Proteins in blood
Classified as albumin and globulin
Albumin
Half of plasma proteins are albumin, this is producted by liver; this is like a cargo ship moving substances around blood, keeps fluid in vasculature
Globulins
These are all non albumin proteins, includes fibrinogen, inflammatory protein, transport proteins