Ch 13: Platelets Flashcards

1
Q

Where do platelets come from?

A

megakaryocytes in the bone marrow

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2
Q

What are the normal size of platelets?

A

2.5 um

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3
Q

What is the normal reference range for platelets?

A

150-400,000. 21 per 100x field

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4
Q

Explain adhesion, aggregation, and secretion?

A

Adhesion: the process used to repair injury to blood vessel lining
Aggregation: extensive vessel damage, platelets adhere and aggregate
Secretion-Activated platelets release granular contents

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5
Q

What compounds are important in aggregation?

A

VWF a clotting factor only protein present in the first stage of hemostasis “white clot”. , attaches itself to inactive fragments and creates a layer to fill space of injury.
Fibrin, works with RBCs to deposit around injury creating red clot

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6
Q

What compounds are important in adhesion?

A

CAM integrin (leucine rich family), bind collagen enable platelet to adhere to injured blood vessel.

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7
Q

What is platelet shedding

A

Megakaryocytes use DNA to synthesize an abundant amount of cytoplasm called proplatelets. They do this when maturing, they spread through epithelial cells and extend into venous blood to release the platelets. thrombocytopoesis

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8
Q

What is a reticulated platelet?

A

larger mature platelets that are released into the blood if there is thrombocytopenia (low platelet count)

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9
Q

Why does the spleen release platelets after a trauma?

A

To make up for lost blood and start clotting to avoid losing more.

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10
Q

What are the characteristics of platelets

A

granular cytoplasm with a membrane but no nucleus, biconvex

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11
Q

How many platelets are in circulating blood and how many are in the spleen

A

1/3 in spleen

2/3 in circulating blood

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12
Q

What causes the spleen to release its storage of platelets

A

acute inflammation, an injury or surgery, after plateletpheresis

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13
Q

What is plateletpheresis

A

The procedure where all the platelets in blood are removed, cleaned and sent back into the body.

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14
Q

What is splenomegaly/ hyperspenism?

A

the inflammation of the spleen because it is sequestering too many platelets

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15
Q

What compounds are important in secretion

A

CAM selectin: releases granular substance

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16
Q

What is DVT deep vein thrombosis

A

when a blood clot breaks off and is loose in the circulatory system. can cause pulmonary embolism if it reaches lungs or stoke if brain

17
Q

What does heprine do?

A

anticoagulant that prevents blood clotting.

18
Q

What precursor are platelets from?

A

common myeloid precursor

19
Q

How big is a platelet that is too big

A

6 um, must be noted if found when doing blood smear in morphology analysis