Unit I Flashcards
Hematology
Study of blood and blood producing tissue
Blood is a _____ tissue?
Connective
How does bloods connective tissue differ from others?
It’s matrix (plasma) is fluid, lacking fibers, not produced by tissue’s cells
How many liters of blood does the average adult have?
4-6 Liters
Formed elements (cells and cell fragments) are what percent of blood composition?
45%
What are red blood cells (RBC) aka?
Erythrocytes
What do erythrocytes (RBC) do?
Transport oxygen gas
What are white blood cells (WBC) aka?
Leukocytes
What do leukocytes (WBC) do?
Protect against infection
What are platelets aka?
Thrombocytes
What do platelets (aka thrombocytes do)?
Cell fragments that prevent blood loss following injury to vessel
What is the production of blood cells called?
Hematopoiesis
Cells are produced in ____ ______ ______ from ______________ ______ _______
red bone marrow; hematopoietic stem cells
Plasma = fluid component is what percent of blood composition?
55%
What is is called when something separates cellular and fluid components?
Centrifuging
Plasma composition rankings
Water 92%, plasma proteins 7%, other solutes 1%
Plasma proteins
Albumins (main osmotic pressure), Globulins (antibodies, transport), Fibrinogen (coagulation - blood clot formation)
What does hemoglobin do?
transport oxygen in RBC
RBC shape and info
biconcave disk shape, smooth and flexible, no nucleus at maturity (amitotic), 5.2 million/mm^3
Anemia
any condition in which ability of the blood to transport oxygen gas is diminished
Hemoglobin Terms
Oxyhemoglobin - bright red - binds to oxygen (ex. poking yourself)
Deoxyhemoglobin - dark red - releases oxygen (ex. going to a lab and seeing tubes of blood)
Structure of hemoglobin
4 polypeptides total
-> 2 are alpha chains
-> 2 are beta chains
4 heme groups containing iron (ringed molecule)
RBC Life Cycle
-Low blood oxygen stimulates liver and kidneys to secrete erythropoietin which targets red bone marrow and promotes erythropoiesis (making RBC)
-Damaged or worn RBC are destroyed and pass through spleen and liver after 120 days
-Macrophages phagocytize remains
RBC Surface Antigens
genetically determined cell surface recognition molecules that can cause an immune response to individuals lacking those antigens
Antibodies
plasma proteins from B- cells that can bind to foreign antigens
Agglutination
insoluble clump of antibodies bound to antigens on RBC surfaces
ABO blood typing
has antigens A and B and antibodies anti-A and anti-B
Rh blood typing
Antigen D and antibody anti-D
What is the rule for receiving blood?
A person cannot receive cells that have antigens to which his/her antibodies can bind
White Blood Cells info
nucleate cells that protect body against infection, 7000/mm^3, may live for many years, function primarily outside of cardiovascular system/blood vessels -> margination, emigration, positive chemotaxis
Granulocytes
Neutrophils (most common), Eosinophils, Basophils (rarest)
Neutrophil
round cell, nucleus may resemble string of beads
Eosinophil
round cell, nucleus generally has two lobes, cytoplasm contains large granules that stain bright red, increases with infections
Basophil
round cell, nucleus generally cannot be seen - enters damaged tissues and promotes inflammation
Agranulocytes
Monocyte, lymphocyte
Monocyte
very large cell, nucleus is kidney bean shaped, become macrophages
Lymphocytes
round nucleus, very little cytoplasm
What is RhoGAM used for?
-Women who are 28 weeks and within 72 hrs of delivery who have the potential to be Rh sensitized
-consists of synthetic anti-D antibodies that bind to fetal blood cells that have entered mom’s system and prevent mom’s WBC from encountering them
Platelets info
small fragments of megakaryocytes, live 10 days on average, 350,000/mm^3, release chemicals that promote vascular spasm and coagulation, stick to broken or punctured blood vessels forming a platelet plug (temporarily stops blood)
Heart Structure
Fist-sized organ in mediastinum of thoracic cavity, wall has three layers , surrounded by pericardial sac containing serous fluid filled pericardial cavity
Walls of heart
-Endocardium - endothelium - innermost
-Myocardium - cardiac muscle
-Epicardium - visceral pericardium - outermost
Heart Structure (continued)
-Top is base, bottom is apex
-Four chambers pump blood
-Sulci mark borders between chambers on heart surface
– anterior and posterior interventricular sulci
– coronary sulcus
Atria (Heart Chamber)
separated by the interatrial septum and lined with branching muscle bands called pectinate muscle
Right atrium (in and out)
-Receives deoxygenated blood from the superior and inferior venae cavae
-pumps blood to the right ventricle
Left atrium (in and out)
-Receives oxygenated blood from the pulmonary veins
-Pumps blood to left ventricle
Ventricles
separated by the interventricular septum and lined with interconnecting muscle bands called trabeculae carneae
Right ventricle (in and out)
-Receives blood from right atrium
-Pumps blood to pulmonary trunk and pulmonary arteries
Left ventricle (in and out)
-Receives blood from the left atrium
-Pumps blood to aorta
Atrioventricular valves
Lie between atrium and ventricle on each side of heart, attached to papillary muscles, tricuspid and bicuspid
Semilunar valves
Pulmonary - between right ventricle and pulmonary trunk
Aortic - between left ventricle and aorta
Cardiac Cycle
events that accompany the production of a heartbeat
Systole
Chamber contraction
Diastole
Chamber relaxation
Electrocardiogram (ECG)
-Recording of electrical activity that accompanies cardiac cycling