Unit 4 Hematology & coag Flashcards
Deficiency of hemoglobin or RBC
Anemia
Section of the lab that is concerned with the clotting mechanism of the blood
Coagulation department
Complete blood count.
Tests for WBC, RBC, hgb, indices and differential
CBC
Determines the % of different types of WBCs (neutrophils, lymphocytes, monocytes, eosinophils and basophils) as well as RBC morphology and platelet # estimation
Differential
Ethhlenediaminetetraacetic acid.
An anticoagulant used in the hematology tubes (lavender)
EDTA
Erythrocyte sedimentation rate.
Used to determine if inflammation is present
Also referred to as sed rate
ESR
% by volume of RBCs in whole blood
Also called PCV (packed cell volume)
Hematocrit (HCT)
Counting chamber for manual WBCs, RBCs, platelets, sperm counts, etc
Hemacytometer
Section of the lab that studies blood cells.
May also include coagulation and urinalysis
Hematology department
The substance in RBCs that carry oxygen and CO2
Hemoglobin
The stoppage of bleeding
Hemostasis
Cells involved in the clotting of blood
Platelets (thrombocytes)
Calculations to determine the size and contents of red blood cells
Red blood cells indices
cells containing hemoglobin that transports O2 to the bidy and CO2 away to the lungs
Red blood cells (erythrocyte)
Immature RBC
Reticulocyte (Retic)
Cells involved in infection cintrol and immunity
White blood cells (leukocytes)
Stain used in hematology for doing differentials
Wright stain
CBC - WBC, RBC, hgb, hct, indices, differential and platelet count
Retic count
Sed rate
Sickle cells
Eosinophil count
Common tests done in hematology
Huge increase in WBC may indicate _____
Leukemia
Normal range for WBC
5000-9000
Number of red blood cells my indicate anemia or polycythemia or other red cell disorders
Red blood cell count
Carries O2 to cells and CO2 away
Hemoglobin
Normal hemoglobin range
Female : 120-160 g/L
Male: 140-180 g/L
Reflects the relationship between the amount of RBC’s and the amount of plasma in a blood sample
Quick test for anemia
Hct
Normal range for hematocrit
Female: 0.35-0.47 L/L
Male: 0.4-0.52 L/L
Are used to determine what kind of anemia a patient may have
Indices
MCV
Expressed the average volume of RBC’s
Expressed in femtoliters
Normal value: 80-100 fl
Mean corpuscular Volume
MCH
Estimates the weight of hgb in RBC
Expressed in picograms
Normal value: 27-32 pg/cell
Mean corpuscular hemoglobin
MCHC
Expresses the concentration if hgb in RBCs relative to their size
Expressed in g/dl (grams per deciliter)
Normal value: 32-37 grams/dl
Mean corpuscular hemoglobin concentration
Most common
Caused by decrease in iron which is needed for hgb production
Treatment is iron supplements
Iron deficiency anemia
Cause by a lack of intrinsic factor in digestive tract
Treatment vitamin B12 injections
Pernicious anemia
Is required for the absorption of Vit B12, which is necessary for normal maturing of RBCs
Intrinstic factor
Failure of bone marrow to produce enough RBCs as well as WBCs and platelets
Treatment is bone marrow transplant
Aplastic anemia
Caused by an excessive destruction of RBCs, often because they are deformed
Causes jaundice because an increased destruction of RBCs causes an increased amount of bilirubin in the blood
Treatment is splenectomy
Hemolytic Anemia
May be done on a automatic cell counter
Normal value is 250000-450000 per cubic ml
Platelet count
2 types of blood smear
Thick smear
Thin smear
Often used to detect malaria
Thick smear
To perform a manual differential
Thin smear
Wright staining problems
Too blue - too alkaline
Too pink - too acidic
Too light - staining time too short
A gold standard staining technique that is used for both thin and thick smears to examine blood for malaria parasites
Giemsa stain
One of the best stains for routine blood stain to stain the peripheral blood smear for the examinations of blood film under thr microscope and is satisfactory for malaria and other blood parasites
Leishman stain
Count the number of neut, lymphs, monos, eos and basis in 100 white blood cells
WBC differential count
Look at the RBCs to see if they ate normal
Look at size, the amount of hemoglobin and shape
RBC morphology
Normal RBC size
Normocytic
Too small RBC size
Microcytic
Too large RBC size
Macrocytic
Variation of RBC sizes
Anisocytosis
Normal amount of hemoglobin
Normochromic
Not enough RBC
Hypochromic
Too much RBC
Hyperchromic
Variation of shapes in RBC
Poikilocytosis
Estimate the count and morphology
Platelet estimation
Increase in neut count could indicate a ___ ___
Bacterial infection (anything over 78%)
Increased lymph count could indicate a ___ ___
Viral infection
Increased in eos count could indicate an ___ ___
Allergy or Parasite infection
Increase or decrease in platelets could indicate ___
Bleeding or clotting problems
Increase in retics indicate?
Blood loss
Decrease in retics could indicate??
Anemia
General indication of inflammation
ESR
Manual counting chamber
Hemocytometer
Normal blood volume
4.73L
Normal WBC
5000-9000 x10^9/L
Normal RBC
4.5-5.5x10^12/L
Normal platelet
150-450x10^9/L
Are autoantibodies
Produced by persons infected with mycoplasma pneumonia (atypical pneumonia) or with autoimmune hemolytic anemia
These antibodies react with red cells at temperatures below body temp
Cold agglutinins
Proteins that precipitate when cold
Cryofibrinogen and cryoglobulin
A process which causes bleeding to stop
Hemostasis
A substance found in blood that when activated is converted to thrombin
Prothrombin time/INR
Converted to fibrin
Fibrinogen
Coag tests
Prothrombin time/INT (PT)
INR
Partial thromboplastin time (PTT)
Fibrinogen
Thrombin
Small protein fragment present in the blood after a blood clot is degraded by fibrinolysis
D-Dimer
Factor I
Fibrinogen
Factor II
prothrombin
Factor III
Tissue thromboplastin
Factor IV
Ionized Ca
Factor V
Labile factor or proaccelerin
Factor VII
Stable factor or proconvertin
Factor VIII
Plasma thromboplastin component
Christmas factor
Factor X
Stuart-prower factor
Factor XI
Plasma thromboplastin antecedent
Factor XII
Hageman factor
Factor XIII
Fibrin-stabilizing factor
2 coag pathways
Extrinsic and intrinsic
This pathway is responsible for imitating the coag process
Test is PT
Extrinsic
Pathway is activated by trauma
Test is PTT
Intrinsic
When your body’s blood clotting mechanism are activated throughout the body instead if being localized at an area if injury
DIC - disseminated intravascular coagulation
tests to detect ___
PTT
D-Dimer
fibrinogen level
platelet count
PT
CBC
DIC