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Blood dyscrasia
NU 350 test 3 (1.5)
66
Nursing
Undergraduate 3
02/22/2010

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Term
Hematology
Definition
Study of blood and blood-forming tissues
Term
What are the blood-forming tissues?
Definition
Bone marrow
Blood
Spleen
Lymph system
Term
Hematopoiesis
Definition
Blood cell production
Term
Where does hematopoiesis occur?
Definition
Within the bone marrow
Term
Where do RBC, WBC, and platelets come from?
Definition
Immature blood cell
Stem cell
Term
What do stem cells produce?
Definition
RBC
WBC
Platelets
Term
What is Bone marrow?
Definition
Soft material that fills the soft core of the bones
Term
What are the two types of bone marrow?
Definition
Yellow: adipose
Red: hematopoietic
Term
What does hematopoietic bone marrow do?
Definition
Actively produce blood cells
Primarily found in the long bones
Term
What are the functions of blood?
Definition
Transportation
Regulation
Protection
Term
What does blood transport?
Definition
O2 from lungs to cells
Nutrients from GI tract to cells
Hormones from endocrine glands to cells
Metabolic waste from cells to lungs, liver, and kidneys
Term
What does blood regulate?
Definition
Fluid and electrolyte balance
Acid-base balance
Body temperature
Term
How does blood protect?
Definition
Combats invasion of pathogens and other foreign substances
Maintains homeostasis of blood coagulation
Term
What are the two major components of blood?
Definition
Plasma (55%)
Blood cells (45%)
Term
What is the normal lab range for WBCs
Definition
4-10
Term
What is the normal lab for RBC's
Definition
4-5.5
Term
What is the normal lab for platelets?
Definition
100-450
Term
What is the function of RBC's
Definition
Transportation of gases
Assistance in maintaining acid-base balace
Term
What is the function of WBC's?
Definition
Promote blood clotting in response to injury.
Term
What is the function of platelets?
Definition
Promote blood clotting in response to injury
Term
What color do leukocytes appear when separated from blood?
Definition
White
Term
What are the two categories of leukocytes?
Definition
Granulocytes
Agranulocytes
Term
What are the granulocytes?
Definition
Neutrophils
Easinophils
Basophils
Term
What are the agranulocytes?
Definition
Lymphocytes
Monocytes
Term
What is the function of Neutrophils?
Definition
Phagocytosis
Early phase of inflammation
Term
What is the function of eosionphils?
Definition
Reduced phagocytosis
Alergic response
Parasitic infections
Term
What is the function of Basophils?
Definition
Inflammatory response
Allergic response
Term
What are the functions of lymphocytes?
Definition
Cellular, humoral immune response
Term
What is the function of monocytes?
Definition
Phagocytosis
Cellular immune response
Term
What is hemostasis?
Definition
Describes the blood clotting process
Term
Normal blood clotting mechanisms...
Definition
...minimize blood loss after injury
Term
What are the components of normal hemostasis?
Definition
Vascular response
Platelet plug formation
Plasma clotting factors
Lysis of clot
Term
What is vascular response?
Definition
Immediate local vasoconstrive response of injured blood vessels
Term
How does vascular response work?
Definition
Reduces leakage of blood from the injured vessel by reduce vessel size
Vasoconstriction gives time for platelet response and plasma clotting factors to be triggered
Term
How is platelet plug formation activiated?
Definition
Exposure to the intestinal from the injured blood vessel
Term
What is platelet stickiness called?
Definition
Adhesiveness
Term
Formation of clumps is termed
Definition
aggeregation or aglunation
Term
What do platelets facilitate?
Definition
The reactions of the plasma clotting factors
Term
What to plasma clotting factors form?
Definition
A visible fibirin on the platelet plug
Term
What are the two pathways that activate plasma clotting factors?
Definition
Insentric
Extrenstric
Term
What is causes lysis(breakdown) of clot?
Definition
Anticoagulation which helps keep blood fluid
Term
What are the 2 means of anticoagulation?
Definition
Antitrombins: interferes with thrombin
Fibrinolysis: process that results in the dissolution of the fibrin clot
Term
Where is the spleen located?
Definition
In the upper left quadrant of the abdomen
Term
What are the 4 major functions of the spleen?
Definition
Hematropoietic
Filtration
Immunologic
Storage
Term
What is the purpose of the lymph system?
Definition
To carry fluid from the interstitial spaces to blood
Term
What does the lymph system consist of?
Definition
Lymph fluid
Lymph capillaries
Lymph ducts
Lymph nodes
Term
What is lymph fluid?
Definition
The pale yellow interstitial fluid that has diffused through capillary walls
Term
Where does lymph fluid circulate?
Definition
Through special vasculature
Term
What is lymphedema?
Definition
Too much interstitial fluid or reduced absorption
Term
Lymphedema occurs as a complication of what?
Definition
Mastectomy
Lumpectomy
Term
What are lymphatic capillaries?
Definition
Thin-walled vessels with irregular diameter
Term
What is the difference between lymphatic capillaries and blood capillaries?
Definition
Lymphatic are larger but do not have valves
Term
Lymphatic capillaries from to create what?
What does that do?
Definition
Lymphatic vessels that carry all lymph fluid to the ducts
Term
What are the major lympatic ducts?
Definition
Right lymphatic duct
Thoracic duct
Term
Where do the lymphatic ducts drain?
Definition
Into the subclavian veins in the neck
Term
What is the function of lymph nodes?
Definition
Filtration of pathogens & foreing particles that are carried by the lymph to the nodes
Term
What are lymph nodes?
Definition
Small clumps of lymphatic tissue found in the groups along lymph vessels at various sites
Term
How many lymph nodes are foudn through the body?
Definition
more than 200
Term
What part of the body has the greatest promominence of lymph nodes?
Definition
Abdomen: GI tract
Term
What does the liver do?
Definition
Acts as a filter
Produces all the procoaguatlion essentail to hemostasis and blood coagualtion
Stores excess iron
Produces hepcidin
Term
What is hepcidin?
Definition
Key regulator of iron balance
Term
What are some assessment questions to ask?
Definition
Smoke or drink
Hx of blood (in vomit, stool(black), urine)
N&V, anorexia, diet issues
Iron or folic acid deficiencies?
Tired, fatigued even after full rest
Join pain
Unsual brusing
Religious and ethical values
Term
What are common hematologic labs?
Definition
CBC
ESR
Blood typing & Rh factor
Iron studies
Clotting studies
Term
What does ESR test?
Definition
Erythrocyte sedimenation rate: setteling of RBC: used to diagnosis inflammatory condition
Term
What is normal ESR?
Definition
Male range 1-15
Female range 1-20
Term
What are common radiologic studies?
Definition
CT
MRI
Bone marry examination
Lymph node biopsy
Molecular cytogentics & gene analysis
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