Lab #2 Flashcards

(35 cards)

1
Q

blood characteristics

A

CT known as fluid tissue
Major tissues where the cells do not adhere to each other or to the extracellular matrix
Two main parts: cellular fraction composed of formed elements and the acellular fraction called plasma

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2
Q

formed elements in blood

A

erythrocytes - rbcs
leukocytes - wbcs
thrombocytes - platelets

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3
Q

plasma composition in blood

A

water
salts
glucose
proteins
fats
hormones

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4
Q

erythrocytes

A

cells that have been stripped of most cellular components/functions in order to be packed with hemoglobin to carry o2, co2, and h+

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5
Q

leukocytes

A

used for defense against pathogens or foreign compounds (bacteria, viruses fungi, multicellular parasites, and toxins)

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6
Q

thrombocytes

A

cellular fragments that are used to help rapidly seal a damaged BV and prevent blood loss

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7
Q

adult male/female rbc/L count

A

male: 4.4-5.7 trillion RBCs/L
female: 3.9-5.1 trillion RBCs/L

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8
Q

WBC/L count

A

3.5-9.6 billion WBCs/L

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9
Q

platelet count

A

150-400 billion platelets/L

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10
Q

plasma element tonicity and osmolarity

A

Plasma remains close to isotonic with other cells.
Tonicity: Na+ (~140mM) and Cl- (~110mM) and K+ (~5mM), Ca2+ (~3mM), and Mg2+ (2mM). Glucose is 5mM between meals.
Altogether the range of normal osmolarity for human serum is 275 - 295 mosmol/kg

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11
Q

natremia, kalemia, calcemia, glycemia, and capnia

A

Nat: blood Na+ levels (135-145 mM)
Kal: blood K+ levels (3.7-5.2 mM)
Calc: blood Ca2+ levels (2.1-2.6 mM)
Gly: blood glucose levels (3.9-5.6 mmol/L)
cap: blood CO2 levels (23-29 mM)

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12
Q

urea & creatinine

A

less toxic breakdown product of ammonia, made by the liver
breakdown product of creatine in muscle cells
Both normally filtered out by blood in the kidneys, any increase in these can indicate kidney disease

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13
Q

Bilirubin

A

breakdown product of heme, the o2 carrying component of hemoglobin. the liver removes bilirubin from the blood. An increase could indicate excessive rupture of RBCs like hemolytic anemia

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14
Q

liver enzymes that increase in the blood if liver cells are damaged

A

alkaline phosphatase, alanine aminotransferase, and aspartate aminotransferase

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15
Q

low concentration plasma proteins

A

Albumin and lipoproteins carry -phobic fats and steroid hormones in the -philic plasma
amino acid base hormones and immunoglobulin proteins: move btw tissues/organs through plasma
clotting factors (fibrinogen): used to help seal broken BVs

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16
Q

intravenous fluids

A

simple solutions adminstered directly into the bloodstream through a low pressure vein.
Most common IV fluid are close to being isotinc with the serum, ex: 0.9% NaCl (normal saline)
0.9% saline is actually hypertonic compared to human serrum osmol but within the range (286 mosmol/kg)

17
Q

Iv fluid: Ringers

A

lactated ringers contains Cl, Na, K, Ca, and lactate = more balanced salt sol to human serum. 273 mosmol/kg. Lactate (weak acid) to buffer/reduce acidification of the blood

18
Q

0.45% normal saline

A

purposely hypotonic, used to treat hypernatremia.

19
Q

blood donation

A

average blood donation are 500mL (10% of total blood volume)

20
Q

complete blood count (CBC)

A

counts all formed elements and hemoglobin

21
Q

hematocrit

A

percentage of RBCs by volume in human blood
female: 35-45%
male: 39-50%
Also called packed cell volume - sort sample through centrifugation. Blood in small tube w/plug in the bottom is spun in a centrifuge. high density RBCs @ bottom, less dense WBCs/thrombocytes in the middle, and low density plasma on top.

22
Q

low/high hematocrit values

A

low - anemia
high - polycythemias

23
Q

red blood cell count

A

counts the total # of RBCs per volume of whole blood
female: 3.9-5.1 trill RBCs/L
male: 4.4-5.7 trill RBCs/L
performed with a hemocytometer: microscope slide w/a grid etched into the bottom to determine # of RBCs per unit volume

24
Q

hemoglobin test

A

hemoglobin concentration in whole blood
female: 12.0-15.5 grams/dL
male: 13.5-17.5 grams/dL
Hb loads 02 in the lungs to carry to other tissues, carries co2 and h+ from tissues to the lungs.
Heme can reflect & absorb light. Tallquist assay and STAT-site electronic hemoglobinometer use reflectance photometry. Drabkin’s reagent assay uses change in absorbance of light

25
microscopic examination
reveals variation in size and shape of RBCs
26
white blood cell count
total # of WBCs in whole blood 3.5-9.6 billion WBCs/L
27
differential WBC count
percentage of the particular WBCs and could be used to identify a specific WBC disorder
28
thrombocytes
asses hemostatic ability female: 157-371 bill platelets/L male: 135-317 bill platelets/L
29
comprehensive metabolic panel (CMP)
blood chemistry profile of the plasma tests: - salt and water balance - pH balance - glucose - proteins to assess liver and kidney function
30
windrobe indices
measures - Mean cell volume (MCV) - Mean cell hb (MCH) - means cell Hb concentration (MCHC)
31
MCV
dividing the hematocrit by RBC count. Cell volumes lower than normal (80-100fL) are called microcytic, normal cell volumes are normocytic, and larger cell volumes are macrocytic.
32
MCH
dividing measure Hb concentration by RBC count. normal: 27-31 picograms/cell
33
MCHC
dividing MCH by MCV. Hypochromic RBCs are cells w/lower MCHC and can the result of microcytic anemias. Normochromic cells have normal MCHC and hyperchromic cells have higher Hb levels per cell. Normal: 32-36 grams/dL
34
crime scene blood detection equation
luminol (alkaline) + H2O2 + Fe2+ <-> oxidized luminol + Fe3+ + light
35