UMich Nurs 210/211: Chapter 17

studied byStudied by 0 people
0.0(0)
learn
LearnA personalized and smart learning plan
exam
Practice TestTake a test on your terms and definitions
spaced repetition
Spaced RepetitionScientifically backed study method
heart puzzle
Matching GameHow quick can you match all your cards?
flashcards
FlashcardsStudy terms and definitions

1 / 164

encourage image

There's no tags or description

Looks like no one added any tags here yet for you.

165 Terms

1

blood

a liquid connective tissue consisting of cells surround by a liquid matrix (plasma)

New cards
2

what % of blood is plasma

55

New cards
3

what % of blood is RBCs

45

New cards
4

what is the buffy coat

white blood cells and platelets

New cards
5

spun tube of blood yields three layers:

erythrocytes, WBCs/platelets (buffy coat), plasma

New cards
6

hematocrit

percent of blood volume that is RBCs

New cards
7

normal hematocrit values in men

47% +/- 5 %

New cards
8

normal hematocrit values in women

42% +/- 5%

New cards
9

where is the buffy coat in a spun tube of blood

between RBCs and plasma

New cards
10

where is plasma in spun tube of blood

on top

New cards
11

where are erythrocytes in spun tube of blood

on bottom

New cards
12

centrifuge

machine that separates substances by whirling them

New cards
13

The cellular components (formed elements) of blood include

red blood cells, white blood cells, and platelets

New cards
14

the plasma portion of blood consists of

water, proteins, other solutes

New cards
15

blood transports

oxygen, carbon dioxide, nutrients, hormones, heat, and waste products

New cards
16

blood regulates

homeostasis of all body fluids, pH, body temperature, and water content of cells

New cards
17

blood protects against

excessive loss by clotting, and uses white blood cells to protect against infections

New cards
18

lymphocytes are able to live for how long

years

New cards
19

most blood cells besides lymphocytes live for how long

hours, days, or weeks

New cards
20

the number of RBCs and platelets remains steady or varies

stays steady

New cards
21

the number of WBCs remains steady or varies?

varies, dependent on invading pathogens and other foreign antigens.

New cards
22

hemopoiesis

the process of producing blood cells (hematopoiesis)

New cards
23

pluripotent stem cells differentiate into

different types of blood cells

New cards
24

what are colony-stimulated factors (CSFs)

secreted glycoproteins that bind to receptor proteins on the surfaces of hemopoietic stem cells, thereby activating intracellular signaling pathways that can cause the cells to proliferate and differentiate into a specific kind of blood cell

New cards
25

administration of exogenous CSFs stimulate

the stem cells in the bone marrow to produce more of the particular white blood cells.

New cards
26

Bone marrow transplants are performed to

replace cancerous red bone marrow with normal red bone marrow

New cards
27

Where do they take bone marrow out of a donor?

Iliac crest of the hip bone

New cards
28

What can be an alternative for bone marrow transplants?

Stem cells collected and frozen from an umbilical cord after birth, and may have advantages over bone marrow.

New cards
29

RBCs (erythrocytes) contain which protein

hemoglobin

New cards
30

function of hemoglobin

to carry oxygen to all cells, and some CO2 to the lungs

New cards
31

each hemoglobin molecule contains

An iron ion which allows each molecule to bind 4 oxygen molecules

New cards
32

do RBCs have a nucleus or organelles

no

New cards
33

shape of RBCs

biconcave discs

New cards
34

diameter of RBC

7.5 micrometers (larger than some capillaries)

New cards
35

spectrin

a plasma membrane protein provides flexibility in RBCs so they can change shape

New cards
36

Each hemoglobin molecule can transport

4 O2

New cards
37

each RBC contains ________ Hb molecules

250

New cards
38

O2 loading in lungs produces

oxyhemoglobin (ruby red)

New cards
39

O2 unloading in tissues produces

deoxyhemoglobin, reduced hemoglobin (dark red)

New cards
40

when CO2 loads in tissues, _______% of CO2 in blood binds to Hb, producing ___________

20%; carbaminohemoglobin

New cards
41

hemoglobin is involved in regulating

blood flow and pressure via the release of nitric oxide (NO)

New cards
42

nitric oxide causes

vasodilation

New cards
43

vasodilation improves what 2 things

blood flow and oxygen delivery

New cards
44

RBCs contain carbonic anhydrase, which catalyzes ______

the conversion of CO2 and water to carbonic acid

New cards
45

How long do RBC live?

120 days

New cards
46

dead cells are removed from the circulation by which 2 organs

spleen and liver

New cards
47

breakdown products from RBCs are

recycled and reused

New cards
48

jaundice (icterus)

a yellowish or greenish pigmentation of the skin and whites of the eyes due to high bilirubin levels. The feces may be pale and the urine dark

New cards
49

erythropoiesis (production of RBCs) begins in

red bone marrow

New cards
50

Erythropoietin

a hormone released by the kidneys in response to hypoxia (lowered oxygen concentration) stimulates differentiation of hematopoietic stem cells into erythrocytes

New cards
51

reticulocytes are

immature red blood cells

New cards
52

reticulocytes enter the circulation and mature in how many days

1-2

New cards
53

Some athletes abuse artificial EPO. This increases

hematocrit, which allows athlete to increase stamina and performance

New cards
54

Dangerous consequences of artificial EPO

- EPO can increase hematocrit from 45% up to even 65%, with dehydration concentrating blood even more

- Blood becomes like sludge and can cause clotting, stroke, or heart failure

New cards
55

Most erythrocyte disorders are classified as either _______ or _______

anemia or polycythemia

New cards
56

anemia occurs when

Blood has abnormally low O2

-carrying capacity that is too low to support normal metabolism

- Sign of problem rather than disease itself

New cards
57

symptoms of anemia

fatigue, pallor, dyspnea, and chills

Three groups based on cause: Blood loss, Not enough RBCs produced, Too many RBCs being destroyed

New cards
58

What are the three groups of anemia?

blood loss, low RBC production, high RBC destruction

New cards
59

sickle cell disease

is a genetic anemia (oxygen carrying capacity of the blood is reduced)

New cards
60

The red blood cells of individuals with this disease contain hemoglobin-S (Hb-S), which causes

red blood cells to bend into a sickle shape when it gives up oxygen to the interstitial fluid

New cards
61

iron-deficiency anemia can be caused by

hemorrhagic anemia, but also by low iron intake or impaired absorption

New cards
62

Iron deficiency anemia can be caused by hemorrhagic Amelia, but

Also by low iron intake or impaired absorption

New cards
63

Do WBC (leukocytes) contain nucleus and organelles

yes

New cards
64

do WBC contain hemoglobin

no

New cards
65

2 classifications of WBC

granular and agranular

New cards
66

description of granular leukocytes

containing vesicles that appear when the cells are stained

New cards
67

types of granular leukocytes

neutrophils, eosinophils, basophils

New cards
68

description of agranular leukocytes

contain no granules

New cards
69

types of agranular leukocytes

lymphocytes and monocytes

New cards
70

White blood cells may live for

several months or years

New cards
71

main function of WBCs

combat invading microbes

New cards
72

During an invasion, many white blood cells are able to ______________

leave the bloodstream and collect at sites of invasion

New cards
73

the process of WBCs leaving the bloodstream and collecting at sites of invasion is called

emigration (diapedesis)

New cards
74

In general, an elevation in the white blood count usually indicates an

infection or inflammation

New cards
75

A low white blood cell count may develop due to several causes. This WBC count will help to determine if a problem exists

differential white blood cell count

New cards
76

neutrophils

A type of white blood cell that engulfs invading microbes and contributes to the nonspecific defenses of the body against disease.

<p>A type of white blood cell that engulfs invading microbes and contributes to the nonspecific defenses of the body against disease.</p>
New cards
77

eosinophil

white blood cell containing granules that stain red; associated with allergic reactions

<p>white blood cell containing granules that stain red; associated with allergic reactions</p>
New cards
78

basophil

white blood cell containing granules that stain blue; associated with release of histamine and heparin

<p>white blood cell containing granules that stain blue; associated with release of histamine and heparin</p>
New cards
79

lymphocyte

mononuclear leukocyte that produces antibodies

<p>mononuclear leukocyte that produces antibodies</p>
New cards
80

monocyte

an agranulocytic leukocyte that performs phagocytosis to fight infection

<p>an agranulocytic leukocyte that performs phagocytosis to fight infection</p>
New cards
81

overproduction of abnormal WBCs can result in conditions like: __________________ or ________________

leukemias and infectious mononucleosis

New cards
82

leukopenia

Abnormally low WBC count

-Can be drug induced, particularly by anticancer drugs or glucocorticoids

New cards
83

leukemias

Cancerous condition involving overproduction of abnormal WBCs

New cards
84

infectious mononucleosis

Highly contagious viral disease ("kissing disease")

-Usually seen in young adults. Caused by Epstein-Barr virus

New cards
85

largest WBC

monocyte

New cards
86

most numerous WBC

neutrophil

New cards
87

secretes histamine

basophils

New cards
88

produces antibodies

lymphocyte

New cards
89

megakaryocytes in red bone marrow splinter into

2000-3000 fragments to create the platelets that contain many vesicles but no nucleus

New cards
90

platelets are used to

clot the blood

New cards
91

Under the influence of the hormone thrombopoietin, hemopoietic stem cells

differentiate into platelets

New cards
92

platelets survive for only

5-9 days

New cards
93

Hemostasis is a sequence of responses that

stop bleeding

New cards
94

hemostasis involves which three phases

vascular spasm, platelet plug formation, blood clotting (coagulation)

New cards
95

platelet plug formation

When activated, platelets swell, become spiked and sticky, and release chemical messengers: ADP causes more platelets to stick and release their content Serotonin and thromboxane A2 enhance vascular spasm and platelet aggregation

-Positive feedback cycle: as more platelets stick, they release more chemicals, which cause more platelets to stick and release more chemicals

New cards
96

blood clotting can be activated in one of these two ways

extrinsic pathway, intrinsic pathway

New cards
97

the extrinsic and intrinsic pathways lead to the formation of ____________, and from there the common pathway continues

prothromibinase

New cards
98

Intrinsic pathway of coagulation

occurs because clotting factors are present within the blood. Triggered by negatively charged surfaces such as activated platelets, collagen, or even glass of a test tube

New cards
99

extrinsic pathway of coagulation

factors needed for clotting are located outside blood, Triggered by exposure to tissue factor (TF); also called factor

New cards
100

Phase 2: Pathway to thrombin

Prothrombin activator catalyzes transformation of prothrombin to active enzyme thrombin

New cards
robot