P8 - Erythrocytes Part 3 Flashcards
MCV
- mean cell volume
MCHC
- average [Hgb] in RBC
MCH
- average Hgb content in RBCs
reticulocyte concentration is the best value to determine
- regenerative or nonregenerative anemia
anemia if reticulocytes are present
- regenerative
anemia if reticulocytes are not present
- nonregenerative
disorders and conditions that cause nonregenerative anemia
- inflammatory disease
- renal disease
- disease causing marrow hypoplasia or aplasia
- disease causing erythroid hypoplasia or ineffective erythropoiesis
disorders and conditions that cause regenerative anemia
- blood loss
- hemolytic
inflammatory disease pathogenesis to cause nonregenerative anemia
- cytokines cause erythroid cells to be less responsive to EPO -> decrease RBC production
- cytokines shift Fe to storage -> less Fe for erythropoiesis
renal disease pathogenesis to cause nonregenerative anemia
- decreased EPO production -> decrease RBC production
- decreased clearing of metabolic waster from plasma
acute (internal and external) blood loss pathogenesis to cause regenerative anemia
- hypovolemia -> shift of H20 from extra to intravascular -> hemodilution
chronic (external) blood loss pathogenesis to cause regenerative anemia
- depletion of Fe stores -> erythroid precursors less responsive to EPO
- defective Hgb synthesis -> production of RBC with low [Hgb]
- microcytic hypochromic or normochromic anemia
spun (sHct) and calculated (cHct) should agree within what percentage
- 3%
ruminants only have reticulocytes if
- there is an extreme challenge