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45 Cards in this Set

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3 route solutes enter and exit capillaries by

1. Diffusion


2. Vesicular transport


3. Mediated transport

Diffusion into/out of capillaries

CO2, O2, ions, as, glucose, hormones, ect.


Occurs between endothelial cells

Vesicular transport

Large proteins and antibodies


Occurs via transcytosis

Transcytosis

Endocytosis from blood into endothelial cell, then exocytosis from endothelial cell into ISF

Mediated transport

Requires a membrane carrier protein


Mainly used in brain

4 pressure involved in bulk flow in/out of capillaries

1. Blood hydrostatic pressure (bp)


2. Blood osmotic P (due to plasma proteins)


3. ISF hydrostatic P (0mmHg)


4. ISF osmotic P (due to ISF proteins)

Net filtration pressure

Sum of hydrostatic and osmotic pressure acting on capillary

Edema

Accumulation of fluid in tissue causing swelling

Causes of Edema

1. High BP


2. Leakage of plasma proteins into ISF


3. Decrease plasma protein (malnutrition, burns, ect.)


4. Obstruction of lymph vessles

Elephantiasis

Type of edema


Caused by obstruction of lymph vessels

Circulation shock

Caused by inadequate blood flow


(Lack of O2 and nutrients to cells)

Types of circulatory shock

1. Hypovolemic shock


2. Vascular shock


3. Cardiogenic shock

Hypovolemic shock

Low blood volume


Due to blood loss/water loss (vomiting, burns)



Hypo = low


Volemic = volume


Vascular shock

Blood volume normal but vessels expanded


Due to: systemic vasodilation of blood vessels

Anaphylactic shock

Allergic reaction that releases histamine


Causes vascular shock

Mast cells

Release lots of histamine durning anaphylactic shock

Cardiogenic shock

Pump failure (decrease CO)


Heart cant sustain blood flow

Stages of shock

1. Compensatory


2. Progressive


3. Irreversible

Compensatory stage of shock

Mechanisms can restore homeostasis by themselves by triggering SNS

Mechanisms involved in compensatory stage

1. Baroreceptors


2. Chemoreceptors


3. Ischemia (lack of O2) of medulla

Lack of blood to kidney causes

Rein release


Creating/releasing angiotensin II and aldosterone and ADH

Progressive stage of shock

Mechanisms inadequate to restore homeostasis


Decreases CO leads to


1. Decrease BP and cardiac activity


2. Decrease blood to brain


3. Damage to viscera (kidneys)

Irreversible stage of shock

Decrease CO cause too little blood to heart


Not enough blood In heart causes decrease in C


Ends in death

Proteins in plasma

1. Albumins (58%)


2. Globulins (38%)


3. Fibrinogen (4%)

Functions of plasma proteins

1. Produce osmotic pressure


2. Buffer pH (keep it from changing)


3. Transportation


4. Antibodies


5. Clot formation

Alpha and beta globulin

Transport lipids, metal ions, hormones

Y (gamma) globins

Antibodies

Electrolytes function

Functions:


1. Membrane excitability


2. Buffers (HCO3)

Plasma made of

1. Water (90.5%)


2. Proteins (7%)


3. Electrolytes


4. Other solutes


(nutrient, waste, gases, hormones)

Red blood cells function

1. Transport


- O2 on iron of heme


- CO2 on globin


2. Buffer (gobin bind to H+ reversibly)


3. Carbonic Anhydrase

Carbonic Anhydrase

Important for CO2 transport in blood

Breakdown of heme

Fe removed and stored (muscle, spleen, liver)


Non iron portion to bilirubin


Bilirubin

Non iron portion of heme


Excreted in bile from liver

Jaundice

Excess bilirubin in blood due to


1. Excess RBS breakdown


2. Liver dysfunction


3. Blockage of bile excretion

Breakdown of globin

Converted to amino acids (recycled)

2 types of white blood cells

Granulocytes


Agranulocytes

Types of granulocytes

1. Neutrophils


2. Eosinophils


3. Basophils

Neutrophils

Phagocytic


1st to enter infected area

Eosiniphils

Attack parasites


Break down chemicals released in a allergic reaction


Basophils

Secrete histamine (increase inflammation)


Secrete heparin (inhibits local clotting)

2 types of agranulocytes

1. Monocytes


2. Lymphocytes


- T lymphocytes


- B lymphocytes


- natural killer cells

Monocytes

Enter tissue, enlarge to become phagocytic macrophages

2 types of T lymphocytes

2 types


1. Helper


2. cytotoxic

B lymphocytes

When active create plasma cells and secrete antibodies

Natural killer cells

Attack foreign cells and abnormal cells