Beruflich Dokumente
Kultur Dokumente
Lesson Plan
1 Blood System
3
TEACHING FOCUS
Students will have the opportunity to learn about the various functions of blood. Students will be exposed to
blood formation and composition, including different cell types and whole blood samples; identification of
blood types; blood transfusion therapy; diseases of the blood; and laboratory tests, clinical procedures, and
abbreviations associated with diagnosis and treatment of blood abnormalities. Students also will be exposed
to medical terminology in the proper context of medical reports and records.
LESSON CHECKLIST
KEY TERMS
immune reaction
immunoglobulin
leukocyte
lymphocyte
macrophage
megakaryocyte
monocyte
mononuclear
neutrophil
plasma
plasmapheresis
platelet
prothrombin
reticulocyte
Rh factor
serum
stem cell
thrombin
thrombocyte
poikil/o
sider/o
spher/o
thromb/o
-apharesis
-blast
-cytosis
-emia
-globin
-globulin
-lytic
-oid
-osis
-penia
-phage
-philia
-phoresis
-poiesis
-stasis
mononucleosis
Legend
CD
Companion CD
iTerms
IRM
Instructors
Resource Manual
available on CD
and Evolve
Evolve
Evolve
Resources
aplastic anemia
granulocytosis
hemochromatosis
hemolytic anemia
hemophilia
leukemia
Laboratory Tests and Clinical Procedures (pp. 522-525)
antiglobulin test (Coombs test)
bleeding time
coagulation time
complete blood count (CBC)
erythrocyte sedimentation rate (ESR or
sed rate)
hematocrit (Hct)
hemoglobin test (H, Hg, HGB)
partial thromboplastin time (PTT)
platelet count
REFERENCE LIST
PowerPoint slides (CD, Evolve): 1-44
LESSON 13.1
PRETEST
IRM Exercise Quiz A, B
PPT
PowerPoint
Slides
MTO
Medical
Terminology
Online
multiple myeloma
pernicious anemia
polycythemia vera
purpura
sickle cell anemia
thalassemia
prothrombin time (PT)
red blood cell count (RBC)
red blood cell morphology
white blood cell count (WBC)
white blood cell differential
apharesis
blood transfusion
bone marrow biopsy
hematopoietic stem cell transplant
BACKGROUND ASSESSMENT
Question: Red and white blood cells develop from a common hematopoietic stem cell, which is large and
nucleated. After cell differentiation and maturation, red cells no longer have nuclei and are very small, and
white cells are nucleated, often large, filled with granules, and are capable of phagocytosis. Why do mature
red blood cells look so different from their white counterparts?
Answer: Mature red blood cells are designed to squeeze in and out of the bone marrow and capillaries and
have a large surface area to carry and deliver gases to cells and tissues in the body. They shed their nuclei
during maturation after they make protein called hemoglobin. Hemoglobin molecules allow red blood cells
to carry oxygen in the form of oxy-hemoglobin, a molecule that produces the bright red color. Without
nuclei, red blood cells are incapable of reproducing themselves. Instead, after 120 days they are destroyed by
macrophages, which are cells in the spleen, liver, and bone marrow.
Question: What is the term for white blood cells? How many types are there and what does each one do?
What is an easy way to remember the names of the different types?
Answer: White blood cells are called leukocytes. There are three granulocytes and two mononuclear
leukocytes. The granulocytes include eosinophils, which are active and elevated in allergic conditions such
as asthma; basophils, which play a role in inflammation; and neutrophils, which are disease-fighting cells.
Within the mononuclear leukocytes there are lymphocytes, which fight disease by producing antibodies and
destroying foreign cells and monocytes, which engulf and destroy cellular debris, after neutrophils have
attacked foreign cells. An easy way to remember the names of the five leukocytes is Never (neutrophil) Let
(lymphocyte) Monkeys (monocyte) Eat (eosinophil) Bananas (basophil).
OBJECTIVES
Identify terms
relating to the
composition,
formation, and
function of blood
CONTENT
TEACHING RESOURCES
PPT 5-11
MTO Module 13, Section I, Lessons 1-4
Figure 13-1 Stages in blood cell development
(p. 505)
OBJECTIVES
CONTENT
TEACHING RESOURCES
combining forms for blood. Have them
practice the definitions in pairs.
Read the terms for the
formation, composition, and functions of the
blood. Ask students to correctly spell, analyze,
and define them.
Class Activity
Differentiate
among the
different types of
blood groups.
PPT 12
MTO Module 13, Section I, Lesson 5
Table 13-2 Blood types (p. 510)
Exercise D (p. 529)
Class Activity Ask
PPT 13
MTO Module 13, Section I, Lesson 6
Figure 13-8 The usual sequence of events in
blood clotting (p. 511)
Figure 13-9 A red blood cell enmeshed in
threads of fibrin (p. 511)
Exercises E, F (pp. 530)
Ask groups of three to develop a
description of the process of blood clotting.
Ask that this be a visual display that can be
drawn on the board or displayed on a
transparency. Pick a group to present their
description to the class. Have the class offer
improvements.
Class Activity
PPT 14-15
Class Activity
OBJECTIVES
CONTENT
medical terms in
their proper
contexts, such
as medical
reports and
records.
TEACHING RESOURCES
Call out definitions and see which team
names the most correct terms. Assign points
to determine the winner.
Alternatively, read exercise A to
students, asking them to spell, analyze, and
underline the accented syllable in the terms
that fit the definitions read.
Class Activity
13.1 Homework/Assignments:
PPT 16-20
Class Activity Create
LESSON 13.2
CRITICAL THINKING QUESTION
Anemia is characterized by generalized fatigue because of a deficiency in erythrocytes or hemoglobin.
What are different types of anemia and their deficiencies?
Guidelines: Anemia can be produced by a deficiency of normal red blood cells, and abnormal red cell
formation can produce symptoms. With sickle cell anemia, for example, the crescent or sickle shapes of
erythrocytes cause difficulty with normal passage through small blood vessels, leading to thrombosis and
infarction (dead tissue). The condition is caused by an abnormal type of hemoglobin, a genetic defect
prevalent in persons of African or African-American ancestry. Hemolytic anemia is the reduction of red
cells resulting from a destruction of fragile red cells of abnormal spheroidal shape. Aplastic anemia is the
reduction of red blood cells caused by the failure of stem cells in the marrow to produce cells. Thalassemia is
an inherited defect, usually in people of Mediterranean background, in which hemoglobin content in red
cells is diminished.
OBJECTIVES
Describe various
pathological
conditions
affecting blood.
CONTENT
TEACHING RESOURCES
PPT 22-31
MTO Module 13, Section II, Lessons 1-3
Figure 13-10 A, Normal red blood cells; B,
iron deficiency anemia (p. 517)
13.2 Homework/Assignments:
LESSON 13.3
CRITICAL THINKING QUESTION
Question: People who need blood transfusions after injury are blood-typed before being transfused. Both
recipients and donors are tested to be certain their blood is compatible. This is especially important for the
recipient. Why?
Answer: Blood-group antigens and antibodies in blood determine blood type. Type A blood contains A
antigen and anti-B antibody, and Type B blood contains B antigen and anti-A antibody. The problem with
transfusing from a type A donor into a type B recipient is that A antigens will react adversely with the anti-A
antibodies in the recipients type B bloodstream. The accidental adverse reaction is hemolysis, or breakdown
of blood cells. Intravascular hemolysis may lead to disseminated intravascular coagulation, which is a
serious coagulopathy.
OBJECTIVES
Differentiate
among various
laboratory tests,
clinical
procedures, and
abbreviations
used in
connection with
the blood
system.
CONTENT
TEACHING RESOURCES
PPT 33-35
MTO Module 13, Section III, Lessons 1-2
PPT 36-43
MTO Module 13, Section V
Practical Applications (pp. 526-527)
Read the case report
and ask students to write the answers to
the questions. Ask them to spell out all
abbreviation and analyze and define terms
Class Activity
OBJECTIVES
CONTENT
TEACHING RESOURCES
used in the answers.
Differentiate
among various
laboratory tests,
clinical
procedures, and
abbreviations
used in
connection with
the blood system.
Define
combining forms
for blood system
and the meaning
of related
terminology
using these
words.
Terminology Bingo:
Create bingo cards with blood terminology
abbreviations and acronyms. To play, the
meanings of terms are called out. Switch
callers.
Pathological conditions,
laboratory tests, and clinical
procedures (p. 540)
Component Terminology
Bingo: Create bingo cards with word
components that are presented in this chapter.
To play, the meanings of terms are called out.
The first winner becomes the next caller.
Spell a medical term to the class.
Ask students to copy the term, underlining the
accented syllable and analyzing the terms.
Ask students to pronounce the word. Repeat
this for 10 to 20 terms.
Class Activity
Performance
Evaluation
Have students find articles from medical journals, newspapers, or periodicals that include terminology
associated with the blood system. Students should underline about 15 to 25 terms. In class, have students
exchange articles and together identify meanings of the underlined terms.
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