L3-factors Affecting Erythropoiesis and hemoglobin function Flashcards

1
Q

What is the hematocrit value

A

Percentage of red blood cells in relation to the whole blood

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2
Q

Where does a normal blood count range from

A

From 4.5 to 5.5 million cells per microliter of blood

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3
Q

What do red blood cells do in pulmonary capillaries

A

Pick up oxygen in oxyhemoglobin is formed

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4
Q

What do red blood cells do in systemic capillaries

A

OxyHemoglobin gives up much of its oxygen and becomes reduced to hemoglobin

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5
Q

Where does erythropoiesis occur during embryonic life

A

In the liver

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6
Q

What are the factors affecting erythropoiesis

A

General factors
maturation factors
factors necessary for hemoglobin formation

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7
Q

What are the general factors

A
A)hormones
1)erythropoietin hormone
2)other hormones such as thyroxine 
Androgens
Growth hormone
B)vitamins: vit c
C)liver:manfactures globin and stores iron, copper, vit b12, folic acid and also secrets small amount of erythropoietin 
D)bone marrow
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8
Q

Describe the erythropoietin hormone

A

Most is formed in the kidney rest is formed in the liver
Hypoxia is responsible for production of erythropoietin
Lack of O2 stimulates formation of erythropoietin
When O2 transport to tissues rise above normal the rate of erythropoietin formation decreases

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9
Q

What would cause aplastic anemia

A

Destruction of bone marrow by irradiation, chemicals, drugs or bacterial toxins will lead to deficiency of blood cells leading to aplastic anemia

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10
Q

What are the maturation factors

A

Vitamin B 12 and folic acid or essential for formation of red blood cells
they are important for nuclear maturation and cell division of red cell prescuors and are called maturation factors

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11
Q

How is vitamin B 12 combined and why

A

Parietal cells of the stomach lining produce the intrinsic factor: a chemical that combines the vitamin B 12 in food to prevent its digestion and promote its absorption in the small intestine
Once absorbed it’s stored in the liver and is released slowly as needed by the bone marrow and other tissues

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12
Q

What are the factors necessary for hb formation

A

▪️Protein: animal protein that are presents delivered kidney and muscles are superior in production of HB compared to plant derived proteins
▪️Iron: iron is necessary for the formation of the heme part of hemoglobin 70% of the iron in the body is present in hemoglobin
▪️Copper and cobalt : copper and cobalt act as a catalyst in hemoglobin synthesis ▪️copper is necessary for iron reabsorption from the gastrointestinal tract
▪️Cobalt is essential for utilization of iron during hb formation

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13
Q

What are the nutritional factors required for erythropoiesis

A

Proteins vitamins iron and copper

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14
Q

Average hemoglobin concentration in blood for females and males

A

16+ -2 g/dL in men

14 g+-2/dL in women

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15
Q

How many human fractions does each hemoglobin molecule contain

A

Four

Each can carry one O2

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16
Q

Where does O2 attach in the hemoglobin

A

To the Fe++(ferrous) in the haem

17
Q

Describe oxyhemoglobin

A

Formed by the combination of Hb with O2 by the process of oxygenation the iron remains in the ferrous state in this compound

18
Q

Deoxy or reduced hemoglobin

A

When O2 is released from oxyhemoglobin it’s called reduced hemoglobin

19
Q

Carbaminohemoglobin

A

Formed by combination of hemoglobin with CO2

CO2 can easily be released from this affinity of hemoglobin to CO2 is 20 times more than for O2

20
Q

Carboxyhemoglobin

A

Combination of hemoglobin with carbon monoxide the affinity of hemoglobin for carbon monoxide is 200 times more than its affinity for O2

21
Q

Methaemoglobin

A

If blood is exposed to various drugs and oxidizing agents the ferrous iron in the hemoglobin molecule will be converted to ferric iron forming Methaemoglobin which is unable to carry 02