Erythrocyte Physiology - Pierce Flashcards

1
Q

What is the equation for hematocrit? 3

A

Height of RBCs / Total Height

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2
Q

What are the formed elements found in the blood? 6

A

Erythrocytes
Leukocytes
Platelets

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3
Q

Where does erythropoietic begin? 11

A

Begins in erythroblastic islands in the bone marrow

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4
Q

What is the precursor to erythrocytes? 11

A

Reticulocytes that mature upon entry into the circulation

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5
Q

What is the role of Erythropoietin? 12

A

Principle regulator of erythropoiesis

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6
Q

What is the role of HIF? 12

A

Hypoxia inducible factor

In hypoxic environments HIF is released which activates erythropoietin gene to produce erythropoietin which activates erythropoiesis

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7
Q

What cofactors are required for a normoblast to mature into a reticulocyte? 16

A

B12

Folate (B9)

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8
Q

Differentiate B12 Deficiency (and folate) from poor B12 absorption? 19

A

B12 & Folate deficiency –> megaloblastic macrocytic anemia

Poor B12 absorption –> pernicious anemia

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9
Q

What condition do we associate with iron deficiency? 20

A

Microcytic anemia

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10
Q

Differentiate non-heme iron vs heme iron 20

A

Heme iron is much more absorbent to the body

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11
Q

What enhances iron absorption? 21

A

Ascorbate (vitamin C)

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12
Q

What challenge does nonheme iron have to overcome that heme iron doesn’t? 21

A

Nonheme iron (Fe3+) has to convert to Fe2+ before entry into the duodenum/upper jejunum

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13
Q

How does iron circulate in the blood? 21

A

As transferrin

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14
Q

What is the normal Hb for females and males> 23

A
  1. 0 g/dL - females

15. 5 g/dL - males

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15
Q

Each gram of hemoglobin combines with how many mL of oxygen? 26

A

1.34 mL of oxygen per gram of hemoglobin

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16
Q

What does a left shift of the oxygen curve indicate? 28

A

Implies greater affinity of the blood for oxygen

17
Q

What pathologies are associated with a right shift of the oxygen curve? 29

A

Anemia

18
Q

What pathologies are associated with a left shift of the oxygen curve? 28

A

Polycythemia

19
Q

Define anemia 40

A

Reduction of the total circulating red cell mass below normal limits

20
Q

What is methemoglobinemia? What kind of shift would you expect? 43

A

Leftshift pathology

Increased met-hemoglobin (Fe3+ ferric)

Decreased oxygen availability so lets make more RBCs