Composition and features of BLOOD Flashcards

(42 cards)

1
Q

Describe Blood circulation

A

vast amount of tiny capillaries- high pressure to force blood through
large vessels- high v / low F
small vessels Low V/ High F.

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2
Q

Describe what Blood pressure ensures

A

even and efficient flow through the small capillaries

low enough to present capillary leakage but high enough to avoid coagulation

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3
Q

What are the 7 Major components of blood

A
cells
proteins
lipids
electrolytes
Vitamins, hormones
Glucose
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4
Q

state Blood ‘cells’

A

Erythroid, myeloid, lymphoid

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5
Q

state Protein cells in blood

A

albumin, haemoglobin, fibrinogen, immunoglobulin

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6
Q

State the lipid cells

A

bound in lipoproteins HDL, LDL, VLDL

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7
Q

State the Electrolytes

A

salts and minerals ( HCO, NA, CI, CA, MG, K, creatine

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8
Q

State the Major blood proteins

A

Albumin

Fibrinogen

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9
Q

Describe ALbumin

A

Major blood protein

Maintains colloidal osmotic pressure.

binds and transports main small molecules and hormones

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10
Q

Describe Fibrinogen

A

7% of total blood protein
activated through the coagulation cascade to form cross linked fibrin

Fibrinogen—– Fibrin

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11
Q

What are immunoglobulins

A

Antibodies. Diverse range of antigens binding proteins- produced by B lymphocytes

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12
Q

What is Complement

A

9 proteins that coat bacteria targeting them for phagacytosis. C3 is a major component

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13
Q

What are Coagulation factors

A

13 proteins cleaved in an ordered cascade resulting in fibrogen—- fibrin.

CA is essential to coagulation.

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14
Q

What is HAemophillia

A

results from a missing component. Factor 8 deficiency is the commonest form of haemophillia

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15
Q

Describe electolytes

A

Istonicity and buffering. Blood pH is tightly maintained at 7.4.

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16
Q

Describe the electrolytes which are tightly monitored

A

Free Ca++

K+ are tighly maintained. Most important

They are critical for regulation of cell membrane channels, ion pumps and normal nerve and muscle function such as heart

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17
Q

What are the innate blood cells

A

Basophils
Eosinophil
Neutophils

monocyte
Macrophage

18
Q

what are the adaptive blood cells

A

small lymphocyte
t lymphocyte
b lymphocyte
plasma cells

19
Q

State the three factors that drive haematopoiesis

A

GM- CSF : Granulocyte macrophage colony- stimulating factor

EPO- Erythropoietin

G- CSF- Granulocyte colony stimulating

20
Q

Describe GM- CSF

A

Produced by macrophage, T cells, endothelial cells and fibroblasts

stimulates the production of
neutrophils, eosinophils, basophils and monocytes

21
Q

Describe EPO

A

drives the production of erythrocytes

produced mainly by the kidney during adulthood and liver in perinatal

22
Q

Describe G-CSF

A

Stimulates production of granulocytes but also acts to mature neutrophils

23
Q

Describe Hemoglobin and oxygen transport

A

association and dissociation of O2 from heme is regulated by the partial pressure of O2

eg: O2 readily associated in the lungs and dissociates in the tissues

24
Q

Why do cells need O2

A

energy= oxidization

25
What is complement essential for
complement is a proteolytic activation cascade and is essential for innate immunity.
26
What is C3
most abundant complement component in serum | attaches to the bacteria by a covalent bond
27
How is complement activated
The classical pathway is mediated by antibodies IgM or IgG binding to a microbe surface which is then bound by complement C1
28
What is opsonisation
Very first activation in infection. Soaking of a bacteria in complement enables you to recognize bacteria as nonself
29
describe convertases
Desposited complexes are called convertases. These activate more complement that then deposits to coat the surface
30
How are convertase bound
irreversibly bound through a covalent bond
31
What occurs during with C3, C4 and C5
they all produce small fragment (C3a, C4a and C5a) that are powerful chemoattractant called anaphylotoxins that attract and activate neutrophils. C5a is the most important
32
What occurs to people who lack complement
They are susceptible to chronic infections
33
Describe factors that influence the complement cascade
Many microbes produce proteins called virulence factors that inhibit the complement cascade.
34
Describe coagulation
Proteolytic activation cascade there are two pathways for activation - Intrinsic caused by contact with surfaces - Extrinsic caused by tissue damage
35
What is Factor X
Is a key enzyme in coagulation | it is common in the 2 pathways (extrinsic and intrinsic)
36
Calcium's involvement with coagulation
essential at a number of steps. Remove calcium and blood does not clot
37
Thrombins involvement with coagulation
A enzyme that claves fribrogen to fibrin which cross-links
38
Describe parasites involvement with coagulation
parasites and other microbes that rely on blood flow produce powerful anti coagulants that typically target the thrombin step
39
Describe Plasminogen in coagulation
Plasminogen is converted to active plasmin and dissolves the clot (thrombolysis)
40
Describe Plasminogen's involvement with medicine
Plasminogen activates: TPA (Tissue Plasminogen Activator) or Strephtokinase are used widely in medicine for the treatment of thrombosis.
41
Carbon monoxide turns the blood which colour
cheery red
42
Cyanide turns the blood what colour
pink