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hematology
study of blood
what are the functions of blood?
transportation, protection, regulation
what are the five physical characteristics of blood?
color, volume, viscosity, temperature, pH
what is the normal pH of blood?
7.35 - 7.45
what is a blood smear?
thin layer of blood on a slide
what does centrifuge do to blood?
separates plasma, leukocytes, and erythrocytes
plasma is what percentage?
55%
leukocytes is what percentage?
1%
erythrocytes is what percentage?
44%
hematocrit definition:
percentage of all formed elements
hematocrit clinical definition:
percentage of RBC’s
how is hematocrit calculated?
erythrocytes/ total volume times 100
males typically have a hematocrit range of?
42-56%
females typically have hematocrit range of?
38-46%
what is plasma?
extracellular fluid
plasma is composed of what three things?
water, proteins, and dissolved molecules
albumins
transport proteins
globulins
immunity
fibrinogen
blood clot formation
regulatory proteins
enzymes + hormones
how are formed elements generated?
hemopoiesis
what is the function of erythrocytes?
carry O2 and CO2
what are erythrocytes packed with?
hemoglobin
hemoglobin is made of ________ globin proteins.
4
each of the globin proteins contain a _______ group
heme
the heme group has an __________ ion.
iron
oxygen binds to the _______ ion.
iron
CO2 binds to the __________________
globin protein
the kidney secretes the hormone ________________________
erythroprotein
erythroprotein acts on __________ stem cells which?
myeloid, produce more RBC’s!
do erythrocytes have nucleus and organelles?
no!
where do RBC’s get phagocytized + destroyed?
liver + spleen
the different components get recycled and iron is carried back to ______________.
red bone marrow
the heme group becomes _______________, where is is taken up and used as a component of bile.
billirubin
____________ are a small protein attached to the plasma membrane of erythrocytes that react with antibodies.
antigens
_______ is when the percentage of erythrocytes is lower than normal
anemia
______________ is known as the clumping of blood when blood types cannot mix.
agglutination
leukocytes contain ______________ + ______________
nucleus and organelles
leukocytes play an important role in _________________ the body
protecting
leukocytes can be grouped into two categories: ________________ and ____________________
granulocytes and agranulocytes
granulocytes contain the 3 “_________’s”
phils
_______________ phagocytize bacteria
neutrophils
__________________ phagocytize antigen-antibody complexes
esonophils
_________________ inhibit clotting with histamines
basophils
__________________cytes manage immune response
T-lymphocytes
____________cytes produce antibodies
B-lymphocytes
________________ cells attack abnormal cells
NK
________________cytes phagocytize bacteria
monocytes
differential count:
measures amt of each type of leukocyte
leukopenia:
reduced # of leukocytes
leukocytosis:
elevated leukocyte count
neutrophilia:
increase in neutrophil count
neutropenia:
decreased neutrophil count
lymphocytosis:
increase in lymphocytes
leukemia
cancer in leukocyte forming cells
platelets are also know as:
thrombocytes
what is the role of platelets?
blood clotting!
platelets arise from a cell type called a ______________
megakaryocyte
______________ is the stopping bleeding
hemostasis
three steps in blood clotting:
vascular spasm → platelet plug → coagulation
vascular spasm:
blood vessel constricts
platelet plug:
platelets stick to collagen fibers
coagulation
forms a fibrin blood clot
what causes the sticking of platelets to the damaged area?
vWF
homeostasis requires 4 things:
calcium, platelets, clotting factors, and vitamin K
the _____________ pathway is where extrinsic and intrinsic pathways converge.
common
the pathway ends with prothrombin being converted into _______________.
thrombin
which converts fibrinogen into _________
fibrin
when the clot is no longer needed, two things happen:
clot retraction and fibrinolysis
hemophilia
bleeding disorder
anticogulants
can cause bleeding
embolus
clot blocks BV
ischemic stroke
blockage of artery