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hematology
the study of blood, blood components, & blood-forming organs
blood, bone marrow, liver, & spleen
hematology system consists of…
erythrocytes
red blood cells are also called
leukocytes
white blood cells are also called
thrombocytes
platelets are also called
45%
red blood cells make up what percentage of blood volume
40-54%
hematocrit level range in men
36-48%
hematocrit level range in women
WBCS and platelets, 1%
middle “buffy” layer in a centrifuged blood sample contains what and what and makes up less than what percent of total blood volume
55%
what percentage of blood does liquid plasma make up?
phlebotomy
practice of puncturing a vein to withdraw blood
hemolysis
breakdown of RBCs due to improper handling during collection
erythropoietin
hormone that is produced by the kidneys & stimulates red blood cell production
hemoglobin (Hgb)
oxygen-carrying protein molecule in red blood cells
bilirubin
yellow substance produced due to destruction of old RBCs
jaundice
failure to metabolize old RBCs results in this yellow skin discoloration
neutrophils
40-70% of WBCs: engulf and destroy bacteria during acute bacterial infections
lymphocytes
20-45% of WBCs: play a key role in adaptive immunity by producing antibodies
monocytes
2-10% of WBCs: transform into macrophages in acute infections to clear debris
eosinophils
1-6% of WBCs: defend against parasites and release histamine during allergic reactions
basophils
0.5-1% of WBCs: release histamine and inflammatory mediators during allergic responses
platelet plug
formed by platelets to seal damaged blood vessels during hemostasis
white pulp
this spleen pulp produces WBCs
red pulp
this spleen pulp stores RBCs and platelets
hemorrhage
severe abdominal trauma causing spleen damage can lead to this life-threatening bleeding
splenectomy
surgical removal of the spleen
conjugation
liver produces prothrombin & clotting factors and chemically modifies bilirubin in this process
hepatomegaly
enlargement of the liver
A antigens
type A blood has what type of antigens on RBCs & antibodies against B antigens in plasma?
hemolytic disease of the newborn
Rh antibodies from an Rh- mother attacking an Rh+ fetus can cause
RhoGAM
this medication is given to Rh- mothers at 26-28 weeks of pregnancy & within 72 hours of birth to prevent antibody development
hematocrit
ratio of volume of RBCs to total volume of blood
bone marrow
soft tissue inside bones that produces WBCs, RBCs, & platelets
red blood cells
transport oxygen and carbon dioxide between tissues & lungs
spleen
organ that produces & stores WBCs, filters & stores RBCs and platelets, and filtrates and destructs old RBCs
liver
organ that serves as a storage site for blood and blood cells
hemostasis
platelets & clotting factors form a clot to stop bleeding in this process
transportation, thermoregulation, infection defense, & hemostasis
four main overall functions of blood
three steps of hemostasis
1) vascular spasms (vasoconstriction) 2) formation of a platelet plug 3) blood clotting (coagulation)
fibrin
fibrous protein formed during blood clotting
fibrinolysis
process of breaking down a blood clot in a healing vessel
anticoagulants
medications that prevent blood clotting such as warfarin and heparin
prothrombin time (PT)
blood clotting test: measures time required for plasma to clot
internalized normalization ratio (INR)
blood clotting test: standardized calculation based on PT
partial thromboplastin time (PTT)
blood clotting test: measures a specific group of clotting factors