Hematology Flashcards

1
Q

Blood:

Blood is a unique organ because it is a ______.

A

Fluid

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2
Q

Blood:

Composed of plasma, various cells, proteins, ______ _____, electrolytes, nutrients, to include ___, and waste products.

A

Clotting factors;O2

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3
Q

Blood:

Formed by bone marrow in response to ____ ___ level.

A

low O2

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4
Q

Hematopoiesis:
Occurs in 5 days.
____ O2 level-> stimulates kidney to secrete _______, which increases erythroblast formation, which forms ___________ (immature RBCs)

A

Low; erythropoitin; reticulocytes

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5
Q

Hematopoiesis:
If rapid erythropoiesis is necessary may release ________ and nucleated _____. After maturity, cells live about ____ days

A

reticulocytes; RBCs; 120

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6
Q

RBC Function:
95% of cell mass is ________.
Have no nucleus.
Flexible and disk shaped to facilitate ________ and release of gases.

A

hemoglobin; absorption;

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7
Q

RBC function:

Transport gases through _______. Main function-transport of O2 between ______. Also aids in buffer system

A

diffusion; lungs

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8
Q

RBC needs:
_____ stores and metabolism.
Vitamin ____ and folic acid metabolism. Destruction.

A

Iron; B12

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9
Q

WBC:
Total amount = 5,000- 10,000
-60-70% are ________
-30-40% are _________

A

granulocytes; lymphocytes

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10
Q

WBC function:

Protect against bacterial invasion and other foreign entities. Name the 5 components of WBCs and their function.

A
  1. Neutrophils- Fast arrival for short lived phagocytosis
  2. monocytes- long term phagocytosis
  3. lymphocytes- produces substances that attack foreign material that kill directly or that enhance phagocytic cells (T). B cells differentiate into plasma cells which produce immunoglobulins
  4. Eosinophils- allergic reactions (neutralizes histamine) and phagocytosis of parasites
  5. basophils produce and store histamine which when released provokes an allergic reaction.
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11
Q

Other Components:
Platelets (thrombocytes)- granular Fragments.
Where are they produced?

A

In the marrow

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12
Q

Other components:

What are platelets regulated by?

A

the hormone thrombopoitin

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13
Q

Other components:

Platelets control bleeding, how exactly do they do this?

A

Collect and activate at the site of injury forming a plug. They release substances that activate coagulation factors.

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14
Q

Other components:

Platelets also nurture and maintaining the ______ of the vessels.

A

lining

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15
Q
Other components:
Plasma and plasma proteins
90%=water rest=plasma proteins, \_\_\_\_\_\_ \_\_\_\_\_, nutrient enzymes, waste and \_\_\_\_\_\_\_. 
-serum
-proteins- albumin, globulins
A

clotting factors; gases

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16
Q

Hemostasis Disorders:

What are the clinical manifestations?

A
  1. occasionally none
  2. Bleeding- mucosa/skin, hemorrhage frank/insidious, prolonged bleeding for venipuncture sites, with TTP, increased range of PCs due to clots in system
17
Q

Hemostasis disorders:

What diagnostics are used?

A

Labs: Platelet count, peripheral smears, PT, PTT, RBC morphology, Bone marrow exams.

18
Q

Acquired coagulation disorders:

Name 4 coagulation disorders.

A
  1. liver disease
  2. Vitamin K deficiency
  3. Complication of anticoagulant therapy
  4. Disseminated intravascular coagulation.
19
Q

Hemostasis Disorders: Thrombocytopenia- platelets below 150,000
What is thrombocytopenia?

A
  • decreased production of platelets within the bone marrow
  • increased destruction of platelets
  • increased consumption of platelets
20
Q

Hemostasis Disorders: Etiology
Thrombocytopenia- platelets below 150,000
it can be inherited or acquired name the two acquired etiologies.

A
  1. immune- (ITP) Immune thrombocytopenia Purpura- Most common
  2. Non-immune- due to shortened circulation, turbulent blood flow, decreased production
21
Q

Hemostasis Disorders: Immune Thrombocytopenia Purpura

Used to be called idiopathic thrombocytopenia. Normal function of platelets- ______ _____.

A

shortened life

22
Q

Immune thrombocytopenia Purpura: acquired immune

platelets coated with _______.
platelets recognized by _____ as foreign material and destroyed by macrophages
______ cannot keep supply to demand.

A

antibodies; spleen; marrow

23
Q

Thrombotic thrombocytopenia Purpura (TTP): Non-immune (shortened circulation)
What is TTP?

A

Absence of anti clotting plasma enzyme leads to enhanced agglutination of platelets form MICROclots that deposit in capillaries, decreasing # in system.

24
Q

What is a medical emergency of TTP?

A

Clotting and bleeding at the same time

25
Q

What is Heparin induced thrombocytopenia and thrombosis syndrome (HITTS)?

A
  • Microclotting with reduction of circulating platelets
  • immune-mediated response to heparin= antibodies= removal= decreased platelets and platelet/fibrin clots
  • heparin neutralized
26
Q

What contributes to Non-immune thrombocytopenia?

A
  1. damage from turbulent blood flow
  2. decreased production due to:
    - drugs
    - infections
    - alcoholism/marrow suppression
    - malignancies
    - radiation
    - invasive tumors
    - fibrosis
27
Q

Disseminated Intravascular Coagulation:

It begins with small clots in blood stream, blocking vessels. What is it stimulated by?

A

substances that enter blood-stream as part of a disease (infection), toxin, complication of child birth, dead fetus.

28
Q

Disseminated Intravascular Coagulation:

It begins with small clots in blood stream, blocking vessels. What else contributes to this problem?

A
  • hemorrhage

- severe injury

29
Q

Disseminated Intravascular Coagulation (DIC):
It begins with small clots in blood stream, blocking vessels.
Increased clotting _______ platelets and clotting factors needed to ______ ______

A

depletes; control bleeding

30
Q
What are DIC clinical manifestations for the following systems:
 Integumentary
Respiratory
Cardiovascular 
GI/GU
Neuro
M/S
A

Edit card

31
Q

What labs would we look at for DIC?

A
  • decreased platelets/clotting factors
  • increased clotting time
  • increased proteins from clot breakdown
32
Q

What is the treatment for DIC?

A
  • correct underlying cause
  • heparin therapy to slow clotting
  • transfuse platelets and clotting factors to replace those depleted.
33
Q

Hemostasis disorders: treatment

Depends on the type. Name 6 treatments that can be done.

A
  1. address underlying cause usually D/C offending med
  2. temporary fix is steroids or IV immune globulin
  3. Drugs that suppress the immune system
  4. Transfusion of platelets
  5. Splenectomy
  6. With TTP often treated with plasma transfusions and plasmapheresis (plasma exchange)