RBC Synthesis, Function, and Destruction Flashcards
______ are the most abundant formed elements
RBCs
RBC biconcave shape facilitates what?
O2 and CO2 diffusion and binding with Hb
What are hypertonic RBCs?
Cells Shrink
What are hypotonic RBCs?
Cells swell and Burst
What are Isotonic?
Cell size does not change.
Cells prefer isotonic or hypotonic?
Isotonic.
What is the fragility test?
based on behavior of RBCs when placed in a hypotonic solution of NaCl of varying strength (0.7-.03 percent) to see at which strength hemolysis begins and at which is complete.
What is the fragility tests used for?
helpful in differential diagnosis of anemias
What can cause hemolysis?
Bacterial toxins, wrong transfusion, snake venom.
The number of RBCs/mm3 varies?
inversely with the size of the blood corpuscles.
An increase in the numbers of RBCs/mm3 is called _______, whereas the decrease is called ________.
polycythemia, oligocythemia
What are Three types of Hb:
Type (A adult), Type B (Fetal), Type S (Sickle cell, abnormal)
What is Hemoglobin composed of?
Globin and heme
Hb has _______ groups, each contains ________ ________ that loosely binds to one oxygen molecules.
four heme, iron atom (ferrous form Fe2+).
Each Hb can carry ______ ______ .
four molecules of O2.
HB (g/dl) is is what in man?
15
What is Oxyhemoglobin?
iron in the ferrous state, can carry oxygen.
What compound gives blood its bright red color?
Oxyhemoglobin
Hb that has given up its oxygen is called what and what color is it?
reduced Hb and it is blue in color.
When mucous membranes has a distinctly blue color this is called?
cyanosis (Hb ~ 5g/dl of blood)
When is Methemoglobin formed?
the Iron of the heme is oxidized to ferric form (Fe+++) which cannot carry O2.
What is Carbonmonoxyhemoglobin ?
When Carbon monoxide occupies sites normally occupied by O2.
CMO is short for?
Carbonmonoxyhemoglobin
CMO has a higher affinity by how many times then what?
(250 times) than O2
What is the oxygen starvation that cause death due to inhalation of exhaust fumes?
CMO
What is Hemoglobin in the muscle is called?
Myoglobin.
Myoglobin has what characteristics?
one heme group and capable of transporting one molecule of oxygen.
What is the Affinity of Hb to O2 is affected by?
PCO2, [H+], pH, and the concentration of 2,3 diphosphoglycerate (2,3 DPG)
The presence of higher levels of CO2 and [H+] (decreased pH) in the capillaries of such metabolically active tissue promotes?
release of O2 from oxyhemoglobin
What happens when DPG binds to Hb?
decrease its affinity to oxygen.
What is the Shape of O2 dissociation curve of Hb?
Sigmoid
What does the sigmoidal shape of the curve indicates?
binding of O2 to Hb is cooperative.
What does it mean when binding of O2 to Hb is cooperative?
means binding of O2 to one heme facilitates the binding of O2 to other hemes.