Prelim Flashcards
Many shaped nucleus
Neutrophils
Refers to the volume of RBC that occupies a given volume of WBC
Hematocrit
Study of blood cells
Hematology
Liquid portion of the blood
Plasma
Reddish protein responsible for the color of RBC
Hemoglobin
Transport oxygen and carbon dioxide
RBC
Means a loss in oxygen-carrying capacity and is often reflected in a reduced RBC count
Anemia
Means an increases RBC count reflecting increased body RBC mass, a condition that leads to hyperviscosity
Polycythemia
Composition of Drabkin reagent?
Potassium cyanide
Potassium ferricyanide
Formulation of ionic surfactant used to reduce environmental cyanide
Sodium dodecyl sulfate
Ratio of the volume of RBCs to the whole blood
Hematocrit
I packed cell volume
Hematocrit
Light colored layer between the RBC and platelets
Buffy coat
Reflects RBC diameter on a Wright stain blood film
Mean Cell Volume -MCV
Reflects staining intensity or degree of palor
Mean cell hemoglobin concentration
Expresses mass of hemoglobin and closely reflects the MCHC
Mean Cell hemoglobin MCH
Stained slightly blue gray
Reticulocytes
Extreme increase in the WBC counts impart milky appearance
Chronic leukemia
Decrease WBC count
Leukopenia
Phagocytic cells whose sole purpose is to engulf and destroy bacteria that have been earlier labeled as harmful
Polymorphonuclear neutrophils/segmented neutrophils/segs
Increase in segs,often signals bacterial infection
Neutrophilia
Indicates bone marrow regeneration during blood loss and certain anemia
Reticulocytes
Decrease, caused by long term drug administration or a viral infection
Neutropenia
With pink staining granules, S or C shaped nucleus
BANDS, band neutrophils
2-um in diameter, round or oval, anucleate, slightly granular.
Platelets
Most abundant cell in the body
Macrophages
Increase WBC count
Leukocytosis
Elevated eosinophil count signals a response to allergy or parasitic infection
Eosinophilia
Dark purple, irregular cytoplasmic granules that obscure the nucleus
Basophils
A series of cellular and plasma based mechanism that seals wounds, repair vessel walls and maintain vascular patency
Platelets
Nearly round, slightly larger than RBC, have round featureless nuclei, a thin rim of nongranular cytoplasm
Lymphocytes
Nearly colorless; loosely related grouping of cell families dedicated to protecting their host from infection and injury
White blood cell
Bright orange, regular cytoplasmic granules filled with antihistamine
Eosinophils
Adhere to the surfaces of damaged blood vessels, secrete proteins and small molecules that trigger thrombosis or clot formation.
Platelets
Elevated basophils, hematologic disease
Basophilia
complex system of cells that provides fir host immunity
Lymphocytes
Abnormally low-long term drug therapy or immunodeficiency
Lymphopenia/lymphocytopenia
True blood cells, that maintain blood vessels integrity by instigating vessel wall repairs
Platelets/thrombocytes
Immature macrophage passing through the blood
Monocytes
Changing from supine to standing or sitting
Increase test values: lipids, enzymes, protein
Decrease in the afternoon
Cortisol and adrenocorticotropic hormone
Increase in the afternoon
Iron and eosinophil
Used to provide a barrier against venous blood flow to help locate vein
Tourniquets
The tourniquets should be applied at? For how long?
2-4 in above the venipuncture site.
Not longer than 1min
Inhibits the use if glucose by blood cells. Ex. Sodium fluoride and lithium iodoacetate
Antiglycolytic agent
What is the physiologic pH of the blood
7.35-7.45
What additives are combined with sodium fluoride to obtain plasma?
Potassium oxalate and potassium EDTA
Prevents blood from clotting
Anticoagulant
Additive present in red top
Clot activator
Serve as separation barrier between the serum/plasma and cells
Separator gel
Additive in yellow tube used for blood culture specimen collection
Sodium polyanethol sulfonate
Most common needle size and length for adult venipuncture
21gauge: 1inch
Intravenous device that consists of a short needle and a thin tube with attached plastic wings
Butterflies
Solution used in cleansing venipuncture site when alcohol determination is requested
Benzalkonium chloride
Vein of choice for venipuncture
Median cubital vein
Recommended angle between the needle and the skin during venipuncture
15-30 degrees
Mechanism of action of fibrin as an anticoagulant
Heparin inhibits thrombin
Most crucial step for blood collection
Patient identification
Ratio of blood to anticoagulant
9:1
Most common complication encountered in blood collection
Ecchymosis or bruise
Skin puncture site for infants
Lateral surface of the heel
Skin puncture sites for older children and adults
Palmar surface of the distal portion of ring or middle finger
Required puncture depth
Less than 2mm
Refers to error occur without predictions
Random error
Progressive decrease or increase
Drift or trend
Lack precision
Dispersion
On one side of the mean
Shift or abrupt change
Start of mesoblasstic phase
19th day of fetal development
Chief site of mesoblastic phase
Yolk sac
Predominant cell
Primitive erythroblast
Predominant cells of hepatic phase
Erythroblast, granulocytes, and monocytes
Peak of hepatic phase
3rd month
Chief site of hepatic phase
Liver
In hepatic phase what are the detectable hemoglobin present?
Hb F, HbA and HbA2
Chief site of myeloid phase
Bond marrow red
An embryonic tissue that migrate into the core of the bone and differentiate into skeletal and hemapoietic blood cells
Mesenchymal cells
Measurable levels of myeloid
EPO, G-CSF, GM-CSF fetal hemoglobin, Hb A2
First bone to demonstrate
Clavicle
Largest organ in the body
Bone marrow
Hematopoietically active bone marrow
Red marrow
Provides a supportive network for developing hematopoietic cells, macrophages, mast cells
Reticular cell
Process of replacing red marrow by yellow marrow during the development
Retrogression
Maintain proliferation and differentiation of blood cells
Hemapoietic microenvironment
Site for hematopoiesis if bone marrow shuts down
Liver
Largest lymphoid organ
Spleen
Cells are phagocytosed with subsequent degradation of cell organelles
Culling
Splenic macrophages remove inclusions or damaged surface membrane from circulating RBC
Pitting
All blood cells are derived from a single progenitor stem cell called pluripotential stem cell
Monophyletic theory
Each of the blood lineages derived from its own unique stem cell
Polyphyletic theory
Capable of sel renewal
Stem cell
HSCs randomly commits to self renewal or differentiation
Stochastic
Microenvironment in the bone marrow determines whether stem cell will self renew or differentiate
Instructive model
Cells fate determined by its extrinsic and intrinsic factors
Multilineage priming model
Progenitor of neutrophils
GMP
Major cytokine for the stimulation of neutrophil production
G-CSF
Control hemostasis
Platelets
Increase monocytes-hematologic disease
Monocytosis
Increase lymphocytes-viral infection
Lymphocytosis
Slightly larger diameter than other WBCs, gray cytoplasm, lobulated nuclues
Monocytes
Stain used to differentiate and count young RBC, hemoglobin H, and heinz body
Supravital stain/new methylene blue
Normal size of RBC
6-8um in diameter