Exam 1: Introduction Stuff Flashcards

(46 cards)

1
Q

Provide a brief history of hematology.

A

Hematology: the study of blood

In the 1600s, Leeuwenhoek was the first to discover blood cells in the microscope.

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2
Q

Blood makes up ___% of body weight.

A

About 7 – 8%

A 150-pound person would have about 12 pounds of blood.

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3
Q

The average adult has ___ liters of blood, aka ___ pints in the olden days.

A

4 – 6 liters

9 – 11 pints

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4
Q

Average amount of blood in adult females

A

4 – 5 liters

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5
Q

Average amount of blood in adult males

A

5 – 6 liters

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6
Q

Normal pH of blood

A

pH 7.35 – 7.45

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7
Q

General % of components in plasma/serum

A

91% water
7% protein
2% electrons, hormones, etc.

100% reason to remember the name

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8
Q

In a microscope slide, what is the normal ratio of:

RBC : WBC : PLT

A

500 : 1 : 30

RBC : WBC : PLT

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9
Q

Describe the contents of a centrifuged tube of blood, from top to bottom.

A

55% pale yellow

- plasma or serum

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10
Q

What is the difference between plasma and serum?

A

Plasma

  • anti-coagulated substance
  • add a chemical (ex: EDTA) during collection process

Serum

  • coagulated substance
  • allowed to clot
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11
Q

How big are normal RBCs?

A

About 7 – 8 microns

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12
Q

Briefly describe the appearance of normal RBCs.

A
  • orange-pink
  • no nucleus
  • biconcave discs, uniform in size and shape
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13
Q

What is the main function of RBCs?

A

Transportation of oxygen and carbon dioxide

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14
Q

What is the normal range of RBCs?

A
  1. 2 – 6.1 x 10^12 / liters
  2. 2 – 6.1 x 10^6 / microliters

4,200,000 – 6,100,000

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15
Q

If a patient has a very high amount of RBCs, he/she is considered to have ___.

A

Polycythemia

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16
Q

If a patient has a very low amount of RBCs, he/she is considered to have ___.

A

Anemia

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17
Q

How big are normal PLTs?

A

About 2 – 4 microns

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18
Q

Briefly describe the appearance of normal PLTs.

A
  • dark purple
  • no nucleus
  • chunks, irregular sizes
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19
Q

What is the main function of PLTs?

A

Hemostasis/clotting

20
Q

What is the normal range of PLTs?

A

150 – 450 x 10^9 / liters

150 – 450 x 10^3 / microliters

150,000 – 450,000

21
Q

If a patient has a very high amount of PLTs, he/she is considered to have ____.

A

Thrombocytosis

22
Q

If a patient has a very low amount of PLTs, he/she is considered to have ___.

A

Thrombocytopenia

23
Q

How big are normal WBCs?

A

About 8 – 18 microns

24
Q

Briefly describe the appearance of normal WBCs.

A
  • nucleus is dark purple
  • cytoplasm could be either:
    # pink-orange
    # blue
    # blue-gray
25
What is the main function of WBCs?
Immune system responses
26
What is the normal range of WBCs?
4. 5 -- 10.5 x 10^9 / liters 4. 5 -- 10.5 x 10^3 / microliters 4,500 -- 10,500
27
If a patient has a very high amount of WBCs, he/she is considered to have ___.
Leukocytosis
28
If a patient has a very low amount of WBCs, he/she is considered to have ___.
Leukocytopenia
29
If a patient has 7.8 RBC, he/she has ___.
Polycythemia
30
Old people can appear to have ___ because of dehydration.
Polycythemia
31
If a patient has 2.8 RBC, he/she has ___.
Anemia
32
If a patient has 750,000 PLT, he/she has ___.
Thrombocytosis
33
If a patient has 90,000 PLT, he/she has ___.
Thrombocytopenia
34
If a patient has 14,000 WBC, he/she has ___.
Leukocytosis
35
If a patient has 500 WBC, he/she has ___.
Leukocytopenia
36
What is the stain used to perform CBCs?
Wright Stain - poly-chromatic stain - former stain = Romonosky Stain
37
What are the components of the Wright Stain?
Methylene Blue - alkaline/basic stain - stains acidic components - color: blue/purple Eosin - acidic stain - stains the basic components - color: pink/red
38
Why does the Eosin stain make a pink/red color?
It makes a pink/red color because of hemoglobin. Hemoglobin is a protein, which is basic.
39
What is the pH of the buffer of the Wright Stain?
pH 6.4 -- 6.7
40
What color appears more when the Wright Stain pH is too acidic?
Pink/orange appearance
41
What color appears more when the Wright Stain pH is too basic?
Blue/black appearance
42
How are WBCs estimated manually?
- use HPF (high-powered field)(40x) - count # in 10 fields/10 (average count) - multiply average count x 2,000
43
How are PLTs estimated manually?
- use oil field (100x) - count # in 10 fields/10 (average count) - multiply average count x 20,000
44
What does a CBC look like?
WBC (total) - Neut % - Lymph % - Mono % - Eos % - Bas % RBC (total) - Hgb - Hct - MCV - MCH - MCHC - RDW PLT (total) - PDW
45
Which part(s) of the CBC indicates the health, size, and shape of RBCs?
- MCV - MCH - MCHC - RDW
46
Which part(s) of the CBC indicates the size and shape of PLTs?
PDW