Lecture 13- Haematology Lecture 1 Flashcards

1
Q

What is blood and what are its characteristics?

A

Blood is a specialized bodily fluid that circulates through the vascular system, delivering essential substances such as oxygen, nutrients, hormones, and immune cells to various tissues, cells and organs throughout the body. It also plays a crucial role in removing metabolic waste products from cells, regulating body temperature, and maintaining homeostasis

charachteristics:
-more viscouse and dense than water
- pH 7.35-7.45
-colour varies with oxygen content
-accounts for~20% extracellular fluid and 8% body mass
-total volume is 5-6l in makes and 4-5l in females and is regulated by hormones

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2
Q

Why is blood essential to life?

A

Blood is a specialized bodily fluid that circulates through the vascular system, delivering essential substances such as oxygen, nutrients, hormones, and immune cells to various tissues, cells and organs throughout the body. It also plays a crucial role in removing metabolic waste products from cells, regulating body temperature, and maintaining homeostasis

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3
Q

What are the characteristics of blood?

A

charachteristics:
-more viscouse and dense than water
- pH 7.35-7.45
-colour varies with oxygen content
-accounts for~20% extracellular fluid and 8% body mass
-total volume is 5-6l in makes and 4-5l in females and is regulated by hormones

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4
Q

How can we get blood? What does it depend on?

A

using venepuncture from the median cubital vein and using a vacutainer which is colour coded to describe its contents

  • Tubes are lined with additives often to prevent
    coagulation, however how this is done depends
    on what tests will be run later;
  • Heparin
  • Citrate
  • EDTA
  • Sometimes a procoagulant tube is used to obtain
    a clotted sample
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5
Q

How are the fluid compartments differentiated for someone who is 70kg?

A
  • Typical 70Kg male contains 42L water (60% of total body weight)
  • Average female contains 55% of her body weight as water (due to
    higher fat content)
  • As a rule of thumb approximately 70mL blood/Kg (remains the
    same for most animals)
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6
Q

What are the blood characteristics of plasma?

A
  • 55% blood volume
    Contains:
  • Low [K+] & [Mg2+]
  • High [Na+] & [Cl-]
  • High protein concentration
  • A clear, straw-coloured liquid
  • Plasma contains no cellular components
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7
Q

How is plasma extracted?

A
  • Blood is taken into a tube containing an anticoagulant:
    Heparin, citrate or EDTA
  • Centrifugation of the blood separates the cellular components from the fluid
  • The fluid (plasma) is removed for analysis
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8
Q

How is blood differentiated between plasma and RBC?

A

it is withdrawn and placed in a tube that is centrifuged

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9
Q

What does plasma contain?

A
  • 55% blood volume
    Contains:
  • Low [K+] & [Mg2+]
  • High [Na+] & [Cl-]
  • High protein concentration
  • A clear, straw-coloured liquid
  • Plasma contains no cellular components
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10
Q

When blood is centrifuged what is it separated into and what are the percentage makeups of all the different components?

A

-Plasma: 55% of whole blood
-Buffy coat
-Erythrocytes: 45% of whole blood

-7% of blood plasma is proteins

-91.5% of blood plasma is water

-1.5% of blood plasma is other solutes

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11
Q

What are the different plasma proteins and how abundant are they in the plasma?

A
  • Normal level of plasma proteins is 60-80g/L
  • Albumin maintains osmotic pressure and
    transports insoluble molecules
  • Globulins (α,β and g) transport ions,
    hormones, & lipids → assist in immune
    function
  • Fibrinogen – ‘molecular glue’ involved in
    blood coagulation.
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12
Q

What are the plasma solutes?

A

cations-Na+, K+, Ca2+, pH 7.35-7.45

Anions- cl-, HCO3-, HPO4(2-)/H2PO4-, lactate, SO4(2-)

glucose, cholestral, amino acids, urea

oxygenated plasa:99% oxygen saturation

deoxygenated plasma:75% oxygen saturation

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13
Q

What are the plasma cations and how abundant are they?

A

cations (most to least abundant): Na+, K+, Ca2+, pH 7.35-7.45

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14
Q

What are the plasma anions and how abundant are they?

A

ations (most to least abundant): cl-, HCO3-, lactate, SO4(2-), HPO4(2-)/H2PO4-

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15
Q

What does a buffer system do?

A

absorb differences in H+ ions to bring the pH back to the normal, carbonate and phosphate are two examples of buffer salts in the blood

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16
Q

What are the buffer salts in the blood?

A

carbonate and phosphate are two examples of buffer salts in the blood

17
Q

What is a normal range?

A

A reference or normal range is the range of values for a physiological
measurement in healthy persons.
Usually ~95 % of the total population.

18
Q

What is the appropriate terminology for white blood cells?

A

Leukocytes

19
Q

How much of the blood is made up of white blood cells?

A

<1% whole blood
3 main types:
* Granulocytes
* Lymphocytes
* Monocytes & Macrophages

20
Q

How much of the blood is made up of formed elements?

A

45%
this is because there are cells such as platelets that are not formed cells since they lack a nucleus

21
Q

What is haematopoiesis? What are haematopoietic cells?

A

Haematopoiesis – Differentiation from a
common progenitor

the different myeloid stem cells and lymphoid stem cells

22
Q

What is pluripotent and totipotent cells? Why are they important for the blood?

A

Pluripotent and totipotent cells are types of stem cells with different degrees of potency, or the ability to differentiate into various cell types.

pluripotent stem cells can differentiate into mast cells, macrophages and plasma cells

23
Q

What is the important quality of pluripotent stem cells with regard to replication and differentiations?

A
24
Q

what are the key pluipotent differentiations in regard to the blood?

A

haematopoietic stem cells are important stem cells that reside in the bones.
Hematopoietic stem cells (HSCs) are a type of multipotent stem cell found in the bone marrow and other tissues capable of generating all types of blood cells through a process called hematopoiesis. Hematopoiesis is the process by which blood cells are produced, including red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes).