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101 Cards in this Set

  • Front
  • Back

Formed elements

Erythrocytes


Leukocytes


Platelets

Composition of blood

Formed elements


Plasma

Composition of plasma

91.5% water


7% plasma proteins


1.5% carbohydrates, lipids, amino acids, vitamins, and hormones

Plasma proteins

1. Albumin


2. Antibodies (gamma globulins)


3. Alpha and beta globulins


4. Fibrogen

Albumin

Helps to maintain the osmotic pressure of blood

Antibodies

Aka gamma globulin


Dissolved plasma proteins that function in the body's defense against disease

Alpha/ beta globulins

Involved in the transport of lipids

Fibrinogen

Involved in blood coagulation

Function of erythrocytes

Transport oxygen and CO2

Composition of Hemoglobin

A heme and a globin portion

The heme portion of hemoglobin contains ___ Fe atoms

1

How much oxygen can one hemoglobin molecule transport?

4 oxygen molecules

Oxyhemoglobin

Hemoglobin + O2

Carbaminohemoglobin

CO2 + hemoglobin

Carbon dioxide combines with which portion of the hemoglobin molecule?

Globin

How do erythrocytes pass through capillaries without being damaged?

The shape of the red blood cell and the fact that it does not have a nucleus allows it to be deformed easily

What allows oxygen and carbon dioxide to move in and out of erythrocytes efficiently?

The thin centers allow for a large surface area

Diffusion

The movement of oxygen and carbon dioxide in and out of a RBC

Macrophages

Large monocytes that engulf damaged and dying red blood cells

What happens when a rbc is damaged?

The cell releases hemoglobin, which is broken down into:


1. Fe


2. Bilirubin


3. Amino Acids

When iron is the product of hemoglobin breakdown, how is it used?

It is reused to make more hemoglobin

Bilirubin

A pigment released during hemoglobin breakdown that is incorporated into the bile of the liver

Erythropoiesis

Red blood cell formation

How is erythropoiesis regulated?

By the blood oxygen levels and a negative feedback mechanism

Hemocytoblasts

Stem cells found in red bone marrow which are the precursors to RBC, WBC, and platelets

How many RBC can move through a capillary at one time? Why?

1 cell at a time


This is due to the diameter of the capillary

What is the lifespan of an erythrocyte?

90-120 days

Types of Leukocytes

1. Granulocytes


2. Agranulocytes

Granulocytes

Leukocytes that have large granules in their cytoplasm

Types of granulocytes

Neutrophils


Eosinophils


Basophils

Agranulocytes

Leukocytes that lack cytoplasmic granules

Types of agranulocytes

Lymphocytes


Monocytes

Leukopenia

Decrease in the normal number of WBC

Leukocytosis

Increase in the normal number of WBCs

Hemostasis

The stoppage of bleeding

Hemostasis in an injured blood vessel involves what process?

1. Blood vessel spasm


2. Platelet plug formation


3. Blood coagulation

Blood vessel spam

When a blood vessel is injured, smooth muscles in the vessel wall are stimulated to contract

Platelet plug formation

Platelets stick to the broken end of the blood vessel, eventually sticking to each other to form a plug over the broken end

Blood coagulation

The series of events that leads to the formation of a blood clot

Composition of blood

55% plasma


45% formed elements

Composition of plasma

91.5% H2O


7% Proteins


1.5% Dissolved Solutes

Types of proteins found in plasma

1. Albumin


2. Globulin


3. Fibrinogen

Types of dissolved solutes found in plasma

1. Electrolytes (Na+, Cl-, K+)


2. Fatty acids


3. Glucose


4. Waste products

Types of waste products found in plasma

Urea


Bilirubin

Albumin

Helps to regulate osmotic pressure

Globulin

Involved in transport of materials


Some are antibodies

Fibrinogen

Involved in blood clotting

Platelets

Cell fragments


Involved in blood clotting

What is picked up by erythrocytes?

Oxygen, carbon dioxide, and carbon monoxide (this prevents the cell from picking up other elements)

Which formed elements has a nucleus?

Leukocytes

Granulocytes

WBC with dark staining granules in their cytoplasm

Polymorphonuclear

Multi segmented nucleus

Neutrophil

Polymorphonuclear


Phagocytic

Phagocytic

Specialize in attacking and engulfing bacteria

Eosinophils

Bi-lobed nucleus


Attack antibody labeled materials


Phagocytes

Basophil

Rarest of all WBC


Release histamine

Histamine

Promotes inflammation

Agranulocytes

Do not have granules within the cytoplasm

Lymphocytes

Produce antibodies

Monocytes

Largest WBC

Macrophages

Large monocytes that perform phagocytosis


Engulf pathogens and cellular debri

What is the function of blood?

Transportation


Immunity


Regulates body temperature


Clotting


Regulates pH

What does the blood transport?

Gases, nutrients, wastes, and hormones

What gives blood its bright red color?

Oxyhemoglobin

What gives blood its dark red color

Carbaminohemoglobin

Buffers

Compounds that prevent major shifts in pH

How does blood regulate body temperature?

It absorbs and distributes heat to body tissues

Where does erythropoiesis take place?

Red bone marrow and spleen

Describe the process of erythropoiesis

Low oxygen in tissues


Message to brain


Message to kidneys


Erythropoietin


Activates stem cells


Increase in reticulocytes


Increase in red blood cells


Increase in oxygen in tissues

Reticulocytes

Precursor to red blood cells

Erythropoietin

A hormone secreted by the kidneys that stimulates the production of red blood cells in red bone marrow

Hemopoeisis

Blood cell and platelet formation


Occurs predominantly in red bone marrow

Hemocytoblasts

Precursor cells

Thrombus

An attached clot

Embolus

A thrombus that breaks loose and floats through circulation

What kind of blood clots can cause death? How?

Thrombi and emboli can both cause death


By blocking beyond that supply blood to an essential organ

How does warfarin prevent clot formation? How does it compare to heparin?

It suppresses the liver's production of vitamin K dependent clotting factors


Heparin is a more fast acting anticoagulant

Pericarditis

Inflammation of the serous pericardium

Cause of pericarditis?

Frequently unknown


Can result from infection, diseases of connective tissue or damage due to radiation treatment for cancer

Symptoms of pericarditis

Pain in back and chest


Can be confused with myocardial infarction


Can lead to a small amount of fluid accumulation within the pericardial sac

Cardiac tamponade

A potentially fatal condition in which fluid or blood accumulates in the pericardial cavity and compresses the heart from the outside

How does someone die from cardiac tamponade?

The pressure from the outside of the heart prevents it from expanding and filling with blood during relaxation, rendering it unable to pump.

Causes of cardiac tamponade?

- Rupturing of the heart wall following a myocardial infarction


- Rupturing of a blood vessel in the pericardium after a malignant tumor invades the area


- Damage to the pericardium due to radiation therapy


- Trauma

Heart attack

Myocardial infarction


When a coronary thrombus blocks a coronary blood vessel

The region of dead heart tissue that occurs during a heart attack

Infarct

Why is aspirin useful for those who are at risk for (or are experiencing clear signs of) a heart attack?

It prevents thrombus formation

Other than aspirin, what can be given to treat a heart attack?

Enzymes that break down blood clots, such as tissue plasminogen activator (t-PA)

Angioplasty

A procedure in which a surgeon threads a small balloon through the aorta and into a coronary artery



After entering a partially blocked coronary artery, the balloon is inflated, flattening the artherosclerosis deposits against the vessel wall and opening the blocked blood vessel

Why is there controversy surrounding angioplasties?

1. Dilation of the coronary arteries can be reversed within a few weeks or months


2. Blood clots can form in coronary arteries after angioplasty

Stent

A small coil device that is placed in a vessel to hold it open following angioplasty

What effect does ventricular fibrillation have on cardiac output?

Reduces it to a few mL per minute

What cells might a hemocytoblast become?

1. Myeloid stem cell


2. Lympoid cell

What might a myeloid cell become?

1. Megakaryoctes


2. Reticulocyte


3. Monoblast


4. Granulocytes

What might lymphoid stem cells become?

Lymphocytes

What do megakaryoctes become?

They break apart and become platelets

What do Reticulocytes become?

Erythrocytes

What do monoblasts become?

Monocytes

The process of hemostasis

1. Blood vessel spasm


2. Platelet plug formation


3. Blood coagulation

Heme

Fe containing part of the hemoglobin molecule

Globin

Protein portion of hemoglobin

Hemoglobin recycling

Heme:


- releases Fe, which is brought to the red bone marrow


- also converted to Bilirubin, which is sent to the liver for bile (excessive bilirubin is excreted in urine and feces)



Globin;


- converted into amino acid, which is transported to red bone marrow for erythropoiesis



Amino acids from globin and Fe from Heme are used to produce more hemoglobin