Lecture 1 Flashcards

(32 cards)

1
Q

name the major constituents of blood

A
  • plasma
  • red blood cells
  • white blood cells
  • platelets
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2
Q

give the approximate concentration of Na, K, Ca in the plasma (ECF)

A

Na : 145 mM
K: 4-5 mM
Ca 2+ : 2-2.5mM

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3
Q

give the approximate concentration of Red, white, platelets and plasma

A
  • 1% platelets
  • 35% RBC
  • <5% WBC
  • 60% plasma
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4
Q

give the approximate concentration of H+ and HCO3- in the plasma (ECF)

A

H+: pH 7.35 - 7.45
HCO3-: 24mM

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5
Q

state what a hematocrit measures and how it works

A

it measures the amount of RBC in the blood sample, it is measured in the centrifuge

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6
Q

what are the proteins in plasma

A
  • albumin: major component
  • globulin: antibodies
  • fibrinogen: clotting
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7
Q

what are the cellular constituents

A

RBC: 5 million/ ul
WBC: 7,000/ ul
platelets: 250,000 ul

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8
Q

what are cytokines and where do they come from?

A

they regulates the synthesis of RBC, WBC and platelets
they come from immune cells

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9
Q

what type of cell starts process of all cells?

A

pluripotent hematopoietic stem cells

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10
Q

what is the function of red blood cells?

A

they transport O2 to muscle and cells and deliver CO2 out of body to lungs

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11
Q

what is the structure of red blood cells?

A

concave disc that contain no nucleus and have Hb molecules inside

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12
Q

how are red blood cells made? (synthesis)

A

EPO (erythropoeitin) that come from the kidneys
- erythroplast turn into erythrocytes every 90-120 days

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13
Q

what is the structure and function of white blood cells?

A

function is for protection from pathogens and immunity

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14
Q

how are white blood cells made? (synthesis)

A

they are synthesized when promoted by colony stimulating factors from different immune cells with a lifespan of hours/days

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15
Q

what is the structure and function of platelets?

A

tiny pieces of a megakaryocyte to clots bleeding blood vessels

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16
Q

how are platelets made? (synthesis)

A

a megakaryocytic stops at anaphase then breaks up into tiny pieces called platelets

17
Q

what are the major functions of hemoglobin?

A

to bind and transport O2

18
Q

what factors decrease makes O2 binding

A
  • low pH
  • high CO2
  • high BPG
  • high temp
    this is a right shift on the O2 dissociation curve
19
Q

what factors increase makes O2 binding

A
  • high pH
  • low CO2
  • low BPG
  • low temp
    this is a left shift on the O2 dissociation curve
20
Q

what’re the types of anaemia?

A

hypochromic - iron deficency
aplastic - low RBC production
hemolytic- fragile RBC
megabolastic - vitamin B12 deficiency

21
Q

what is the structure of Hb?

A

4 globin tetramers that each contain heme group that has 1 iron and a porphyrin ring
molecules needed for production: iron, vitamin B12 and folic acid

22
Q

describe the process of hemoglobin synthesis and metabolism

A

1) iron is absorbed in diet
2) iron goes to red bone marrow of flat bones in adults and the EPO signal production of RBC
3) RBC performs it function
4) old RBC get destroyed in spleen
5) the bilirubin and metabolites are absorbed in liver
iron is recycled (bilirubin is used to make bile)
any extra bilirubin and metabolites are excreted
6) kidney makes EPO

23
Q

what is hyperbilirubinanemia?

A

too much bilirubin and it causes jaundice
- solution: urinary excretion

24
Q

how are platelets kept soluble when there’s no bleeding

A

prostacyclin is kept circulating

25
how does bleeding get stopped by platelets
1) when tissue is exposed the collagen which attracts and activates the platelets to aggregates 2) the platelets clumping activates the release oof platelet factors (seratonin 5-HT, ATP, thromboxane A2) which causes a positive so me platelet aggregate
26
explain the intrinsic pathway of the coagulation cascade
factors 12, 11 & 9 along with calcium to activate each other to activate 9
27
explain the extrinsic pathway of the coagulation cascade
1) tissue factor changes factor 7 to more tissue factor and active 9 2) active 7 activates active 9
28
explain the the common pathway of the coagulation cascade
1) factor 10 t active 10 by Ca2+ & factor 8 2) active 10, factor 5 and phospholipids changes prothrombin into thrombin 3) thrombin changes fibrinogen to fibrin 4) thrombin changes factor 13 to active 13 5) active 13 and Ca2+ changes fibrin to cross linked fibrin
29
what are the types of the white blood cells/leukocytes?
- granulocytes - monocytes - lymphocytes
30
what are the types of the granulocytes and their functions?
neutrophil- neutralize pathogens basophils- mast cells to release histamine for allergens and inflammation basophil - destroy pathogens
31
what are monocytes and what is its function
makes macrophages to phagocytoze pathogens
32
what are the types of lymphocytes
B cells - antibodies T cells - kills natural killer