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Oxygen Transport
Test 2
20
Pathology
Undergraduate 1
02/13/2013

Additional Pathology Flashcards

 


 

Cards

Term
Red blood cell structure
Definition

Mylo side

Bi-concave greater area for diffusion

Internal struct- Spectrin= allows flex

Term
  • What is the Process of Making RBC?
  • Where is all this released and why.
  •  What is key to release Erythropoietin?
Definition
  • Erythropoiesis
  • Kidneys.. D/t a decrease in blood 02.. goes to bone marrow and make new red blood cells.
  • Tissue Hypoxia
Term

How growing RBC WORK?

Who would be a patient with an increase reticularcyte count?

High retic count =

Definition

Immature- Nucleated no hemiglobin no 02

Reticularcyte- ER- tiny 02

Mature- no carry 02

PT with tissue hypoxia or COPD guy-

person who has long term tissu hypoxia

Term

How long do RBC's live?

d/t no nucleaus can not reproduce..

Hemaglobin that is left over after RBC dies turns into?

Definition

120 days.

Hemoglobin

Term
What is the Process of Bilirubin
Definition

Start out unconjunated= toxic

liver connects it to gluconuride to make conjugated

conjugated = no longer toxic is now excreted in bile

 

* if liver failure can't do this process stays in body... if to many RBC created d/t crushing injury same thing= bad= puts into vasc space.

Term
What 2 things happen is Hymolysis occurs in vascular space
Definition

Hemoglobinema= makes plasma turn red

Hemoglobinuria= make urine cola-colored

Term
How are RBC desribed?
Definition

Cytic= size= micro/macro

Chromic= color= normo/hypo- HGB

Term
What does Anemia mean?
Definition

We do not have enough blood cell carrying copacity

could be a decrease in RBC or You may have enough that are not working properally.

 

Focus

working/not working

Term
What are 3 causes of Anemia?
Definition
  • Blood loss- wont have enough cells
  • Deficient RBC- workin/notworking
  • Hemolysis- break down of RBC

 

Term

Deficient RBC production.

 

  • Iron-defiency
  • Megablastic anemia
  • Aplastic Anemia
  • Chronic disease of Anemias

 

Definition
  • low dietary iron intake
  • Increase MCV- Large RBC- dont work well
  • abnormal stem cells- d/t bone marrow
  • Chronic illness
Term
What are causes of Megaloblastic Anemia?
Definition
  • Vit B12- & Folic acid deficiency-These make RBC
  • Pernicious Anemia- Lack intrinsic factor from prietal cells of stomach-we need intrinsic factor to absorb b12
  • Malabsorption-

Replace b12 Iv best route

Term
If my RBC are decreased what will i look like?
Definition

Decreased 02

Pallor

Term
If my 02 is decreased how will this effect my body?
Definition
  • Tissue Hypoxia- Muscle weakness, brain fanting, heart anginia
  • Generalized adaption syndrome/compensate- Vasocontriction-increased hr
  • Kidneys release Erythropoietien- bone marrow produce more RBC, Bone marrow exspansion= bone pain
Term
Hemolytic Anemia causes
Definition

Problem with Break down of RBC

 

  • HGbemia- HG in blood
  • Iron retention
  • decreased 02 transport
Term
What you have to much hemoglobin and Iron what does it cause
Definition
Hereditary Sperocytosis- Spectrin deficiency- cells fold on itself loss of cell membrain
Term
2 common types of Hemolytic Anemia- which is do to too much HG
Definition
  1. Sickle cell Anemia
  2. Thalasemia
Term
What causes Sickle Cell Anemia?
Definition
  • Mutation in beta chains of HG
  • Deoxygentated causes this and chain links together and look"sickle"
  • tissue ishemia begins when vessels are occluded
Term
Problem With Sickle Cell Anemia
Definition
  • Sickle cells Block Capillaries- patient is likely to have blood clots
  • Jaundice

 

Term
What happens during Hemolysis? (hemolitic anemia)
Definition

Decreased RBC-went through this earlier

Hemoglobin Released-

Term
What happens when hemoglobin is released into blood?
Definition
  • Hemoglobinuria- Dark URINE
  • WBC in spleen and liver turn hemoglobin into bilirubin=spleen liver enlarge=jandice
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