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phlebHematology
Hematology as it pertains to Phlebotomy
Question | Answer |
---|---|
Define Hematology. | The study of blood |
What specimen does Hematology want? | Whole blood |
What are formed elements? | Red blood cells, white blood cells and platelets. |
What percentage of blood is composed of Formed Elements? | 45% |
What percentage of blood is plasma? | 55% |
What is plasma? | The fluid portion of blood (55%) |
What is plasma composed of? | 90% water, 10% solutes. (protein, vitamins, carbohydrates, hormones, enzymes, lipids & salts, amino acids, electrolytes, sugar & fibronigen. |
What is Serum? | Plasma with all clotting factors removed. |
How many more red blood cells compared to white blood cells are usually found in blood? | 1000X more RBC vs. WBC |
How many more platelets compared to white cells are usually found in blood? | 50X more Pl vs. WBC |
What are the components of blood? | Red blood cells, white blood cells, platelets |
Where are RBC's, WBC's & Platelets produced? | Mostly in the bone marrow. |
What is another name for blood production/formation? | Hematopoiesis |
What are Platelets? | Also called Thromobcytes. They are not cells, but fragments of cells. Aids in clotting. |
Is Plasma anticoagulated blood for lab tests or non-anticouagulated? | anticouagulated. |
If you spin a red (non-additive) or SST tube of blood, what is the top yellow fluid called? | Serum. |
If you spin a Purple top tube of blood, what is the yellow fluid on top called? | Plasma. |
What tube is mostly asked for in Hematology testing? | Purple EDTA |
What is EDTA | An anticouagulant, ethylene-diaminetetraacetic acid. |
What tube would you use for a CBC test? | Purple, EDTA (whole blood) |
What does hematology look for in a CBC test? | WBC differential, Morphology, MPV, RBC indicies, HGB (hemoglobin), HCT (hematocrit). RBC/WBC/PLT measurements. |
What is another word for "Packed cell volume"? | Hematocrit |
What is the WBC's primary function? | Defense against infection. |
What is the life span of a RBC? | 120 days |
What is the percentage of RBC's in circulating cells? | 99% |
What is the shape of a RBC? | Biconcave disc. |
What molecule is the RBC part of for byproducts transport? | Hemoglobin |
What is the Platelets primary function/ | Clotting. (Hemostasis) |
What i Hemostasis? | Clotting by platelets. |
What is the life span of a platelet? | 9-12 days. |
What is HGB? | Hemoglobin |
What is Hemoglobin? | An oxygen binding molecule. |
What is the general rule of thumb for Hemoglobin vs. RBC values? | hemoglobins are 3X the value of RBC's. |
What is anemia? | Low blood volume. |
What do we look for to assess anemia in a patient? | Hemoglobins. |
What are some common abbreviations/acronyms for Hematocrit? | HCT, CRT |
What does a Hematocrit test look for? | Packed cell volume. Used to diagnose Anemia. |
What is MCV? | mean corpuscular volume. (cell size) |
What is MCH? | mean corpuscular hemoglobin |
What is MCHC? | mean corpuscular hemoglobin concentration |
What is RDW? | Red cell distribution width. |
What is a WBC Differential? | A test that looks at the volume of different types of white blood cells. |
BONUS-Name 2 WBCs and their role. | Lymphocyte-fights viral infectionsSegmented Neutrophil-fights bacterial infectionsMonocyte-performs Phagocytosis (is a phagocyte)Eosinophil-fights parasitic infections & allergic reactionsBasophil- has a role in inflammatory reactions. |
What does Retic stand for? | Reticulocyte count. |
What does ESR stand for? | Erythrocyte sedimentation rate(sed rate) |
What does a decreased amount of hemoglobin suggest? | Anemia |
What are two anemia diseases due to deficiency of substances? | Iron deficiency anemia.Vitamin B12-Pernicious anemia. (gastroectomy) |
What is Scurvy? | A vitamin C deficiency resulting in bleeding disorder. Most known with sailors in the 1700's. |
Name some common tests associated with hematology. | CBC, Retic, ESR |
What is H & H? | Hemoglobin & Hematocrit test. |
What is another name for thrombocyte? | Platelet |
What is Hemostasis? | The body's clotting function. |
What is Hemolysis? | The destruction/breakage of RBC. |
What is Hemoconcentration? | Increased ratio of formed elements vs. plasma. Caused by leaving the tourniqit on too long. |
What is the primary function of RBCs? | Transportation of oxygen and byproducts. |
What is a reticulocyte? | An immature red blood cell. |
What % of reticulocytes is expected in blood? | 2% |
What does the retic test check for? | production of bone marrow cells. |
What does an ESR test measure? | The distance RBC fall within an hour. |
What is the clinical usefulness of an ESR? | Assessment of inflammatory disease. |
What are the 3 Hemolytic Anemias? | Sickle cellThalessemiaHeriditary SpherocytosisDIC |