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how many erythrocytes are in one drop of blood?
1 drop of blood = 100,000,000 erythrocytes
1000 of leukocytes
how many erythrocytes per liter of blood for women?
4.8 million per microliter
how many erythrocytes per liter of blood for men?
5.4 million per microliter
how much of blood make up erythrocytes?
25% of the total blood in the human body
what is the diameter of erythrocyte?
7-8 micrometers
what are the functions of erythrocyte?
picks up oxygen from the lungs and travels to the tissues of the body
how much CO2 do erythrocytes pick up and bring to the lungs?
pick up 24% of CO2 waste and bring it to the lungs for exhalation
do erythrocytes have a mitochondria?
no, they preform anaerobic respiration
do erythrocytes have an endoplasmic reticulum or ribosomes?
neither has, so no protein synthesis
what organelles do erythrocytes have?
protein spectrin (cytoskeleton protein element)
structural proteins
what is blood bright when oxygenated?
oxyhemoglobin: when hemoglobin picks up oxygen from the lungs
why does blood get darker after releasing oxygenated hemoglobin?
deoxyhemoglobin: oxyhemoglobin travel to body tissues and releases oxygen
how much of CO2 dissolves into plasma?
76%
some dissolved COs remains in bloodstream, the rest is bicarbonate ion, how much?
23-24% and binds amino acids in hemoglobin to form carbaminohemoglobin
what is ineffective hematopoiesis?
insufficient RBCs leading to several types of anemia; tissues don’t get enough oxygen
what is polycythemia?
over production of RBCs
what is percent sat?
the percent of hemoglobin sites occupied by oxygen in blood
who do you determine to oxygenation of tissue?
% saturation
how is a % saturation monitored?
pulse oximeter
what is the normal range for blood oxygen?
95-100%
what is hypoxemia?
below normal levels of blood oxygen saturation
what is hypoxia?
(general term) decreased oxygen levels; lack of oxygen supply to tissues
what is the ideal blood filtration in a day to determine oxygen saturation?
about 180 liters
in response to hypoxemia what do the kidneys secrete?
erythropoietin, that will increase erythrocyte production and restore oxygen levels
what is the kidneys suppling EPO to restore O lvls example of?
negative feedback loop
in order for erythropoiesis to occur what materials have to be present?
iron: ferritin and hemosiderin, copper, zinc, B vitamins
about how much of the iron we consume is absorbed into the body?
20%
where can iron be stored?
bone marrow, liver, spleen, in the form of ferretin and hemosiderin
how does iron transport ?
ferroportin transports iron across the intertitial cell plasma membrane and from its storage of fluid where it enters the blood
when EPO stimulatrs the production of erythrocytes iron is released and bound to transferrin and carried to red bonw marrow whiere it attaches to erythrocyte precursors
what are the two compotents of copper?
hephaestin and ceruloplasm
without hephaestin and ceruloplasm can hemoglobin be adequately produced?
no
what is hepaestin?
located in the intersitial villi; enables iron to be absorbed by interstitial cells
what is ceruloplamin?
transports copper
together what can hephaestin and ceruloplasm do?
enable the oxidation of iron, Fe2+ → Fe3+
what is transferrin?
plasma protein that binds reversibly to iron (Fe3+) and distributes it throughout the body
in what state does copper deficiency occur and where does iron accumulate?
the transportation of iron for heme synthesis decreases and iron accumulates in the tissue of organ damage
what does zinc do for erythrocytes?
trace mineral zinc functions as a co-enzyme that facilitates the synthesis of the heme portion of hemoglobin
what do b vitamins do for erythrocytes?
folate and B12 acts as co-enzymes that facilitate DNA synthesis and are critical for the synthesis of new cells and erythrocytes
how are erythrocytes removed after 120 days?
macrophage
how can anemia be described?
when RBCs or hemoglobin are decreased
how many types of anemia are there?
more than 400
types of anemia can be broken down into what three groups?
those caused by faulty or diseased RBC production and those caused by excessive destruction of RBCs
how can clinicians diagnose anemia?
kinetic approach: focuses on evaluating the production, destruction and removal of RBCs
morphological approach: examines RBCs themselves, emphasis on size
what is a common test using the morphological approach to diagnose anemia?
mean corpuscle volume
what is a normal sized cell called?
normocytic
what is a smaller then normal sized cell called?
microcytic
what is a larger then normal sized cell called?
macrocytic
why are reticulocytes important in diagnosing anemia?
(immature erythrocytes) they reveal inadequate RBCs
how does anemia affect RBCs and oxygen levels?
decrease in RBCs or hemoglobin will equal a decrease in oxygen levels delivered to tissues
anemia leads to what?
fatigue, lethargy, and higher risk of infection. lack of oxygen impair brain function
what is blood loss anemia?
loss of blood, bleeding from wounds or other lesions
can reduce to ulcers
hemorrhoids
inflammation of the stomach
cancers of the gastrointersintal tract