Haematological Agents Overview

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Questions and Answers

What is the average life cycle of a human red blood cell?

  • 120 days (correct)
  • 60 days
  • 90 days
  • 150 days

Which organ is primarily involved in the phagocytosis of worn-out red blood cells?

  • Kidney
  • Lung
  • Liver (correct)
  • Heart

What substance is recycled from the hemoglobin during the digestion of red blood cells?

  • Oxygen
  • Hydrogen
  • Iron (correct)
  • Carbon dioxide

What type of anemia is due to iron deficiency?

<p>Microcytic hypochromic anemia (A)</p> Signup and view all the answers

What condition can lead to tissue hypoxia?

<p>Inadequate erythropoiesis (D)</p> Signup and view all the answers

Which type of anemia is associated with a lack of intrinsic factor in the stomach?

<p>Pernicious anemia (A)</p> Signup and view all the answers

What can impair erythropoiesis aside from nutrient deficiency?

<p>Certain drugs and irradiation (B)</p> Signup and view all the answers

Accelerated hemolysis can lead to which type of anemia?

<p>Hemolytic anemia (C)</p> Signup and view all the answers

What is the primary component of blood that constitutes about 55% of its volume?

<p>Plasma (C)</p> Signup and view all the answers

What is the primary purpose of anticoagulants?

<p>Prevent the formation of fibrin clots (A)</p> Signup and view all the answers

Which process involves the formation of blood cells from pluripotent stem cells?

<p>Hematopoiesis (D)</p> Signup and view all the answers

Which type of anticoagulant must be administered parenterally?

<p>Direct thrombin inhibitors (A)</p> Signup and view all the answers

What type of blood cell is removed from circulation by macrophages in the liver and spleen?

<p>Erythrocytes (C)</p> Signup and view all the answers

Which drug class is primarily responsible for inhibiting platelet aggregation?

<p>Antiplatelet drugs (C)</p> Signup and view all the answers

What are the substances called that promote the differentiation and maturation of marrow stem cells into blood cells?

<p>Hematopoietic growth factors (C)</p> Signup and view all the answers

Which of the following is NOT a component of plasma?

<p>Platelets (A)</p> Signup and view all the answers

What is NOT a thrombolytic drug?

<p>Acetylsalicylic acid (D)</p> Signup and view all the answers

What condition may require the use of agents to facilitate clotting?

<p>Hemophilia (C)</p> Signup and view all the answers

What is the process of continuously forming mature blood cells in the bone marrow called?

<p>Hematopoiesis (B)</p> Signup and view all the answers

Which vitamin is crucial for blood clotting and is corrected through supplementation?

<p>Vitamin K (B)</p> Signup and view all the answers

Which type of drug is primarily concerned with stopping bleeding?

<p>Anti-plasmin drugs (C)</p> Signup and view all the answers

Which anticoagulant is known to be orally active?

<p>Coumarin anticoagulant (C)</p> Signup and view all the answers

What are the main cellular components suspended in plasma?

<p>Erythrocytes, leukocytes, and platelets (A)</p> Signup and view all the answers

What is commonly used to treat Vitamin K deficiency?

<p>Phytonadione (K1) (C)</p> Signup and view all the answers

What is the primary use of Megakaryocyte Growth Factors?

<p>To increase the number of platelets (B)</p> Signup and view all the answers

Which statement accurately describes the term hemorrhage?

<p>It denotes the medical term for bleeding (B)</p> Signup and view all the answers

What role does vasospasm play in the coagulation process?

<p>It reduces bleeding and facilitates platelet adhesion (C)</p> Signup and view all the answers

What is the significance of the fibrin meshwork in hemostasis?

<p>It traps platelets to prevent blood loss (C)</p> Signup and view all the answers

Which of the following summarizes the action of thrombin?

<p>It catalyzes the conversion of fibrinogen to fibrin (D)</p> Signup and view all the answers

What types of drugs are categorized as anti-clotting drugs?

<p>Drugs that decrease clotting or dissolve existing clots (B)</p> Signup and view all the answers

What term refers to the cessation of blood loss from a damaged vessel?

<p>Hemostasis (C)</p> Signup and view all the answers

Which factor triggers the sequential activation of coagulation factors upon injury?

<p>Exposure of blood to extravascular collagen (B)</p> Signup and view all the answers

Drugs used to increase clotting are known as __________.

<p>drugs that facilitate clotting (C)</p> Signup and view all the answers

Which of the following is a thrombolytic drug?

<p>Streptokinase (C)</p> Signup and view all the answers

Heparin is a/an __________.

<p>anticoagulant (C)</p> Signup and view all the answers

Erythropoietin is produced in the __________.

<p>kidneys (B)</p> Signup and view all the answers

Select a thrombolytic drug.

<p>Streptokinase (D)</p> Signup and view all the answers

Select the Vitamin K supplement.

<p>Phytonadione (C)</p> Signup and view all the answers

Anaemia is a deficiency of __________.

<p>red blood cells/haemoglobin (D)</p> Signup and view all the answers

Anti-clotting drugs are used in the treatment of __________.

<p>deep vein thrombosis (D)</p> Signup and view all the answers

Which of the following conditions is NOT related to vitamin K deficiency?

<p>High blood pressure (A)</p> Signup and view all the answers

Which statement about erythropoietin is INCORRECT?

<p>It is produced by the red blood cells (RBCs) (C)</p> Signup and view all the answers

Which statement about myeloid growth factors is INCORRECT?

<p>They are ineffective in treating thrombocytopenia (A)</p> Signup and view all the answers

Which statement regarding anticoagulants is FALSE?

<p>Heparin can be used orally (B)</p> Signup and view all the answers

Which option may be used for inadequate blood clotting?

<p>Vitamin K1 (A)</p> Signup and view all the answers

Which pair of terms correctly matches in the context of antiplatelet agents?

<p>Adenosine uptake inhibitors - Abciximab (D)</p> Signup and view all the answers

Which statement about alteplase is TRUE?

<p>It is a thrombolytic drug. (D)</p> Signup and view all the answers

Which of the following is NOT a role of erythropoietin?

<p>Regulates platelets production (D)</p> Signup and view all the answers

Flashcards

What is plasma?

Straw-colored fluid making up 55% of blood volume, containing water, dissolved substances like proteins, salts, nutrients, waste, hormones, and gases.

What are the three main types of blood cells?

Red blood cells, white blood cells, and platelets.

What is hematopoiesis?

The formation of blood cells, taking place within the red bone marrow.

What are pluripotent stem cells?

Stem cells capable of becoming any type of blood cell, they are the starting point for blood cell production.

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What is hematopoiesis?

The process of replacing blood cells in the body, regulated by growth factors.

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What are hematopoietic growth factors?

Proteins that stimulate the development and maturation of blood cells from stem cells.

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What is anemia?

A condition with insufficient red blood cells, leading to reduced oxygen carrying capacity.

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What are anemia replacement therapies?

Drugs used to treat anemia by replacing missing substances like iron, vitamin B12, or folic acid.

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Vitamin K deficiency

A condition where the body does not produce enough vitamin K, leading to impaired blood clotting.

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Genetic condition related to blood clotting

A condition caused by an abnormality in the genes responsible for blood clotting. This can lead to either excessive bleeding or excessive clotting.

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Thrombocytopenia

A condition characterized by a low number of platelets in the blood, leading to a higher risk of bleeding.

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Increased heart workload

A condition where the heart has to work harder to pump blood, often due to factors like high blood pressure or narrowed arteries.

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Erythropoietin: What does it do?

A hormone produced by the kidneys that stimulates the production of red blood cells in the bone marrow.

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Myeloid growth factors: What do they do?

A group of proteins that stimulate the production of white blood cells, particularly neutrophils.

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Anticoagulants: What do they do?

Drugs that prevent or slow down the formation of blood clots, helping to prevent strokes and heart attacks.

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Vitamin K1: Why is it used?

Vitamin K1, also known as phytonadione, is used to treat inadequate blood clotting, specifically when the cause is vitamin K deficiency.

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Megakaryocyte Growth Factors

A type of growth factor that increases the number of platelets in the blood.

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Interleukin-11 (IL-11)

A specific Megakaryocyte Growth Factor that increases platelet count. It's used to treat thrombocytopenia, a condition with low platelet levels.

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Blood Coagulation

The process by which blood changes from a liquid to a solid clot, stopping bleeding.

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Bleeding

The loss of blood from the body. Hemorrhage is the medical term for bleeding.

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Vasospasm

A temporary spasm of blood vessels that occurs after injury to reduce blood loss.

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Platelet Plug

A plug formed by platelets at the site of an injury to help stop bleeding.

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Fibrin Clot

A protein meshwork that traps red blood cells and platelets to solidify a blood clot.

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Fibrinolysis

The process of breaking down a fibrin clot after the injury heals.

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Thrombolytic drugs

Drugs that accelerate the process of dissolving blood clots, also known as clot-busters.

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Anticoagulants

Drugs that prevent the formation of blood clots.

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What is erythropoietin?

A hormone produced by the kidneys that stimulates the production of red blood cells.

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What is thrombocytopenia?

A blood cell disorder characterized by an abnormally low number of platelets, leading to increased bleeding.

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What is microcytic hypochromic anemia?

A type of anemia characterized by smaller red blood cells that have less hemoglobin.

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What is neutropenia?

A blood disorder characterized by an abnormally low number of white blood cells, increasing the risk of infection.

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What is pernicious anemia?

A type of anemia caused by a deficiency in vitamin B12, leading to abnormal red blood cell production.

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What are anticoagulants?

Drugs that prevent the formation of blood clots by interfering with the clotting cascade.

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What are the main types of anticoagulants?

Heparin and related products, Coumarin anticoagulants (like Warfarin), and Direct thrombin inhibitors.

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What are antiplatelet drugs?

Drugs that prevent platelets from sticking together, which is essential for clot formation, especially in arteries.

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Give examples of antiplatelet drugs.

Aspirin, Ticlopidine, Clopidogrel, Abciximab, Tirofiban, Eptifibatide, Dipyridamole, and Cilostazol.

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What are thrombolytic drugs?

Drugs that dissolve existing blood clots by activating a natural clot-dissolving enzyme.

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Give examples of thrombolytic drugs.

Streptokinase, Urokinase, t-PA activator, Alteplase, Tenecteplase, and Reteplase.

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What are drugs that facilitate clotting?

Agents used to reduce bleeding or enhance clotting when there is an insufficiency.

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List examples of drugs that facilitate clotting.

Fresh plasma, purified clotting factors (like Factor VII and Factor IX), and Vitamin K supplements.

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Red Blood Cell Phagocytosis

The process by which old red blood cells are broken down and recycled.

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Anemia

A condition where the blood has a lower than normal concentration of red blood cells or hemoglobin.

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Microcytic Hypochromic Anemia

Anemia caused by a deficiency of iron, leading to smaller than normal red blood cells.

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Megaloblast

A large, immature red blood cell typically associated with vitamin B12 or folate deficiency.

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Pernicious Anemia

A type of anemia caused by lack of intrinsic factor in the stomach, leading to poor absorption of vitamin B12.

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Hemolytic Anemia

Anemia caused by the destruction of red blood cells at a faster rate than they can be replaced.

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Pharmacological Treatment of Anemia

The use of medications or growth factors to stimulate the production of red blood cells.

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Missing Substance in Anemia

Substances like iron, vitamin B12 or folic acid that are essential for red blood cell production.

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Study Notes

Haematological Agents

  • Learning outcomes include understanding blood composition, formation, anemia types, and blood clotting/bleeding disorders' treatments.

Structure of the Lesson

  • Blood composition: Plasma (55%) and cells (45%). Plasma primarily water, proteins, salts, nutrients, waste, hormones, and gases. Blood cells: Erythrocytes, Leukocytes, Platelets
  • Drugs/Hematopoietic growth factors used in anemia: Focuses on replacing missing substances and using recombinant factors.
  • Bleeding and Coagulation: Discusses processes of blood clotting and stopping bleeding.
  • Drugs used in blood coagulation disorders: Divided into anti-clotting (decreasing/dissolving clots) and clot-promoting drugs (increasing clotting).

Blood Composition

  • Blood is composed of plasma and cells. Plasma is a straw-colored fluid.
  • Plasma constitutes about 55% and cells about 45% of blood volume. Key components of blood include:
    • Water (90-92%)
    • Proteins, salts, nutrients, waste materials, hormones, and gases.
    • Erythrocytes, Leukocytes, and platelets.

Types of White Blood Cells

  • Granulocytes: Neutrophils, eosinophils, basophils.
    • Neutrophils: Phagocytosis (engulfing) of bacteria
    • Eosinophils: Fighting parasitic infections
    • Basophils: Involved in inflammatory and allergic reactions
  • Agranulocytes: Lymphocytes, monocytes.
    • Lymphocytes: Specific immune responses (fighting off bacteria, viruses). B-cells and T-cells have specific roles and function.
    • Monocytes: Fight off bacteria, viruses, and fungus

Blood Cell Formation (Hemopoiesis)

  • Blood cells originate from pluripotent stem cells.
  • Blood cell development occurs in red bone marrow.
  • Mature blood cells are removed from circulation by macrophages in the liver and spleen.
  • This process requires vitamins and minerals, regulated by hematopoietic growth factors. The average life cycle of a red blood cell (RBC) is approximately 120 days.

Anemia

  • Anemia: A subnormal concentration of erythrocytes or hemoglobin in the blood.
  • Causes: Insufficient erythropoiesis, blood loss, or accelerated destruction of red blood cells.
  • Contributing factors include lack of essential nutrients, certain drugs, infections, cancer, endocrine deficiencies, and chronic inflammation.
  • Consequences: Reduced blood's ability to transfer oxygen, resulting in tissue hypoxia.
  • Various types of anemia (e.g., microcytic/hypochromic, megaloblastic, pernicious, hemolytic) are caused by different deficiencies or conditions.

Drugs in Blood Coagulation Disorders

  • Divided into anti-clotting and clot promoting drugs
  • Anti-clotting drugs: reduce clotting or dissolve existing clots, used in myocardial infarction, atrial fibrillation, ischemic stroke, and deep vein thrombosis. Examples of anti-clotting agents: Heparin, coumarin anticoagulants warfarin, direct thrombin inhibitors.
  • Clot-promoting drugs: increase clotting, used when clotting is deficient. Important agents include: fresh plasma, purified human clotting factors, especially factor VII and factor IX (can be purified from blood or produced by recombinant DNA technology), and Vitamin K. Other drugs include antiplasmin agents for acute bleeding episodes in hemophiliacs and other bleeding disorders (e.g., tranexamic acid, aminocaproic acid).

Hematopoietic Growth Factors

  • Used to stimulate blood cell production.
  • Erythropoietin (EPO): Stimulates RBC production, critical in treating anemia associated with renal failure.
  • Myeloid Growth Factors: Stimulate neutrophil production and function, used to accelerate neutrophil recovery after chemotherapy. Example growth factors: Interleukin-11 (IL-11) for thrombocytopenia treatment.

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