Chapter 42 Hematology

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Differential

A blood test in which total WBC's and the individual amounts of the five types of WBC's are measured and recorded for analysis; also see WBC with differential

Antibodies

A complex glycoprotein produced by B lymphocytes in response to an antigen

Complete blood count(CBC)

A frequently ordered laboratory test consisting of white blood cell count and differential, red blood cell count, hemoglobin, hematocrit, erythrocyte indices, and platelet count

Thalassemia

A hemolytic anemia caused by deficient hemoglobin synthesis; more commonly found in those of Mediterranean heritage

Erythropoietin

A hormone produced mainly by the kidney in response to lowered oxygen levels: stimulates the production of red blood cells to increase blood oxygen levels

Polycythemia

A red blood cell count that is higher than normal

Erythrocytes

A red blood cell(RBC)

International normalized ratio

A standardized result calculated from the patients prothrombin time(PT)and a reference standard used to measure blood clotting time; aka INR

Eosinophils

A type of leukocyte increased in allergic reactions and parasitic infections

Monocytes

A type of leukocyte, react to antigens, engulfing and destroying antigens through phagocytosis

Basophils

A type of leukocyte, release histamine as immune response, causes inflammation such as hives, asthma, allergy symptoms

Lymphocytes

A type of leukocyte, smallest, T called and B cells, NK (natural killers)cells

Leukocyte

A white blood cell(WBC), two categories agranular, granular

Leukocytosis

Abnormal increase of leukocytes(white blood cells)

Macrocytosis

Abnormally large red blood cells with a mean corpuscular volume above 95 fl., can indicate Folate or vitamin B12 deficiency

Thrombocytopenia

Decreased platelets, due to inadequate production by bone marrow, destruction of cells in spleen, autoimmune disorders, petechiae

Morphology

Description of the structural characteristics of blood cells

Hypochromia

Diminished hemoglobin in RBC's, Red flood cells appearing paler with more area of central pallor, iron deficiency anemia, Thalassemia, pernicious anemia, blood loss, Vitamin B 12 deficiency

Leukopenia

Diminished number of leukocytes, WBC count less than 4500u/l, due to bone marrow deficiency, chemotherapy drugs, autoimmune disorders

Anemia

Hbg and Hct testing are generally used to diagnose what?

Iron(Fe+)

Hemoglobin contains what element?

Partial thromboplastin time (PTT)

Identifies some of the proteins, also known as factors,involved in the blood clotting process, normal range 25-35 seconds, the higher the result the longer it takes the blood to clot

Anemia

Inadequate amount of oxygen-carrying RBC's in the blood

Hyperchromia

Increased hemoglobin in red blood cells

Thrombocytosis

Increased platelets, anemia, cancer, certain medications, leukemia, polycythemia vera

Erythrocyte sedimentation rate(ESR)

Measures the rate in millimeters per hour at which red blood cells settle out in a tube, aka sed rate

Coumadin, Warfarin ,Plavix

Name 3 commonly used blood thinning medications.

Spinach, turnips,eggs,oysters,red meat

Name 5 foods high in iron

Five major types of Leukocytes

Neutrophils, basophils, eosinophils, monocytes, and lymphocytes

Thrombocytes

Platelets in the blood, form clots, control bleeding, produced in bone marrow, smaller in size than RBC's and WBC's

Antigens

Protein markers on cells that cause formation of antibodies and react specifically with those antibodies

Schistocytes

RBC's are fragmented

Spherocytes

RBC's show no area of central pallor

Target Cells

RBC's that resemble a target with light and dark rings

Microcytosis

Red blood cells are smaller than usual, can indicate iron deficiency

Petechiae

Small, pinpoint broken blood vessels on the skin

Polychromasia

Some red blood cells(RBC's) have a blue color: bluish RBC's are more immature cells

Prothrombin Time(PT)

Test that monitors a patients blood clotting time, normal range 10-14 seconds

Hemoglobin

The functioning unit of the red blood cell, made up of protein, includes iron consumed in diet

Neutrophils

The most abundant leukocyte and the main granulocyte, engulf and digest foreign substances, release digestive enzyme which kill foreign substance and neutrophil

Hematocrit

The percentage of red blood cells in whole blood, normal ranges differ between male and female, detects anemia

Phagocytosis

The process by which certain cells engulf and dispose of microorganism: to eat or ingest

Hematology

The study of blood and blood forming tissues

Erythrocytes indices

Three measurements (mean cell volume, mean cell hemoglobin, and mean cell concentration) that indicate the size of the red blood cell and how much hemoglobin the red blood cell holds

Clots

Vitamin K is important for what to form in blood?

Platelets

What cell aids in hemostasis?

16 milligrams per deciliter

What is the normal Hemoglobin range for males?

150,000-400,000

What is the normal range for Platelets?

4500-10,000 millimeters

What is the normal range for WBC's?

40%-50%

What is the normal range of Hematocrit for females and males?

Myocardial infraction

When arterial thrombosis affects an artery supplying blood to the heart this occurs.....

Lungs

Where do red blood cells deliver Carbon Dioxide?

Cells(tissue)

Where do red blood cells deliver Oxygen?

Band

Younger, less mature neutrophil

Low

Bleeding can be a result of a ___ platelet count?

Arterial thrombosis

Clot occurs in an artery

Venous thrombosis

Clot occurs in vein


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