Hematology System Flashcards
Plasma minus clotting factors
Serum
General Function of Blood
Vehicle of transport
Regulation of pH and ion composition
Defense
Stabilization
Composition of Plasma
Water: 90% Proteins: 8% Inorganic salts: 1% Lipids: 0.5% Sugar: 0.1%
Essential component of clotting system
Blood coagulation proteins
Major contribution to osmotic pressure of plasma
Albumin
Proteases, antiproteases, transport protiens
Alpha globulin
Transferrin and other transport proteins
Beta globulins
Immunoglobulins
Gamma globulins
Lifespan of platelets
7-10 days
Processing of forming blood cells in the bone marrow
Haemopoesis
Site of blood cell formation less than 2months AOG
Yolk sac (AORTIC GONAD MESONEPHROS)
Site of blood cell formation from 3rd month AOG to birth?
LIVER and spleen
Only source of blood POSTnatally; begins at 4th month AOG
Bone marrow
All bone marrow are active
Birth to Puberty
Only bone marrow of vertebrae, ribs, sternum, skull, pelvis, proximal epiphyseal region of humerus active
Age 20
Post-embryonic extramedullary hematopoiesis in full-term infant
Always abnormal
Carbon dioxide attached to Hgb
Carbamino hemoglobin
Carbon monoxide attached to Hgb
Carboxyhemoglobin
Oxygen attached to Hgb
Oxyhemoglobin
Size of. RBC
Length: 8um
Width: 2um
Hemoglobin values
Male:
Female:
Male: 14-18g/dL
Female: 12-18g/dL
Normal Hematocrit Values:
Male: 46 (40-54)
Female: 42 ( 37-47)
How many O2 molecules can 1 hemoglobin molecule bind
4 oxygen molecules
Hemoglobin A
2 alpha and 2 beta
Hemoglobin F
2 alpha and 2 gamma
Total iron in the body
4-5 grams
Iron found in plasma
Transferrin
Iron found in LIVER
Ferritin
Storage form of iron found outside the liver
Hemosiderin
Enzyme responsible in synthesis of Hemoglobin
Amino Levolinic Acid Synthase (ALA synthase)
Hormone stimulating RBC production
Erythropoietin
Main stimulus for EPO peoduction
Hypoxia
Effect of EPO will after this many days
5 days
Last RBC stage with a nucleus
Orthochromatic erythroblast
RBC stage released to the blood
Reticulocyte
Time to convert reticulocytes to mature RBCs
1-2 days
Characteristics of mature RBC’s
No nucleus
No mitochondria
No ER
Lifespan of adult RBC’s
120 days
Lifespan of fetal RBC’s
90 days
Intravascular destruction of old or damaged RBCs occurs here
Spleen
Extravascular destruction of RBCs is due to
Macrophages
Fate of Heme in destroyed RBC
Bilirubin
Nutrient essential for DNA synthesis
Vitamin B12
Folic acid
Megaloblastic anemia + Neural deficits
Vitamin B12 deficiency
Megaloblastic anemia + Neural tube disorders
Folic acid deficiency
Needed to absorb Vitamin B12
Intrinsic Factor in Terminal Ileum
Source of Vitamin B12
Meats
Source of Folic acid
Leafy vegetables