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7/29/2019 Hematologi Introduction Uniba 9-1-13
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White blood cells
Platelets
Red blood cells
Artery
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Deliver O2
Remove metabolic wastes
Maintain temperature, pH, and fluid volume
Protection from blood loss- platelets
Prevent infection- antibodies and WBC
Transport hormones
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Plasma-55%
Formed
elements-45%
Buffy coat-
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19-4
Composition of Blood
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Figure 19.1c
Figure 19.1 The Composition of
Whole Blood
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90% Water8% Solutes:
Proteins
Albumin (60 %)Alpha and Beta Globulins
Gamma Globulins
fibrinogens Gas
Electrolytes
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Organic NutrientsCarbohydrates
Amino Acids
LipidsVitamins
Hormones
Metabolic wasteCO2
Urea
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19-8
Hematopoiesis
7/29/2019 Hematologi Introduction Uniba 9-1-13
9/19Figure 19.5
Figure 19.5 Red Blood Cell
Turnover
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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.
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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
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Hemostasis:
4. Coagulation
1. Vessel injury
2. Vascular spasm
3. Platelet plug formation
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Hemostasis- stoppage of bleeding
Tissue Damage
Platelet Plug
Clotting Factors
Platelets: 250,000-500,000 cells/mm3
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Hemostasis(+ feedback)
Prothrombin Thrombin
Fibrinogen Fibrin
Clotting Factorsthromboplastin
Traps RBC & platelets
Platelets release thromboplastin
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Blood
Clot
Fibrin thread
Platelet
RBC
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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
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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
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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)