Cardiovascular System and Blood Dr. Michael P. Gillespie CHAPTER GOALS Identify terms relating to the composition, formation, and function of blood. Differentiate among the different types of blood groups. Identify terms related to blood clotting. Build words and recognize combining forms used in blood system terminology. 2 CHAPTER GOALS Describe various pathologic conditions affecting blood. Describe various laboratory tests and clinical procedures used with hematologic disorders, and recognize relevant abbreviations. Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records. 3 INTRODUCTION Blood: Transports foods, gases, and wastes to and from the cells of the body Other transported items: chemical messengers blood proteins, white blood cells, and platelets 4 COMPOSITION OF BLOOD cells plasma water proteins sugar salts hormones vitamins 5 CELL TYPES AND FUNCTION Erythrocytes: red blood cells transport nutrients and oxygen Leukocytes: white blood cells Thrombocytes: platelets; clot blood 6 CELL TYPES AND FUNCTION Leukocytes: or white blood cells basophils: contain heparin (prevents clotting) and histamine (involved in allergic responses) eosinophils: phagocytic cells involved in allergic responses and parasitic infections neutrophils: phagocytic cells that accumulate at sites of infection monocytes: phagocytic cells that become macrophage and digest bacteria and tissue debris lymphocytes: control the immune response; make antibodies to antigens 7 STAGES IN BLOOD DEVELOPMENT (HEMATOPOIESIS) 8 REVIEW: COMPOSITION OF BLOOD 9 PLASMA Plasma Proteins albumin globulins: immunoglobulins (IgG,IgA, IgM, IgD, IgE) fibrinogen prothrombin 10 BLOOD TYPES Type A: A antigen and anti-B antibody Type B: B antigen and anti-A antibody Type AB: A and B antigens and no antibodies (universal recipient) Type O: no A or B antigens and both anti-A and anti-B antibodies (universal donor) Rh factor (positive and negative) 11 BLOOD CLOTTING Coagulation: fibrin clot Anticoagulants: heparin, warfarin (Coumadin) 12 QUICK QUIZ: 1. The blood contains the following to transport oxygen: A. white blood cells B. plasma C. platelets D. red blood cells 13 QUICK QUIZ: 2. Blood contains these clotting cells: A. erythrocytes B. plasma C. thrombocytes D. leukocytes 14 COMBINING FORMS AND TERMINOLOGY Combining Form bas/o chrom/o coagul/o cyt/o eosin/o erythr/o Meaning base color clotting cell red, dawn, rosy red 15 TERMINOLOGY Combining Form granul/o hem/o hemat/o hemoglobin/o is/o kary/o Meaning granules blood blood hemoglobin same, equal nucleus 16 COMBINING FORMS AND TERMINOLOGY Combining Form leuk/o mon/o morph/o myel/o neutr/o nucle/o Meaning white one, single shape, form bone marrow neutral nucleus 17 TERMINOLOGY Combining Form phag/o poikil/o sider/o spher/o thromb/o Meaning eat, swallow varied, irregular iron globe, round clot 18 SUFFIXES -apheresis -blast -cyte -cytosis -emia -globin -globulin -lytic -oid -osis -penia -phage -philia -phoresis -poiesis -stasis 19 DISEASES OF RED BLOOD CELLS Anemia: Deficiency in erythrocytes or hemoglobin Other types of anemia: aplastic anemia hemolytic anemia pernicious anemia sickle cell anemia thalassemia 20 TYPES OF ANEMIA Aplastic anemia: failure of blood cell production due to aplasia or absence of cell formation of bone marrow cells Hemolytic anemia: reduction in red cells due to excessive destruction Pernicious anemia: lack of mature erythrocytes caused by inability to absorb vitamin B12 into the body 21 TYPES OF ANEMIA (CONT’D) sickle cell: a hereditary disease characterized by abnormal shape of erythrocytes and by hemolysis thalassemia: an inherited defect in the ability to produce hemoglobin hemochromatosis: excess iron deposits throughout the body polycythemia vera: general increase in red blood cells 22 QUICK QUIZ: 3. What is the most common type of anemia? A. hemolytic anemia B. sickle cell anemia C. iron deficiency anemia D. aplastic anemia 23 TYPES OF ANEMIA 24 DISORDERS OF BLOOD CLOTTING hemophilia: Excessive bleeding caused by the lack of one of the protein substances necessary for blood clotting purpura: Multiple pinpoint hemorrhages and accumulation of blood under the skin 25 DISEASES OF WHITE BLOOD CELLS leukemia: An increase in cancerous white blood cells acute myelogenous leukemia (AML) acute lymphocytic leukemia (ALL) chronic myelogenous leukemia (CML) chronic lymphocytic leukemia (CLL) 26 ACUTE LEUKEMIA Acute Myeloblastic Leukemia Acute Lymphoblastic Leukemia 27 DISEASES OF WHITE BLOOD CELLS granulocytosis: Abnormal increase in granulocytes in the blood mononucleosis: An infectious disease marked by increased numbers of leukocytes and enlarged cervical lymph nodes 28 DISEASE OF BONE MARROW CELLS multiple myeloma: Malignant neoplasm of bone marrow. Malignant cells destroy bone tissue and cause overproduction of immunoglobulins. 29 LABORATORY BLOOD TESTS antiglobulin test bleeding time coagulation time complete blood count (CBC) erythrocyte sedimentation rate (ESR) hematocrit (Hct) hemoglobin test (H, Hg, HGB) partial thromboplastin time (PTT) 30 LABORATORY BLOOD TESTS (CONT’D) platelet count prothrombin time (PT) red blood cell count (RBC) red blood cell morphology white blood cell count (WBC) white blood cell differential 31 CLINICAL PROCEDURES apheresis: Separation of blood into component parts and removal of a select part from the blood blood transfusion: Whole blood or cells taken from a donor and infused into a patient bone marrow biopsy: Microscopic examination of a core of bone marrow removed with a needle hematopoietic stem cell transplant: Peripheral stem cells from a compatible donor administered into a recipient’s vein 32 REVIEW SHEET COMBINING FORMS Combining Form Meaning bas/o chrom/o Coagul/o cyt/o eosin/o erythr/o _________ _________ _________ _________ _________ _________ 33 REVIEW SHEET COMBINING FORMS Combining Form Meaning bas/o chrom/o coagul/o cyt/o eosin/o erythr/o base color clotting cell red, dawn, rosy red 34 REVIEW SHEET COMBINING FORMS Combining Form Meaning granul/o hem/o hemat/o hemoglobin/o is/o kary/o _________ _________ _________ _________ _________ _________ 35 REVIEW SHEET COMBINING FORMS Combining Form Meaning granul/o hem/o hemat/o hemoglobin/o is/o kary/o granules blood blood hemoglobin same, equal nucleus 36 REVIEW SHEET COMBINING FORMS Combining Form Meaning leuk/o mon/o morph/o myel/o neutr/o nucle/o _________ _________ _________ _________ _________ _________ 37 REVIEW SHEET COMBINING FORMS Combining Form Meaning leuk/o mon/o morph/o myel/o neutr/o nucle/o white one, single shape, form bone marrow neutral nucleus 38 REVIEW SHEET COMBINING FORMS Combining Form phag/o poikil/o sider/o spher/o thromb/o Meaning _______________ _______________ _______________ _______________ _______________ 39 REVIEW SHEET COMBINING FORMS Combining Form Meaning phag/o poikil/o sider/o spher/o thromb/o eat, swallow varied, irregular iron globe, round clot 40