Hematologi Introduction Uniba 9-1-13

Embed Size (px)

Citation preview

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    1/19

    White blood cells

    Platelets

    Red blood cells

    Artery

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    2/19

    Deliver O2

    Remove metabolic wastes

    Maintain temperature, pH, and fluid volume

    Protection from blood loss- platelets

    Prevent infection- antibodies and WBC

    Transport hormones

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    3/19

    Plasma-55%

    Formed

    elements-45%

    Buffy coat-

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    4/19

    19-4

    Composition of Blood

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    5/19

    Figure 19.1c

    Figure 19.1 The Composition of

    Whole Blood

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    6/19

    90% Water8% Solutes:

    Proteins

    Albumin (60 %)Alpha and Beta Globulins

    Gamma Globulins

    fibrinogens Gas

    Electrolytes

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    7/19

    Organic NutrientsCarbohydrates

    Amino Acids

    LipidsVitamins

    Hormones

    Metabolic wasteCO2

    Urea

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    8/19

    19-8

    Hematopoiesis

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    9/19Figure 19.5

    Figure 19.5 Red Blood Cell

    Turnover

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    10/19

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    11/19

    Anemia- when blood has low O2 carrying

    capacity; insufficient RBC or iron deficiency.Factors that can cause anemia- exercise, B12

    deficiency

    Polycythemia- excess of erythrocytes,

    viscosity of blood;

    8-11 million cells/mm3

    Usually caused by cancer, tissue hypoxia,

    dehydration; however, naturally occurs at highelevations

    Blood doping- in athletesremove blood 2

    days before event and then replace it; Epoetin;-

    banned by Olympics.

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    12/19

    Leukopenia

    Abnormally low WBC countdrug induced

    Leukemias

    Cancerous conditions involving WBCs

    Named according to the abnormal WBCclone involved

    Mononucleosis

    highly contagious viral disease caused byEpstein-Barr virus; excessive # of

    agranulocytes; fatigue, sore throat, recover

    in a few weeks

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    13/19

    Hemostasis:

    4. Coagulation

    1. Vessel injury

    2. Vascular spasm

    3. Platelet plug formation

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    14/19

    Hemostasis- stoppage of bleeding

    Tissue Damage

    Platelet Plug

    Clotting Factors

    Platelets: 250,000-500,000 cells/mm3

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    15/19

    Hemostasis(+ feedback)

    Prothrombin Thrombin

    Fibrinogen Fibrin

    Clotting Factorsthromboplastin

    Traps RBC & platelets

    Platelets release thromboplastin

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    16/19

    Blood

    Clot

    Fibrin thread

    Platelet

    RBC

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    17/19

    Thromboembolytic Conditions

    Thrombus: clot that develops and persists in

    an unbroken blood vessel

    May block circulation, leading to tissue death Embolus: a thrombus freely floating in the

    blood stream

    Pulmonary emboli impair the ability of the body to

    obtain oxygen

    Cerebral emboli can cause strokes

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    18/19

    Thromboembolytic Conditions

    Prevented by

    AspirinAntiprostaglandin that inhibits

    thromboxane A2

    Heparin

    Anticoagulant used clinically for pre- andpostoperative cardiac care

    Warfarin

    Used for those prone to atrial fibrillation

  • 7/29/2019 Hematologi Introduction Uniba 9-1-13

    19/19Figure 17 16

    SerumAnti-A

    RBCs

    Anti-B

    Type AB (contains

    agglutinogens A and B;agglutinates with both

    sera)

    Blood being tested

    Type A (contains

    agglutinogen A;

    agglutinates with anti-A)

    Type B (contains

    agglutinogen B;

    agglutinates with anti-B)

    Type O(contains no

    agglutinogens; does not

    agglutinate with either

    serum)