Chapter 18 The Blood Flashcards

(58 cards)

1
Q

Cardiovascular system

A

Includes the heart, the blood vessels and the blood itself

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2
Q

Systemic circulation Step 1

A

Heart pumps and creates blood pressure and then arteries carries that blood from the heart to the systems of the body, or the bodies tissues.

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3
Q

Systematic Circulation step 2

A

They begin as arteries and become smaller becoming arterials that then pass to a capillary bed. Capillary bed leaks the plasma of the blood out over the tissues and supply that tissue.

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4
Q

Systematic circulation step 3

A

Some of that plasma will be reabsorbed into the venous system and carried in progressively larger vessels. Firstly venules and then veins and be carried to the heart where the circuit begins again.

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5
Q

Pulmonary circulation

A

Deoxygenated blood is carried from the heart to the lungs and arteries. Lungs will oxygenate the blood and it will then travel back to the heart through the pulmonary vein.

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6
Q

Functions of the Blood

A

-supply tissues with what they need which is mostly oxygen
-remove wastes from tissues
-fight infections
-regulate pH and temperature

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7
Q

Components and properties of Blood

A

A liquid connective tissue consisting of cell and extra cellular matrix

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8
Q

Plasma of the blood

A

Matrix of blood: a clear light yellow fluid
Complex mixture of water, proteins, nutrients, electrolytes, nitrogenous wastes, hormones and gases

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9
Q

Formed elements of blood

A

Blood cells and cell fragments like red and white blood cells and platelets

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10
Q

Hematocrit test

A

When you centrifuge blood to separate components
-Erythrocytes are heaviest and settle first: they are 37-52% of volume
-White blood cells and platelets are 1% total volume and are a Buffy coat
-Plasma is the rest of the volume being 47-63%

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11
Q

Serum

A

Remaining fluid when blood clots and the solids are removed
It is identical to plasma except for the absence of fibrinogen

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12
Q

3 Major categories of plasma protein: Albumins

A

Smallest and most abundant
Contributes to viscosity and osmolarity, influences blood pressure, flow and fluid balance

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13
Q

Viscosity

A

Resistance to flow. Makes blood flow at the proper speed

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14
Q

Osmolarity

A

The ability of the blood to absorb other things. Determine the ability to reabsorb water from the tissue after interstitial fluid has been leaked in to the tissue

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15
Q

3 Major categories of plasma protein: Globulins

A

Antibodies in the plasma. Antibodies will attack foreign cells
Provide immune system functions
Alpha, beta and gamma globulins

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16
Q

3 Major categories of plasma protein: Fibrinogen

A

Precursor of fibrin threads that help form blood clots

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17
Q

Where are plasma formed

A

They are formed by the liver
Except globulins ( produced by plasma cells )

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18
Q

Nonprotein components of Plasma: Nitrogenous compounds

A

Free amino acids (amino acids are the “building blocks” of proteins)
From dietary protein or tissue breakdown

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19
Q

Nonprotein components of Plasma: Nitrogenous compounds 2

A

Nitrogenous wastes (urea)
Toxic end products of catabolism
Normally removed by the kidneys

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20
Q

Nonprotein components of Plasma: Nutrients

A

Glucose (major one), vitamins, fats (lipids), cholesterol, phospholipids, and minerals

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21
Q

Nonprotein components of Plasma: Gases

A

Dissolved O’2, CO’2, and nitrogen

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22
Q

Nonprotein components of Plasma: Electrolytes

A

Na’+ makes up 90% of plasma cations

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23
Q

Formed elements: Erythrocytes (RBCs)

A

Disc shaped cell with a thick rim
Lose nearly all organelles during development which is why they are disc shaped
The blood type is determined by surface glycoprotein and glycolipids
Cytoskeletal proteins (spectrum and actin) give membrane durability a resilience
-they stretch and bend as they squeeze through small capillaries

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24
Q

Red blood cell form and Function

A

-gas transport (major function)
- their increased surface area increases diffusion rate of substance
-33% of cytoplasm is hemoglobin
-carbonic anhydrase (CAH) in cytoplasm

25
Carbonic anhydrase
Produces carbonic acid from O’2 and water Has an important role in gas transport and pH balance
26
Hemoglobin (Hb) structure
A protein complex made up of 4 proteins that have been bonded together Each Hb molecule consists of: 4 protein chains- globins 4 hem groups
27
Heme groups
Oxygen is carried Nonprotein moiety that binds O’2 to ferrous ion (Fe’2+) at its center
28
Globins
4 protein chains 2 alpha and 2 beta chains 5% CO’2 in blood is globin moiety
29
Erythrocyte production
Erythropoiesis
30
Erythropoiesis: First step
Starts with a pluripotent stem cell and then differentiates into a erythrocyte colony forming unit (CFU). It is a committed cell at this point
31
Erythropoiesis: Second step
CFU can now only produce erythrocytes and will go through mitosis Creating a daughter cell called an erythroblast
32
Erythropoiesis: Third step
The nucleus gets digested in the erythroblast and becomes a reticulocyte
33
Erythropoiesis: Final step
Left over organelles in reticulocyte get removed in the bone marrow and creates the erythrocyte
34
Nutritional needs for Erythropoiesis
-vitamin B’12 and folic acid Responsible for rapid cell division and DNA synthesis that occurs in Erythropoiesis -vitamin C and copper Cofactors responsible for enzymes synthesizing hemoglobin The copper is transported in the blood by an alpha globulin called ceruloplasmin
35
Erythrocyte Homeostasis
Controlled by a negative feedback mechanism Liver and kidney can sense drop in RBC count or oxygen levels (hypoxemia) Kidney then produces a hormone ,erythropoiten, which stimulates the bone marrow to produce more RBC
36
Stimuli for increasing Erythropoiesis
Low levels of oxygen (hypoxemia) High altitude Increase on exercise Loss of lung tissue in emphysema
37
Anemia
When your unable to transport oxygen at the level that you need to
38
Causes of Anemia: First one
Inadequate Erythropoiesis or hemoglobin synthesis Kidney failure and insufficient erythropoietin Iron deficiency anemia Inadequate vita,in B’12 from poor nutrition (pernicious anemia)
39
Hypoplastic anemia
Slowing of Erythropoiesis
40
Aplastic anemia
Complete cessation of Erythropoiesis
41
Causes of Anemia: Second one
Hemorrhagic anemias from bleeding
42
Causes of Anemia: Third one
Hemolytic anemias from RBC destruction
43
Transfusion
Must consider what type of antibodies the recipient would have A person only has circulating antibodies for antigens they don’t have Ex: type A+ will only have anti-B antibodies
44
Transfusion pt 2
With a blood transfusion there is a donor and recipient Donor must not have any antigens that the recipient does not have
45
Hemolytic disease of newborn
Rh antibodies attack fetal body causing severe anemia and toxic brain syndrome
46
Erythroblastosis
The killing of red blood cell Happens in hemolytic disease of newborn with a Rh- mothers Rh+ second child
47
Granulocytes
Neutrophils (60-70%) Eosinophils (2-4%) Basophils (<1%)
48
Agranulocytes
Lymphocytes (25-33%) Monocytes (3-8%)
49
Hemostasis
The cessation or stopping of bleeding Stops potential fatal leaks
50
Hemorrhage
Excessive bleeding
51
Three hemostatic mechanisms
Vascular spasm Platelet plug formation Blood clotting (coagulation) Platelets play an important role in all three
52
Fate of Blood Clot: Clot retraction
Clot retraction occurs within 30 minutes
53
Fate of Blood Clot: platelet derived growth factor
It is a mitotic stimulant for fibroblasts and smooth muscle to multiply and repair damaged vessels It is secreted by platelets and endothelial cells
54
Fate of Blood Clot: Fibrinolysis
Dissolution of a clot
55
Prevention of inappropriate clotting: Platelet repulsion
Platelets don’t adhere to prostacyclin coating
56
Prevention of inappropriate clotting: Thrombin dilution
Rapidly flowing blood Heart slowing in shock can result in clot formation
57
Prevention of inappropriate clotting: natural anticoagulants
Heparin (from basophil and mast cells): it interferes with formation of prothrombin activator Antithrombin (from liver): deactivates thrombin before it can act on fibrinogen
58
Clinical management of clotting
Aspirin suppresses clotting Vitamin K is required for formation clotting factors