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62 Cards in this Set

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What is the normal ph of blood? Is it basic or acidic?
7.35-7.45--Slightly basic
What type of tissue is blood? Is it considered an intra or extracellular fluid
Connective Tissue--extracellular fluid.
True or false--females have larger amount of blood than males.
False--females have slightly less liters of blood due to basic anatomical differences in male and females (males are generally bigger in size, thus more blood).
Two components of whole blood:
Plasma and formed elements.
Components of plasma:
Water and solutes (gases, hormones, ions, enzymes, and waste products.)
Albumin
Protein primarily responsible for osmotic pressure (minimum pressure needed to nullify osmosis).
Is osmotic pressure high or low when Albumin is in blood?
High
Components of formed elements of blood:
Cell fragments and cells (erthythrocytes, leukocytes, thrombocytes)
Hematocrit
Percentage of red blood cells in whole blood.
Hematopoiesis--where does it occur in adults? In the fetus?
Whole blood formation--red bone marrow in adults (liver, spleen, and thymus in addition to bone marrow in fetus).
Location of red bone marrow (red blood site formation sites):
Proximal limb bones. sternum, vertebrae, ribs, skull, scapulae, and pelvis.
Erythropoiesis
Formation of Red blood cells
Leukopoiesis
Formation of white blood cells.
Importance of the stem cell
Can differentiate into different types of cells depending on what factors act on it.
Colony stimulating factors
increases growth of white blood cells
What happens to each part of hemoglobin in RBCs when it is broken down?
Iron bound or stored in phagocytic cells or released into bloodstream and bound to transferrin.

Heme is stripped of its iron and converted to biliverdin.

Globin is broken apart into component amino acids and metabolized or released into bloodstream for use by cells.
Do RBCs have nuclei or mitochondria? Hod do they get their ATP?
Lacking many organelles--no nuclei or mitochondria. Gets ATP by anaerobic metabolism of glucose in surrounding plasma.
How many RBCs are there per mm3?
4-5 million
Polycythemia
High blood cell count, too much produced by red bone marrow.
Anemia
Decrease in number of red blood cells.
Normal value of RBCs (hematocrit):
40-45%
Oxyhemoglobin
Oxygen binds to heme component of protein hemoglobin--it is red in color.
How many oxygens can one hemoglobin bind?
Four oxygen molecules.
Normal hemoglobin ranges for women--men?
120-160 g/L and 140-180 g/L
Carbaminohemoglobin
Compound of carbon and hemoglobin, one of forms in which carbon dioxide exits the body.
Symptoms/signs of anemia
Weakness/tired, pale skin, light-headedness, headaches, etc.
Hemorrhagic anemia
Loss of red blood cells/hemoglobin due to bleeding.
Hemolytic Anemia
Abnormal breakdown of red blood cells (RBCs are faulty).
Aplastic anemiai
Bone marrow not producing enough new RBCs to replenish old ones.
Pernicious anemia
Intestines cannot properly absorb vitmain B12 to make new RBCs.
How many White blood cells are there/mm3?
5-10,000 mm3
Clinical term for too many white blood cells? Too few?
Leukemia/ Leukopenia
Diapedesis
"Emigration" or ability of cells to move in and out of vessels (white blood cells capable of this.)
Chemotaxis
Chemicals attract WBCs in certain areas of body.
Phagocytosis
Ability to engulf/digest foreign material.
Types of white blood cells:
Neutrophils, Lymphocytes, Eosinophils, Monocytes, Basophils.
Function of neutrophils--instances when high numbers are found:
Specialize in attacking/digesting bacteria marked by antibodies.

High numbers found in cases of infections.
Function of eosinophils, and instances when high numbers are found in body:
Attack objects coated with antibodies

High numbers during parasitic infections and allergic reactions.
Function of basophils and instances when high numbers found in body:
Migrates to injury sites and cross capillary endothelium and accumulates in damaged tissue.
Significance of basophils in anaphylactic shock:
Basophils are activated and antigen binds to basophil and causes them to degranulate blood, resulting in constriction of bronchioles.
Terms for increase/decreases in clotting cells?
Thrombocytosis/ Thrombocytopenia
Substances found in cytoplasm of platelets:
ADP, clotting factors, thromboxane A2, serotonin, actin/myosin.
Function of thromboxane--which drug blocks its action?
Helps platelets stick and aggregate (blocked by asprin).
Why might baby asprin be helpful in the case of a heart attack?
Blood flow is blocked in a heart attack, so an asprin might be helpful in reducing clotting/aggregation to allow blood flow.
Vascular spasm
Damage to smooth muscle wall of a vessel causes contraction of the muscle (limits bleeding).
Platelet plug
Formed by platelets when they come in contact with damaged lining of blood vessel.
How do platelets form a plug?
They first stick

Break apart releasing their chemicals (ADP and thromboxane)

More platelets stick and break apart as a result.

Platelet plug forms.
What type of feedback system is the formation of a platelet plug?
Positive feedback system, because once platelets break apart and release their chemicals, more platelets arrive at that site to continue clotting untill bleeding stops.
Coagulation--what does it require?
Permanent plug (clot) made of insoluble fiber.

Requires clotting factors made in liver from vitamin K, calcium, platelet factors, tissue factor from damaged cells.
How is the clotting process stimulated?
Damaged cells release chemicals that activate clotting factors.
Two pathways for prothrombin activator complex:
Intrisic pathway (slow--damaged blood vessel)

Extrinsic pathway (fast--additional tissue damage)
What enzyme activates Thrombin? What does thrombin activate once it's activated?
Prothrombin/ Fibrinogen--> Fibrin
What is retraction?
Platelets pull fibrin taut (serum escapes).
What happens to a clot once the damaged tissue has been repaired?
Fibrinolysis--It goes through a process where it is broken down to be dissolved when no longer in use.
Fibrinolysis
Break down of fibrin back down to fibrinogen, activated by plasmin.
Thrombus
Clot that forms in an unbroken vessel due to pooling of blood/fatty plaque.
Embolus
Moving blood clot that often ends up in lungs.
Under what conditions do unwanted blood clots form?
When blood flow is slow

A rough endothelium can also lead to platelets sticking.
Hemophilia
Clotting factor is missing, no permanent plug, or frequently missing factor VIII
Drugs given to dissolve clots:
TPA (Tissue plasminogen activator)
Heparin (Blocks thrombin)
Vitamin K Antagonists (Inhibits formation of clotting gactors)
Percentage of Neutrophils, Eosinophils, Basinophils, Monocytes, and Lymphocytes in WBC differential:
50-70%, 2-4%, Less than 1%, 2-8%, and 20-30%
Erythroblastosis Fetalis
Hemolytic disease of newborn resulting from antibodies of an RH- blood typed mother attacking the antigens of her positive blood typed fetus, resulting in clumping or agglutination of the baby's blood.