Chapter 13 Blood Flashcards
blood composition
cells (45% of blood volume)
plasma (55% of blood volume)
Cells
erythrocytes (RBC)
leukocytes (WBC)
platelets or thrombocytes (clotting cells)
plasma
liquid portion of blood
- a solution of water, proteins, sugar, salts, hormones, lipids, and vitamins
drop of blood
4-6 million RBCs
7-10 thousand WBC
150-450 thousand platelets
hematopoietic stem cells
cell in the bone marrow that gives rise to all types of blood cells
differentiated
change in structure and function of a cell as it matures
hemoglobin
enables the erythrocyte to carry oxygen
- blood protein containing iron
erythrocytes
RBC originate in the bone marrow
erythropoietin
simulates the production of erythrocytes
- hormone secreted by kidneys
macrophages
migrates from blood to tissue spaces
and destroys the worn out erythrocytes
- located in the spleen, liver, and bone marrow
heme releases
iron and decomposes into yellow-orange pigment called bilirubin
granulocytes
polymorphonuclear leukocytes
WBC with cytoplasmic granules
- eosinophil
- basophil
- neutrophil
eosinophil
granules that stain with red acidic dye (eosin)
Basophils
granules that stain a dark blue with a basic (alkaline) dye.
Neutrophils
phagocytes
granulocytic leukocyte formed in bone marrow
- accumulate at infection sites where they ingest and destroy bacteria
colony stimulating factors (CSFs)
protein factor that stimulates growth and differentiation of developing blood cells
Granulocyte-CSF
GranulocyteMacrophage-CSF
given to cancer patients to restore granulocyte production
erythropoietin
can be produced by recombinant DNA techniques
polymorphonuclear
mulitlobed nuclei
polymorphonuclear granulocytes
aka neutrophils
mononuclear
pertaining to a cell with a single round nucleus
lymphocytes
made in the bone marrow and lymph nodes and in the bloodstream and in the lymphatic system
lymphocytes
protects body against infection
antibodies
specific protein (immunoglobulin) produced by lymphocyte in response to bacteria, viruses, or antigens.
- antibody is specific to antigen and inactivates it
monocytes
leukocyte with one large nucleus
= phagocytic cells that fights disease
macrophages
move from the bloodstream into tissues and dispose of dead and dying cells
megakaryocytes
large platelet precursor cell found in the bone marrow
4 major plasma proteins
- albumin
- globulins
- fibrinogen
-prothrombin
albumin
maintains the proper proportion and concentration of water in the blood
edema
results when too much fluid in the blood leaks into the tissue
globulins
plasma proteins
- alpha
- beta
- gamma
immunoglobulins
aka gamma globulins
protein with antibody cativity
IgG
found in high concentration in plasma
IgA
found in breast milk, saliva, tears, and respiratory plasma
plasmapheresis
the process of separating plasma from cells
packed red cells
whole blood with most of the plasma removed
hemolysis
breakdown of red blood cells
disseminated intravascular coagulation (DIC)
excessive clotting in blood vessels
Rh factor
antigen on RBC of Rh- positive individuals
coagulation
blood clotting
electrophoresis
method of separating serum proteins by electrical charge and size
fibrinogen
plasma protein that is converted to fibrin in the clotting process
fibrin
protein that forms the basis of a blood clot
serum
clear fluid
- plasma minus clotting proteins and cells
anticoagulant substance
blood inhibit blood clotting so clots don’t form
heparin
anticoagulant produced by tissue cells
warfarin
(Coumadin)
given to patients with thromboembolic disease to prevent the formation of clots
Direct oral anticoagulants
work by inhibiting blood clot factors such as thrombin
erythroblast
immature RBC
immune reaction
response to the immune system to foreign invasion
leukocyte
white blood cell
platelet
small blood cell fragment that collects at sites of injury to begin the clotting process
polymorphonuclear
pertaining to a white blood cell with a multilobed nucleus
- neutrophil
reticulocyte
immature erythrocyte
stem cells
unspecialized cell that gives rise to mature
thrombin
enzyme that converts fibrinogen to fibrin during coagulation
thrombocyte
platelet
dyscrasia
disease
anemia
deficiency in erythrocytes or hemoglobin
aplastic anemia
failure of blood cell production in the bone marrow
pancytopenia
when stem cells fail to produce leukocytes, platelets, and erythrocytes
hemolytic anemia
reduction in red cells due to excessive destruction
sickle cell anemia
hereditary disorder of abnormal hemoglobin producing sickle shaped erythrocytes and hemolysis
thalassemia
inherited disorder of abnormal hemoglobin production leading to hypochromia
pernicious anemia
lack of mature erythrocytes caused by inability to absorb vitamin B12 into blood stream
intrinsic factor
hemochromatosis
excess iron deposits throughout the body
polycythemia vera
general increases in red blood cells
hemophilia
excessive bleeding caused by hereditary lack of factors VIII or iX necessay for blood clotting
purpura
multiple pinpoint hemorrhages and accumulation of blood under the skin
petechiae
small, pinpoint purple or red spots on the skin
ecchymoses
large blue/purplish bruises
leukimia
increase in malignant WBC
acute myeloid leukemia (myelocytic) (AML)
immature granulocytes predominate
Acute lymphoid leukemia (ALL)
immature lymphocytes predominate
Chronic myeloid leukemia (CML)
both mature and immature granulocytes are present in large numbers in the marrow of blood
Chronic lymphoid leukemia (CLL)
abnormal numbers of relatively mature lymphocytes predominate in the marrow
remission
disappearance of signs and symptoms of disease
relapses
disease symptoms and signs reappear
granulocytosis
abnormal increase in granulocytes in the blood
mononucleosis
infectious, viral disease marked by increased numbers of mononuclear leukocytes and enlarged cervical lymph nodes
multiple myeloma
malignant neoplasm of bone marrow
antiglobulin (Coombs) test
test for the presence of antibodies that coat and damage erythrocytes
complete blood count (CBC)
determination of numbers of blood cells hemoglobin concentration, hemocrit, and red cell values
erythrocyte sedimentation rate (ESR)
speed at which erythrocytes settle out of plasma
hemacrit (Hct)
percentage of erythrocytes in a volume of blood
hemoglobin test (H,Hg,Hgb,HGB)
total amount of hemoglobin in a sample of peripheral blood
platelet count
prothrombin time test of the ability of blood to clot
red blood cell count
number of erythrocytes per cubic millimeter or microliter of blood
red blood cell morpholgy
microscopic exam of a stained blood smear to determine the shape of individual red cells
white blood cell count
number of leukocytes per cubic millimeter or microliter of blood
white blood cell differential
percentages of difference types of leukocytes in the blood
apheresis
separation of blood into component parts and removal of a select portion from the blood
blood transfusion
whole blood or cells are taken from a donor and infused into a patient
hematopoietic stem cell transplantation
peripheral stem cell from a compatible donor are administered to a recipient