Lecture 16- Blood Flashcards
Blood is a specialized CT that has a fluid ECM called ______ that allows it to circulate
Plasma
What is plasma composed of
Mostly water (90%), plasma proteins (antibodies/clotting factors)
What is plasma
Blood extra cellular matrix
What are formed elements
Blood cells (RBC’s, WBC’s, platelets)
Serum is plasma without the ______
Clotting factors
What is a RBC count
The number of RBCs in a specified volume of blood
RBC’s lack what/ last for how long
No nucleus or major organelles, roughly 120 days
Hemolysis occurs where & by what
Macrophages, in bone marrow and spleen
What are reticulocytes
Larger, rounder, immature RBCs
When are reticulocytes released
Released from bone marrow in times of hypoxia (bleeding, anemia)
What does a high reticulocyte indicate
Bleeding or anemia
WBC count:
Number of WBCs in a specified volume of blood
Why do leukocytes stand out in blood smears
Because they are the only nucleated cells in blood
Types of WBCs are discussed with
White cell differentials.
Elevated white blood cell count is called what
Leukocytosis
What does leukocytosis reflect
Infection, allergic reaction, leukemia, or other disorders.
What are low counts of white blood cells called & what do they reflect
Leukopenia, immunosuppressive
drugs or chemotherapy
Platelets (thrombocytes) play a role in
Hemostasis to limit hemorrhaging
What are platelets
Cell fragments (have mitochondria, secretory vesicles, no nucleus)
What do platelets secrete
Clotting mediators (vasoconstrictors, coagulation factors, fibrinolytic factors, and angiogenic factors)
What is it called when platelets adhere to collagen in injured vessels
Platelet plug
Elevated platelets are called what/ what could it lead to
Thrombocytosis, may lead to blood clotting
Low platelets are called what/ what could it lead to
Thrombocytopenia and may present as spontaneous bruising or bleeding, or tarry stool.
Hemoglobin count (HBC):
Grams of hemoglobin in a volume of blood
Low HBC is the basis for diagnosis of
________. Causes include ________
Anemia, iron deficiency, bleeding, or
hemolysis of defective RBCs
Hematocrit (HCT):
Percent of blood volume comprised of RBCs
Another term for hematocrit is what
Packed cell volume
Why would hematocrit be elevated
RBC neoplasia (polycythemia vera)
HCT- Secondary polycythemia is due to increased ______, usually from chronic _____ (bleeding, COPD, anemia, etc.).
EPO secretion, hypoxia. Bleeding and anemia may also be reflected by low HCT
Mean corpuscle volume (MCV):
Average size of RBCs
MCV includes what
Mature erythrocytes and reticulocytes
(small MCV) Microcytosis
RBCs are small in size due to iron deficiency or some type of structural defect
(Large MCV) Macrocytosis:
RBCs are large if there is a high percentage of reticulocytes in blood since they are larger than mature RBCs
An atypical MCV is typically found with _______
Anemia
Microcytic hypochromic anemia:
Small, pale RBCs caused by iron deficiency or thalassemia, an inherited hemoglobin defect
Normocytic normochromic anemia:
Normal RBCs but low HBC because of acute RBC loss from acute bleeding or acute hemolytic anemia, which is the pathologic destruction of RBCs
Macrocytic normochromic anemia:
Loss of RBCs from chronic bleeding or chronic hemolytic anemia leads to release of large, immature RBCs called reticulocytes
Too many RBCs is called
Polycythemia vera