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Plasma and its composition
- Liquid portion of blood 55%
- Food, salts and O2 (3%) are dissolved within
- Wastes are dissolved and transported to excretory organs
- Hormones and other regulatory chemicals
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Formed elements
Different types of cells and cell fragments suspended in plasma
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Properties of Blood
- Adults have 4 - 6 L
- 7 - 9% of total body weight
- PH 7.35 - 7.45
- Can be stored for 6 weeks
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Blood donation
- Blood must be "cross-matched" and "typed"
- Blood can only be stored for 6 weeks
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Antibody
- substance that reacts with the antigen that stimulated its formation
- causes their target antigen to stick together in clusters (agglutinate)
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Antigen
- Substance that stimulates the body to make antibodies
- Usually a foreign protein
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ABO system
- 1. Type A blood: A antigens; contains anti-B antibodies
- 2. Type B blood: B antigens; contains anti-A antibodies
- 3. Type AB blood: A and B antigens; contains no antibodies (Universal recipient)
- 4. Type O blood: No antigens; contains anti-A and and anti- B antibodies (Universal donor)
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RH system
- RH factor is an antigen
- Persons with RH negative blood develop antibodies against RH positive blood
- RH antibodies do not develop until 1st exposure
- Babies with RH positive blood and an RN negative mom risk erythroblastosis fetalis
- RhoGAM stops the mother's body from forming anit-RH antibodies
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Plasma proteins
- Albumin: retain water in blood
- Globulin: antibodies that protect us from infection
- fibrinogen: needed for blood clots
- prothrombin: needed for blood clots
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Serum
- Plasma minus its clotting factors (fibrinogen and prothrombin)
- Contains antibodies
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Forced elements
- Red blood cells aka erythrocytes
- White blood cells aka leukocytes
- Platelets or thrombocytes
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Myeloid tissue
- aka red bone marrow
- Creates new red blood cells (hematopoiesis)
- found in sternum, ribs and hip bones; vertebrae, clavicles and cranial bones
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Lymphatic tissue
- creates white blood cells (lymphocytes and monocytes)
- found in lymph nodes, thymus and spleen
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Causes of blood disease
- Disorders of formed elements
- Failure of myeloid and lymphatic tissues
- Could be genetic, viral infection, cancer, radiation or toxic chemicals
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Aspiration Biopsy Cytology
- sample of myeloid tissue removed from illiac crest or sternum
- sample is tested to confirm or reject a diagnosis
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Bone marrow transplant
- Myeloid tissue from a compatible donor is introduced intravenously to a patient
- hematopoietic stem cells may also be infused
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Red blood cells (RBCs)
- aka Erythrocytes
- no nucleus or cytoplasmic organelles
- filled with hemoglobin
- exchanges O2 and CO2 with blood and body cells
- Helps maintain acid-base balance
- Normal range of 4.2 - 6.2 million per mm3
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Hemoglobin
- red pigment in red blood cells
- combines with O2 to form oxyhemoglobin (carries 97% of O2 for cells)
- combines with CO2 to form carbaminohemoglobin (carries 20% of CO2)
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Complete blood cell count (CBC)
- battery of tests to measure blood components
- routine aspect of physical exams
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Hematocrit (Packed Cell Volume/PVC)
percentage of whole blood that is RBC
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Buffy coat
Layer of white blood cells and platelets between plasma and RBCs after blood has been centrifuged
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Polycythemia
- blood disorder characterized by dramatic increase in RBC numbers
- blood viscosity is increased
- Signs and symptoms: hypertension, coagulation problems and hemorrhaging
- Treatment: blood removal, irradiation of bone marrow and chemo to suppress RBC production
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Anemia
- caused by inadequate RBCs, lack of hemoglobin, defective hemoglobin
- heart and respiratory rates are increased to compensate
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Hemorrhagic anemia
decrease in RBC due to acute or chronic blood loss
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Aplastic anemia
- Abnormally low RBC counts and destruction of bone marrow
- related to exposure to toxic chems (benzene, mercury), irradiation and certain drugs (chloramphenicol)
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Deficiency anemia
- inadequate supply of a substance; usually iron or B vitamin
- Pernicious anemia: dietary deficiency of B12
- Folate deficiency anemia: Folic acid (B9); common among alcoholics and malnourished
- Iron deficiency anemia: lack of iron in diet; most common nutritional deficiency
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Hemolytic anemias
- decreacsed RBC life span caused by an increased rate of destruction
- Sickle cell anemia: genetic disease caused by abnormal hemoglobin
- Thalassemia: production of abnormal hemoglobin and microcytic (small) RBC that are short lived
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White blood cells (Leukocytes)
- Two types: granulocytes and agranulocytes
- fights infection
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Leukocytosis
High WBC count
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Differential WBC count
proportions of each WBC is reported within the WBC count
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Neutrophil
- Aka phagocyte
- granulocyte
- engulfs microorganisms through phagocytosis
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Eosinophils
- granulocyte
- protects against parasites and prasitic worms
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Basophils
- granulocyte
- secretes histamine
- produce the anticoagulant heparin
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Monocytes
- biggest leukocyte
- agranulocyte
- defend by phagocytosis
- becomes a macrophage after leaving the blood stream
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Lymphocytes
- B lymphocytes secrete antibodies
- T lymphocytes attack bacteria and cer directly
- Plama cells are B lymphocytes found in bone marrow cancer
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White blood cell disorders
- Lymphoid neoplasms
- Myeloid neoplasms
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Multiple myeloma
cancer of of mature B lymphocytes (plasma cells)
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Leukemia
- blood cancers that affect WBC
- Chronic lymphocytic leukemia (CLL)
- Acute lymphocytic leukemia (ALL)
- Chronic myeloid leukemia (MCL)
- Acute myeloid leukemia (AML)
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Platelets
essential in blood clotting
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Thrombus
stationary blood clot
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Embolus
moving blood clot
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