Chapter 17 Flashcards

1
Q

Function of transporting blood

A
  • delivering oxygen
  • transporting metabolic waste to lungs and kidneys
  • hormones from endocrine sytem
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2
Q

Function of regulation of blood

A

maintaining:
- body tem
- normal ph
- adequate fluids volume in circulatory system

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3
Q

protection

A

preventing blood loss and infection

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4
Q

Plasma

A

matrix fluid

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5
Q

composition of blood

A

cells:
-erythrocytes
-leukocytes
-platelets

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6
Q

Hematocrit

A

percent of blood volumes of RBCs

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7
Q

Buffy coat

A

WBCs and latelets

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8
Q

albumin

A

60% of plasma proteins; produced by liver, main contributor to osmotic pressure

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9
Q

Hemoglobin

A

binds reversibly with oxygen
- consist red heme: give blood red colour
-consist of 4 polypeptides chains(2 alpha and 2 beta)

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10
Q

oxyhemoglobin

A

ruby red blood and its oxygen loading in lungs

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11
Q

deoxyhemoglobin

A

dark red blood and unloaded in tissues

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12
Q

carbaminohemoglobin

A

loading in tissues
20% of CO2 in blood binds to Hb

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13
Q

Hematopoieses

A

formation of all blood cells
-occurs in bone marrow

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14
Q

hematopoietic stem cells( hemocytoblast)

A
  • stem cell that gives rise to all formed elements
  • hormones and growth factors push cells toward specific pathways of blood cells
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15
Q

hypoxia

A

few RBCs
iron deficiency
reduced availability of O2(high altitudes or lung problems
-erythropoietin is released by kidneys

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16
Q

increase blood viscosity

A

to many RBCs

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17
Q

Erythropioesis

A

Erythrocyte production

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18
Q

Phases of how to make etyrhtocytes

A
  1. myeloid stem cells
  2. proeryrheoblast
  3. basophilic erythroblast: produce many ribosomes
  4. polychromatic erythroblast
  5. orthochromatic erythroblasts: changes as the blue ribosomes become masked by the pink colour hemoglobin and eject nucleus
  6. Reticulocyte: early young erythrocytes
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19
Q

erythropoietin(EPO)

A

a hormone that stimulates the formation of RBCs
- small amount of EPO in blood to maintain basal rate

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20
Q

dangerous of EPO

A
  • can increase hematocrit from 45% to 65%
    -becomes like sludge and cause clotting stroke or heart failure
21
Q

Fate and destruction of erythrocyte

A

100-120 days life span
RBCs are anucleate

22
Q

Anemia

A

A. Blood loss :
- hemorrhagic anemia: rapid blood loss
- chronic hemorrhagic anemia: slight but persistent blood loss due to hemorrhoids, bleeding ulcer
B. not enough RBCs
-iron- deficiency anemia: low iron intake
-Pernicious anemia: destroys stomach mucosa
-Renal anemia: lack of EPO
- Aplastic anemia: the destruction of red bone marrow caused by drugs, chemicals, radiation or viruses
C. Too many RBCs
- Thalassemias: one globin is absent or faulty, needs blood transfusions
-sickle- cell anemia: mutated hemoglobin

23
Q

Polycythemia

A
  • too many blood cell produce; increase blood viscosity, sluggish blood flow
24
Q

Leukocytes

A

WBCs; the only formed element that is the complete cell with nuclei and organelles
- can leave capillaries via diapedesis
-move through tissue spaces by amoeboid motion and positive chemotaxis

25
Granulocytes
contain visible cytoplasmic granules(neutrophils, eosinophils, basophils) -larger and shorter-lived than RBCs -phagocytic to some degree
26
Agrunoulocyes
do not contain visible cytoplasmic granules -lack visible cytoplasmic granules -Both have spherical or kidney-shaped nuclei
27
Neutrophils
-numerous WBC -twice size of RBC - contain either hydrolytic enzymes or antimicrobial proteins -polymorphonuclear leukocytes
28
Eosinophils
- 2-4 %of leukocytes -two lobes connected by a broadband -role in allergies and asthma -red staining granules contain digestive enzymes
29
Basophils
-rarest WBCs -deep purple w1 or 2 constrictions - large, purplish black
30
Basophils
-rarest WBCs -deep purple w1 or 2 constrictions - large, purplish black
31
Lymphocytes
– Second most numerous WBC, – Large, dark purple, circular nuclei with thin rim of blue cytoplasm – Mostly found in lymphoid tissue (example: lymph nodes, spleen), but a few circulate in the blood – Crucial to immunity – Two types of lymphocytes -> T lymphocytes (T cells) act against virus-infected cells and tumour cells -> B lymphocytes (B cells) give rise to plasma cells, which produce antibodies
32
Monocyte/Macrophage
Largest of all leukocytes; 3–8% of all WBCs – Abundant pale blue cytoplasm – Dark purple-staining, U- or kidney- shaped nuclei – Monocytes leave the circulation, enter tissues, and differentiate into macrophages § Actively phagocytic cells; crucial against viruses, intracellular bacterial parasites, and chronic infections – Activate lymphocytes to mount an immune response
33
Leukopoiesis
production of WBCs are stimulated by two types of chemical messengers from red bone marrow and mature WBCs
34
lymphoid stem cells
produces lymphocytes
35
Myeloid stem cells
produce all other elements
36
Leukemias
– Cancerous condition involving overproduction of abnormal WBCs § Usually involve clones of single abnormal cell – Named according to the abnormal WBC clone involved § Myeloid leukemia involves myeloblast descendants § Lymphocytic leukemia involves lymphocytes § Acute (quickly advancing) leukemia derives from stem cells, and primarily affects children
37
infectious mononucleosis
– Highly contagious viral disease (“kissing disease”) § Usually seen in young adults – Caused by Epstein-Barr virus – Results in high numbers of typical agranulocytes § Involve lymphocytes that become enlarged § Originally thought cells were monocytes, so disease named mononucleosis – Symptoms § Tired, achy, chronic sore throat, low fever – Runs course with rest in 4–6 weeks
38
Platelet
fragments of larger megakaryocyte * Contain several chemicals involved in clotting process – Serotonin, calcium, enzymes, ADP to name a few * Function: form temporary platelet plug that helps seal breaks in blood vessels * Circulating platelets are kept apart and mobile by nitric oxide (NO) and prostacyclin from endothelial cells lining blood vessels * Platelets age quickly and degenerate in about 10 days * Normal = 150,000–400,000 platelets/ml of blood
39
Hemostasis
fast series of reactions for stoppage of bleeding * Requires clotting factors and substances released by platelets and injured tissues
40
Vascular Spasm * Vessel responds to injury with vasoconstriction * Vascular spams are triggered by: – Direct injury to vascular smooth muscle – Chemicals released by endothelial cells and platelets – Pain reflexes * Most effective in smaller blood vessels * Can significantly reduce blood flow until other mechanisms can kick in Copyright
Vessel responds to injury with vasoconstriction * Vascular spams are triggered by: – Direct injury to vascular smooth muscle – Chemicals released by endothelial cells and platelets – Pain reflexes * Most effective in smaller blood vessels * Can significantly reduce blood flow until other mechanisms can kick in Copyright
41
Platelet Plug Formation
Platelets stick to collagen fibers that are exposed when vessel is damaged * When activated, platelets swell, become spiked and sticky, and release chemical messengers: – ADP causes more platelets to stick and release their contents – Serotonin and thromboxane A2 enhance vascular spasm and platelet aggregation * Positive feedback cycle: as more platelets stick, they release more chemicals, which cause more platelets to stick and release more chemicals * Platelet plugs are fine for small vessel tears, but larger breaks in vessels need additional step
42
Coagulation
* Coagulation (blood clotting) reinforces platelet plug with fibrin threads – Blood clots are effective in sealing larger vessel breaks * Blood is transformed from liquid to gel * Series of reactions use clotting factors (procoagulants), mostly plasma proteins – Numbered I to XIII in order of discovery – Vitamin K needed to synthesize some factors * Coagulation occurs in three phases
43
Two mechanisms limit clot size
§ Swift removal and dilution of clotting factors § Inhibition of activated clotting factors
44
Factors preventing platelet adhesion
§ Smooth endothelium of blood vessels prevents platelets from clinging § Endothelial cells secrete antithrombic substances such as nitric oxide and prostacyclin § Vitamin E quinone, formed when vitamin E reacts with oxygen, is a potent anticoagulant
45
thromboembolic disorders
result in undesirable clot formation
46
Bleeding disorders
abnormalities that prevent normal clot formation
47
The cardiovascular system minimizes the effects of blood loss by:
1. reducing volume of affected blood vessels 2. stepping up production of RBCs
48
Antigen
anything perceived as foreign that can generate an immune response
49
agglutinogens
RBC antigens; promote agglutiniation - Type A has only A agglutinogen – Type B has only B agglutinogen – Type AB has both A and B agglutinogens – Type O has neither A nor B agglutinogens