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Blood composition, Red blood cells, blood groups, hemostasis
Blood composition, Red blood cells, blood groups, hemostasis
62
Philosophy
Post-Graduate
02/15/2013

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Cards

Term
What are the 2 things that make up the composition of the blood?
Definition
1) Plasma 2) Blood cells (WBC, RBC, and Platelets)
Term
Define Blood?
Definition
SUSPENSION of blood cells and platelets
Term
When you draw up blood, what percentage of it is plasma and blood cells?
Definition

Plasma- 55-60%

Blood cells- 40-45%

Term
Is there more plasma or blood cells in the blood compostipon?
Definition
Plasma
Term
What is serum?
Definition
Plasma without clotting factors
Term
What are the 3 types of blood cells that make up the blood composition?
Definition
RBC, WBC, platelets
Term
which gender has less hematocrits?
Definition
Females has 5% less hematocrits than males
Term
what are the 3 types of WBC? and give examples of each
Definition

1) Granulocytes-Eosinophils, basophils, neutrophils

2) Monocytes- Macrophages

3) Lymphocytes- T cells and B cells

 

Term
What are the 3 contents of Plasma?
Definition
Water, Proteins, Electrolytes
Term
Name 3 plasma proteins? and their fxn
Definition
1) Albumins are transport proteins in the blood.
2) Globulins, specifically immunoglobulins, work in the immune system as antibodies. Ex. IGG and IGE
3) Fribrinogen works in clotting.
Term
What part of the blood composition is Hematocrit found?
Definition
Plasma
Term
Define Hematocrit?
Definition
Cellular elements
Term
How would you determine Hematocrit levels?
Definition
Centerfuging blood so the RBC get packed on the bottom and the Plasma/hematocrit is on the top layer and the WBC or buffy coat is in the middle
Term
What is the equation to determine hematocrit levels?
Definition
Hematocrit= Height of RBC's/ Total height
Term
What is polycythemia?
Definition
A disease state in which the proportion of blood volume that is occupied by red blood cells increases
Term
What would a pt. with polycethmia blood work look like?
Definition
They have more than normal RBC so their vial would contain a Increase in height of packed RBC
Term
What is another name for RBC?
Definition
Erythrocytes
Term
What is the life span of RBC's?
Definition
120 days in circulation
Term
What is the avg. size of RBC?
Definition
7-8 micrometer
Term

How is an RBC different than other "cells"?

 

Definition
It is non-nucleated, so it can't make proteins, and the protein it has is from the time RBC was made.
Term
Where is carbonic anhydrase found and what is its fxn?
Definition
Carbonic anhydrase is found in RBC and it breaks down CO2
Term
what is the equation for Carbonic anhydrase breaking down Co2?
Definition
CO2 + H2O --> H+ + HCO3-
Term
How does carbonic anhydrase play a role in PH of the blood?
Definition
Carbonic anhydrase breaks down H20 and CO2 and it releases H+ and HC03- , if you have too much H+ it will cause a decrease in PH of the blood= Acidosis and then if you have too much HCO3- then you will cause blood to be basic= Alkalosis
Term
What is 2,3 DPG and where is it found and what is its function?
Definition

2,3 Diphosphoglycerate and found in RBC.

It's function is to Reduce O2 affinity (when the RBC is unloading O2 on tissues)

Term
what is Hemeglobin and where is it found?
Definition
Hemeglobin is found in the RBC and aides in O2 binding
Term
How many subunits of Hg are there and what does each one contain that specifically helps in O2 binding?
Definition
4 subunits, and has an Fe (iron) group to help bind the oxygen.
Term
Is CO2 soluble in blood?
Definition
No, that is why you need RBC to carry them.
Term
What causes an Increase in RBC production?
Definition

1) Low tissue oxygenation (Heart faliure, Lung disease, and High altitudes)

2) EPO- Erythropeitin

Term
Where is EPO (Erythropoietin found)?
Definition
Kidneys
Term
Describe the Regulation of RBC production?
Definition
Low O2 tissue saturation --> Increase in EPO --> Hematopoietic stem cells --> proerythroblasts --> RBC--> Tissue oxygenation
Term
What is Blood doping?
Definition
Blood doping is the act of injecting RBC in body and/or injecting recombinant human EPO.
Term
What 3 things do you need for proper RBC production? and how do they contribute to RBC production?
Definition

1) Erythropooietin- RBC erythropoeitin

2) Vit. B12, Folic Acid (for Thymidine triphosphate production)- W/o absorption of B12 it will cause Pernicious Anemia/megaloblastic anemia

3) Iron-needed for O2 saturation in Hg

Term
Where is iron found, absorbed, and excreted?
Definition
Found in Hemeglobin, absorbed thru intestines, excreted via blood loss.
Term
Define Anemia?
Definition
Deficiency of Hg in the blood.
Term
What is the concentration of Hemeglobin in men and women?
Definition

Men- 15g Hg/dl

Female- 14g Hg/dl

Term
What is equation of total oxygen carrying capacity of blood?
Definition
CaCO2= Hb (g/dl) X 1.34 ml O2/gHb X SaO2 +PaO2 (0.003 mlO2/mmHg/dl)
Term
What is the CaO2 of the typical 26 year old male? with a PaO2= 100mmHg; SaO2=100%
Definition
CaCO2= (15g Hg/dl) x 1.34 ml O2/gHb x 1 + 0.3mL02/mmHg = 20.4 mLx O2/ dL
Term
What are the units of the Carrying capacity of blood?
Definition
CaO2= mL x O2 /dL
Term
If a patient is Anemic what would be affected in the "total oxygen carrying capacity of blood"
Definition
the "Hb (g/dl)" not the SaO2 or the PaO2
Term
what are the hematocrit levels of pt.'s with polycythemia?
Definition
Greater than 60%
Term
What are the two type of Polycethmia and how are they caused?
Definition

1) Primary- Caused genetically (polycythemia Vera)

2) Secondary- Due to hypoxia/high altitudes and heart failure

Term
If someone visits a high altitude will they instantly have increaase in RBC (polycythemia)?
Definition
No, Won't see effects of RBC's till days later
Term
What are the cardiovascualr consequences of Polycethemia?
Definition
Hearth attack- B/c the blood is more viscous --> causing blood clots --> making heart work harder --> MI
Term
What are the 4 blood groups?
Definition
1)A 2)AB 3)B 4)O
Term
What are antigens?
Definition
a substance that evokes the production of one or more antibodies
Term
Which blood type has Antigen 1) A 2)B 3)AB 4)none
Definition

1) Blood type A has antigen A

2) Blood type b has anitgen B

3) Blood type AB has both antigen AB

4) Blood type O has no antigens

Term
Why is blood type O more useable in blood tranfusions than blood type AB?
Definition
Because blood type O doen't have any antigens, so it cannot react on any antibodies, but blood type AB has antigens A and B so it will react to antiodies.
Term
What are the two main types of Antigens in the body for blood?
Definition
A- antigen and B-antigen
Term
What are the possible genotypes in blood?
Definition

AA, AO, BB, BO, AB, OO

We have 4 blood types and 6 Genotypes

Term
What are the occurence of blood types in the human population?
Definition

A- 41%

B- 9%

AB- 3%

O- 47%

Term
Define Agglutinogens?
Definition
Antigens
Term
Define Agglutinins?
Definition
Antibodies on RBC
Term
T/F: Produce agglutinins against the agglutinogens your RBC's do not have
Definition
True
Term
If you are blood type A, what type of antibodies would you have?
Definition
Type A blood will have B Agglutinins/anti-bodies
Term
Who is a universal reciever and a universal donor and why?
Definition

Universal Receiver is type AB because they don't have any Agglutinins

Univerals Donor is type O becuase they don't have any antigen for the antibodies to react to.

Term
Which blood type produces agglutinins A, AB, B, none?
Definition

Agglutinin A is by Type B blood

Agglutinin A and B is by Type O blood

Agglutinin B is by type A blood

No agglutinins by type AB blood.

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