Hematology and Heart Flashcards
Three Types of Granulocytes
Neutrophils
Eosinophils
Basophils
Two Types of Agranulocytes
Lymphocytes
Monocytes
Neutrophils
Multi-lobed
Most abundant (60-70%)
Increase in bacterial infections
Eosinophils
Bi-lobed
2-4%
Increase in parasitic worm infections/allergies
Abundant in mucous membranes
Basophils
S or U shaped nucleus
0.5%
Release heparin and histamine
Increase in chicken pox, sinusitis
Lymphocytes
Large round nucleus
2nd most common (25-33%)
B Cells (found in bone marrow)
T Cells (mature in thymus)
Monocytes
Large horseshoe-shaped nucleus 3-8% Present antigens Form macrophages in tissue Increase in viral infections and inflammation
Macrophages
Highly phagocytic cells Rise during viral infections Antigen presenting cells Alert immune system to foreign invaders Destroy dead/dying host and foreign cells
Normal Leukocyte Count
5,000-10,000 WBCs/ul
Leukopenia
Low WBC count caused by chemotherapy, radiation therapy, and autoimmune diseases
Leukocytosis
Increased WBC count caused by infection, parasitic infections, and bone tumors
Leukemia
Bone cancer; increased circulating immature leukocytes caused by bone marrow and blood cancer and genetic/environmental factors
Acute kills quickly, Chronic kills slowly
Myeloid Leukocytes
Granulocytes
Lymphoid Leukocytes
Lymphocytes and Monocytes
Platelets/Thrombocytes
Fragments of Megakaryocytes
2nd most abundant formed element
130,000-400,000/ul
Assist with clotting small cuts
Platelet Production
Thrombopoiesis
Thrombopoietin from liver and kidney stimulate production from hemopoietic stem cells
Megakaryoblasts duplicate DNA without undergoing division
Produces a Megakaryocyte
Proplatelets extend through endothelium and break off
Hemostasis
The control of hemhorrage
Three Hemostatic Mechanisms
- Vascular Spasm (vasoconstriction)
- Platelet Plug
- Blood Clotting (formation of fibrin threads)
Platelet Plug Formation
Adenosine Triphosphate attracts platelets
Platelets adhere to each other
Coagulation
Involves 12 procoagulants and 30 chemical reactions
Last and most effective defense
Produced in the liver
Vitamin K required
Clot Formation
Objective: convert fibrinogen into fibrin
Intrinsic (within the blood) and Extrinsic (released by tissue damage)
Intrinsic
Factor VII activates Factor X
Extrinsic
Factor III + Factor VII + Ca2+ = Factor X
First Stage
Intrinsic (within the blood) and Extrinsic (released by tissue damage)
Second Stage
Prothrombin + Prothrombin Activator = Thrombin
Third Stage
Fibrinogen + Thrombin = Fibrin