Anatomy 2 Midterm 1 Flashcards
(125 cards)
What is blood composed of?
- Formed elements: Erythrocytes (RBC), Leukocytes (WBC), platelets
- Plasma
What is the main type of plasma protein?
Albumin
What is the structure of an RBC?
-Biconcave disc with large surface area
-Composed of mostly hemoglobin
What are the functions of erythrocytes?
Transport respiratory gases around the body. (Gas exchange and transportation)
What is the structure of hemoglobin?
- 4 polypeptide chains (2 alpha, 2 beta)
- 1 heme group per polypeptide
- iron in the center of heme group (oxygen reversibly binds to iron)
What is the function of hemoglobin?
Reversibly binds oxygen to iron in the heme group. When oxygen is attached it’s called oxyhemoglobin. When oxygen is released it’s called deoxyhemoglobin. CO2 attaches to the amino acids of hemoglobin and when that occurs it’s called carbaminohemoglobin.
What is the process of creating erythrocytes?
Erythropoiesis
1. starts as hemocytoblast (hematopoietic stem cell)
2. enters the committed cell phase (proerythroblast)
3. ribosome synthesis
4. hemoglobin accumulation
5. ejection of nucleus
6. reticulocyte
7. erythrocyte
What is erythropoietin?
Erythropoietin is a glycoprotein hormone that stimulates the rate of production of erythrocytes in cases where there’s excess RBC destruction, high altitude, or increased demand
Where is erythropoietin produced?
Primarily in the kidneys but also some from liver. Gets sent to red bone marrow to stimulate rate of production
Why do men have higher EPO than women?
- Menstruation
- Testosterone causes an increase in EPO
What is the lifespan of an erythrocyte (when it’s useful)?
100-120 days
What is the mechanism of control in erythrocytes?
- Stimulus presents issue
- Stimulates kidneys and kind of liver to release EPO
- This stimulates red bone marrow
- The RBC count increases
- Oxygen levels increase
What happens to an erythrocyte when it becomes old?
It becomes rigid as spectrin deteriorates. It also loses hemoglobin and due to it’s lack of flexibility most likely gets trapped in the spleen. Macrophages engulf them and the heme group splits off from globin. The iron is saved and bound to protein for later use. Heme group becomes bilirubin and metabolizes in the intestine; becoming urobilinogen. most of this pigment leaves the body as stercobilin in feces. the globin is broken down into amino acids and released into circulation.
What are the steps of hemostasis?
- Vascular spasm
- Platelet plug formation
- Coagulation
What is the first step of hemostasis?
Vascular spasm:
- damaged blood vessels respond to injury by contracting (vasoconstriction)
What causes vascular spasm to occur?
- Direct injury to smooth muscle
- Chemicals released by damaged endothelial cells and activated platelets
- reflexes initiated by local pain receptors
What is the second step of hemostasis?
Platelet Plug Formation:
- Activated platelets stick together to temporarily form a plug in the wall to seal the blood vessel
Why do platelets normally not stick to each other or endothelial linings?
Intact endothelial cells release nitric oxide and prostacyclin to prevent platelets from clumping
How do platelets activate (become sticky)?
Damaged endothelial cells expose collagen and the platelets adhere to the collagen fibers in the basement membrane. A large protein called the Von Willebrand factor stabilizes the platelets by forming bridges between the collagen and platelets. This causes platelets to release chemicals called adenosine phosphate (ADP), serotonin, and thromboxane (A2). More and more platelets come and release their chemicals activating the platelets in a positive feedback cycle.
What is the 3rd step of hemostasis?
Coagulation:
- Platelet plug is converted to a sturdier structure with fibrin threads
- Liquid blood becomes gel when these proteins (fibrins) are added
What are the 3 phases in coagulation?
1) Formation of prothrombin activator
2) Prothrombin converts to thrombin
3) Fibrinogen molecules become fibrin mesh
What are the 2 pathways in phase 1 of coagulation?
1) Intrinsic Pathway
- Activates when collagen is exposed
- Clotting of blood outside body or in a slightly damaged vessel
2) Extrinsic Pathway
- Activates due to exposed blood to tissue factor
- Clotting of blood in response to damage
- Faster than intrinsic; quick way to factor X and PA.
What is phase 2 of coagulation
Prothrombin converts to thrombin
What is phase 3 of coagulation?
- Thrombin catalyzes the formation of soluble fibrinogen to insoluble fibrin
- Also when present with calcium, thrombin activates the XIII factor (fibrin stabilizing factor) that causes fibrin to link firmly together forming a fibrin mesh.