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127 Cards in this Set

  • Front
  • Back

Formed Elements

Erythrocytes


Leukocytes


Thrombocytes


Plasma


Serum Plasma Proteins

Erythrocytes

Red blood cell without a neclues


Contain hemoglobin and transport oxygen and carbon dioxide to from the tissues

Leukocytes

Colorless cell that circulates in the blood and body fluids


Counteract foreign substances and disease.


White blood cells.

Granulocyte vs. Agranulocyte

Granulocytes:


Nurtrophil


Eosiniphil


Basophil



Agranulocyte:


Monocyte


Lympocyte


Granulocyte

White blood cell with secretory granules in its cytoplasm

Agranulocyte

White blood cells with one-lobed nucleus


Absence of granules

Nurtrophil

Produced in bone marrow


First type of immune cell to respond and arrive at site of infection

Monocyte

Large Phagocytic white blood cell with simple oval nucleus and clear, grayish cytoplasm


Biggest type of white blood cell

Eosiniphil

Bilobed nucleus and granulated cytoplasm containing enzymes and proteins


Specialize in allergies also inflamed areas


Basophil

.5% of the total number of white blood cells.


Contain histamine and heparin (blood thinners)


Non-specific

Lymphocyte

Single round nucleus


Found in lymphs

What is Leukocytopenia

Decreased production of Leukocytes

Thrombocytes

Aka: Platelets


Fragments of cytoplasm which are derived from the megakaryocytes of bone marrow, then enter the circulation

Plasma

90% water


Ions


Organic Moluecules, Gasees


Serum

Lacks clotting stuff

Plasma Proteins

Maintain blood's osmotic pressure


Albumin


Globulins

Oncotic Pressure / Colloid Osmotic Pressure

Form of osmotic pressure exerted blood plasma that usually tends to pull water into the circulatory system

Albumin

Smallest and most abundant of plasma proteins


Serves as a carrier for fatty acids and other hydrophobic substances


Maintains oncotic pressure of plasma and prevents edema

Globulins

2.5% of Plasma by weight


Classes of Globulins

Alpha


Beta


Gamma

Alpha and Beta Classes

Transporters


Clotting factors


Precursor proteins


Synthesized in liver

Gamma Classes

Protect the body against infection


Sythezied in lymphocytes

Fibrinogen

.3 of plasma by weight


Plays a role in blood clotting


Synthesized in liver

Three major steps of hemostasis

Vascular spasm


Platelet Plug


Coagulation

Vascular Spasm

Vessles constrict to minimize blood loss


Endothelial layer becomes sticky


Platelet Plug

Platelet adhesion


Platelet secrete thromboxin (encouraging more platelets to come)


Platelets don't stick on normal endothelium

Coagulation

Need prothrombin to change fibrinogen to fibrin, to help blood clots hold together

Clot Retraction

Fibrinolysis = Dissolution of clot



Plasminogen to plasmin which breaks fibrin to amino acids

Thrombocytopenia purpura

Definciency of platelets


Bleeding from small breaks in capillaries


Causes: Irradiation, drugs, idiopathic

Chemicals hemoglobin binds with

Oxyhemoglobin


Deoxyhemoglobin


Carbaminogemoglobin


Carboxyhemoglobin

Oxyhemoglobin

Hb combind with O2


Saturated with Oxygen and cherry red in color

Deoxyhemoglobin

Reduced hemoglobin


Hb lacing O2


When it loses oxygen it changes to purple/blue

Carbaminogemoglobin

Hb combined with CO2


There is no competition between O2 and CO2 as they bind on different locations of hemoglobin

Carboxyhemoglobin

Hb combined CO


CO competes with O2 for binding site


CO has 200X the affinity of O which is what makes it dangerous

Anemia

Any condition that results in decreased oxygen carring capacity of blood


Decreased RBC


Decreased hemoglobin


Pernicious Anemia

Pernicious Anemia

Vitamin B12 deficiency

ABO blood typing systems

A anitgens - B antibodies


B antigens - B antibodies


AB antigens- Neither antibodies


O antigens- Both antibodies

Universal donor

O- (nothing for antigens to detect)

Universal Recipient

AB+ (plasma has no antibodies)

Rh antibodies

Rh negative blood has no Rh antigens on red cells


Plasma has Rh antibodies only if the person has been prebiously exposed to Rh antigens


A slow increase in plasma Rh antibodies occurs after first exposure. More rapid after second exposure

Erythroblastosis Fetalis

Rh negative Mother


Rh Positive fetus


More severe for 2nd child


Treatment of Rg to mother to minimize future Rh problems


Inject RhoGam (anti-Rh antibodies) into mother within 72 hours of delivery

Normal range of blood hematocrit

Hematocrit = % of blood that is RBS


Men about 45%


Women 42%


Ph of blood about 7.4


Hematocrit is high if dehydrated or polycythemia

Organ that removes worn out RBCs

Spleen

White Blood Cells Classification

Neutrophils


Monocytes


Eosinophils


Basophils


Lymphocytes

Neutrophils

Highly mobile phagocytes that engulf and destroy unwanted materials

Monocytes

Defense against chronic infections


Become macrophages in tissues

Eosinophils

Secrete chemicals that fight parasites


Involved in allergic reactions

Basophils

Allergic reaction


Secret histamine

Lymphocyte

T cells


B cells

Active immunity

Individual produces antibodies

Passive Immunity

Individual given antibodies


Mother to child


Serum of antibodies

Autoimmunity

Loss of tolerance to self-antigens


Naturally acquired


get disease and make antibodies


Artificially acquired


Vaccine


Given inactive form, body still produces antibodies

Innate (nonspecific) resistance

Immediate, general protection


Skin


Secretions


Flushing mechanisms


Phagocytes


NK cells


Inflammation


Fever


Interferons


Complement System

Acquired (specific) resistance

Cell-mediated or Humoral


Takes time and exposure to develop


3 important characteristics


Recognizes and targets specific foreign pathogens, substances, and molecules


Has memory that it can store info about past exposures


Protects entire body


Humoral immune response


Cellular immune response

Humoral immune response

Antibody mediated (mark it for someone else to kill)


B Cells


Memory cells (store infor for next exposure)


Plasma cells that secrete antbodies (circulate in lymph and blood)

Cellular immune response

Cell mediated


T cells


Kill infected cells


Figure

Inflamatory response

Innate Response


Redness, swelling, pain, heat


dialation


Isolates kills inactive invading phagocytes


Removes debris from tissue


Prepare for repair of damaged tissue


Chemical Messengers


Histamine activated to call for more phagocytes

Benefits of fever

Intensifies effects of interneurons


Inhibits some microbial growth


Speeds up repair

Antibodies

Made by plasma cells


Antibodies


Circulatie in lymph and blood


work best against marking bacteria and viruses


Mark antigenic cells for destruction


Cause agglutination

Body distinguishing self from nonself

Major histocompatibility complex proteins, the body's self marker


Established prior to birth


Any molecule that is not recognized as self become capable of provoking an immune response

Differences between antibody and cell-mediated immunity

Gaseous exchange

Functions of the respiratory system

Gaseous exchange


Sound production


Assistance in abdominal compression during micturition (urination), defecation and childbirth


Coughin and sneezing


Route for water and heat loss


Activation and deactivation of messenger molecules


Regulation of Ph

Cell types present in alveoli

Alveolar Type 1


Forms the wall of alveolus


Alveolar Type 2


Secret surfactant


Increases surface tension


Alveolar Macrophages


Dust cells


Remove dust particles and other debris

Skeletal muscles in respiration

Inhalation (quiet)


Diaphragm contracts


External intercostals contract


Ribs upward and outward


Thoracic cavity has expanded


Exhalation (quiet)


Diaphragm and external inercostals relax


Elastic tissues stretched during inhalation recoil


Thracic cavity volume decreases as rib cage moves down and in

Why do inspiration and expiration occur during normal quiet breathing?

Ventilation occurs because of differences in air pressure


Inhalation takes place when pressure inside the lungs is less than atmospheric air pressure


Exhalation takes places when pressure inside the lungs is greater than atmospheric air pressure


Changes in volume create differences in pressure

Calculate Respiratory rate

MRV=air moved into and out of air passageways and lungs each minute


MRV=tidal volume X respiratory rate


500ml X 12/min = 6000ml/min


Be able to work this equation forward and backward


Measured in ml/min

Pressure exerted by that gas alone if all other gases were removed

20% O


80% N


Total P=760 mm Hg


Multiple percentage by total pressure


pO2=.2X760 mm Hg = 156 mm Hg


pN2 = .8% X 760 mm Hg = 608 mm Hg

PO2

Saturation =% of binding sites of hemoglobin that have bound O2

Affectors of saturation

Partial Pressure of Oxygen PO2 determines how much oxygen is bound to hemoglobin


Elevated CO2, H+, and temperature causes Hb to give up oxygen to tissues

Oxygen and Carbon Dioxide are transported in blood

Oxygen is transported by hemoglobin in blood


Carbon Dioxide transport


Dissolved in plasma: about 10%


Bicarbonate: about 60%


CO2 + H2O <>H2CO3<>H++HCO3-


Carbaminohemoglobin


CO2+Hb<>Hb-CO2


CO2 is more soluble

Role of circulatory system in respiration

Circulatory system carries oxygen to the periphery


Need both respiration and circulation

Region of the brain provides neural output to the respiratory muscles

Medulla Oblongata

Where chemoreceptors responsive to changes in blood CO2, O2, and H+ are located

CO2, H+, low O2 stimulate chemoreceptors


Located in carotid and aortic bodies

Boyle's law

As volume decreases, pressure increases


P1V1 = P2V2

Functions of the Kidneys

Maintain blood volume


Maintain osmotic balance


Maintain Proper acid base balance


Maintain Excretes metabolic wastes

Functional unit of kidney

Nephron

Filtration

From blood to lumen, at glomerulous

Reabsoroption

From lumen to blood. Loop of Henle

Secretion

Blood to lumen. After glomerulous. Proximal tubule and distal tubule

Excretion

lumen to external environment. In collecting duct

Glomerular Filtrate

The portion of the blood plasma that enters the glomerular capsule


Contains water, electrolytes, glucose, amino acids, urea, hormones, and vitamins

Tubular reabsorption

Substance from tubules to blood


Tubules have high reabsorbative capacity for substances needed by the body


Little or no reabsortive capacity for substances of no value


Active or passive transport


Transepithelial transport


Going through the cells

Tubular secretion

Active transport from per-tubular capillaries into kidney tubules-excretion into urine


Substance from blood to tubule


Passive or active transport


Transepithelial transport


Important in eliminating waste products


Excretion=filtration-reabsorption+secretion

Structure of the glomerulus

Glomerulus


Network of about 50 capillaries


Endothelial lining has circular fenestrations


Diameter of 50-100mm


Makes glomerulus 100-1000 times more permeable than normal capillaries


Plasma proteins, RBCs, WBCs, and platelets are too large to be filtered

Bowman's Capsule

Double walled hollow structure composed of squamous epithelium


Innerlayer composed of podocytes that are closely associated with glomerula cappillaries


Filtration not going through podocytes


Podocytes just blocking fenestration


Podocytes are a physical barrier

Substances reabsorbed by the nephron

Sodium


Glucose


Amino Acids


H2O


Proximal convoluted tubule is where most reabsortion

Sodium Reabsorption

99.5% reabsorbed


67% in proximal convoluted


25% in loop of henle


8% in distal convoluted tubule

Glucose Reabsorption

100% reabsorbed, glucose isn't normally excreted or found in the urine


Proximal convoluted tubule

Amino Acids

Proximal convoluted tubule

H2O

ADH regulates the rabsorption


Distal convoluted tubule


Collecting Duct

Proximal convoluted tubule

Most reabsporption

Why is glucose not normally found in urine

100% of glucose is normally reabsorbed, if not, diabetes

What is Tm

Transport maximum


Once reached, will be excreted


Concentration of transported molecules needed to saturate the carriers and achieve the maximal transport rate


Glucose above the Tm value will not be reabsorbed and will appear in the urine

ADH

Low levels of ADH, the distal tubules and collecting ducts (where water is absorbed) are impermeable to water, and despite the high osmotic gradient is pulled into the medulla


Therefore the urine remains very dilute 100 mosm/L


High levels of ADH cause distal tubules and collecting duct to become highly permeable to water, which is pulled by the high osmotic gradient into the interstitium


Urine becomes more concentrated


Dehydration = increases osmolarity and increases ADH


Effect of drinking one 2 liter bottle of fluid on urine volume = decrease in osmolarity and decrease in ADH

Plasma Clearance

PC>GFR (Secretion happened) (glucose)


PC


PC=GFR (neither secretion or reabsorption) (insulin)


Measure the rate a substance is cleared from plasma buy the kidney


It is expressed as the volume of plasma completely cleared of the substance/minute


# of ml plasma of substance/min

How does the kidney process insulin

Filtered


Neither reabsorbed nor secreted


Clearance rate=filtered rate

Bladder

Temporary storage site for urine


Wall is stretched by urine, stimulates stretch receptors that initiate micturition reflex


Contraction stimulated by parasympathetic nerves


Can be prevented from emptying by signals from vertebral cortex

Variation in water content in different individuals

Role of adipose tissue


Less water content


Less blood vessels


Water content increases with a decrease in adipose tissue


Water content decreases with an increase in adipose tissue

Fluid compatments of the body

Total fluid 60% of body weight


Intracellular compartment: 40%


Extracellular compartment: 20%


Plasma


Interstitial fluid

What happens to ECF and ICF if you add pure water

Enters into ECF


ECF osmolarity decreases


H2O diffuse into ICF


ICF osmolarity decrease as well

What happens to ECF and ICF if you Lose pure water

Exits into ECF


ECF osmolarity increases


H2O diffuse out of ICF


ICF osmolarity increases as well

Why ECF volume is so closely regulated

ECF is regulated because it's so essential for regulating blood pressure

How ECF is regulated

Renin - up secretion


GFR-decreases


Aldosterone-up secretion


Sodium-retain sodium to retain water


Excess ADH would cause hypotonicity

Isotonic

Equal

Hypotonic

too much ADH. Swelling and bursting

Hypertonic

too little ADH. Shrinking

Respiratory Acidosis

result of abnormal CO2 retention arising from hypoventilation

Respiratory Alkalosis

primarily due to excessive loss of CO2 from body as a result of hyperventilation

Metabolic acidosis

Includes all types of acidosis other than those caused by excess CO2 in fluids


Causes: severe diarrhea and diabetes mellitus

Metabolic Alkalosis

Increase in plasma pH caused by relative deficiency of noncarbonic acids


compensation: ventilation is reduced


causes: vomiting (losing H+ stomach acid)

Function of GI tract

Transfer nutrients water, and electrolytes from external environment to internal environment

Precess of GI tract

Motility, digestion, absorption, secretion, elimination

Peristalsis

Moving ring-like contractions


Occurs in areas of tract where smooth muscle present


Propulsion of ingesta forward

Segmentation

Mixing of ingesta with digestive secretions


Small intestine


Promote digestion, facilitate absorption

Fats

Digested by the enzymes released from the pancreas


Emulsified by bile


Large fate droplets are reduced to smaller fate droplets through emulsification


Bile is stored and released from the gallbladder


Bile is produced in the liver


Pancreatic lipase breaks down triacyglycerol to fatty acids

Proteins

Digestion begins in the stomach


Pepsins are the protein digestion enzymes


Break proteins into olgopeptides


Pepsinogen to pepsin (by HCl) breaks down Proteins

Carbs

Digestion begins in the mouth


Amylase (from saliva) begins chemical digestionby breaking down starch


Stach to Maltose by Amylase


Polysaccharides are broken down into disaccharides and eventually monosaccharides

Functions of liver

Bile formation and excretion of bilirubin


Storage of iron and copper from the breakdown of erythrocytes


Storage of glucose by converting it to glycogen


Sythesis storage and release of ciatmins


Synthesis storage and release of ciatmins


Phagocytosis of Foreign material in blood


Detoxification of substances such as drugs and alcohol


Plasma protein sythesis


Partial activation of vitamin D


Removal of bacteria and old RBC

Enzymes

break down substances

Bile

Liver an gall bladder


Emulsifies fat

Buffers

Neutralizes stomach acid


Enters small intestine after flood so acid doesn't hurt

Mucous

lubricate


Salivary glands


Esophagus


Stomach


Large intestines

Structures that control passage of ingested food

Cardiac


Esophagus to stomach


Pyloric


Stomach to small intestine


Ileocecal


Small intestine to large intestine

Gastric refulx

Backward flow of stomach acid contents into the esophagus


Also known as heartburn


Causes: Achalasia-cardiac sphincter does not open correctly


Symptoms: Dysphagia, substernal pain, food in esophagus


Esophageal tumor


Carcinoma of esophagus


2% of all cancer deaths

Where Absorption takes place

Stomach


Alcohol


Water


Asprin


Small Intestine


90% of all absorption


Large Intestine/Colon


Absorption of salt and water converts contents into fecal matter


Colon


Reduce the volume of chime


Colonic bacteria digest cellulose


No digestive enzymes secreted


Haustral contractions

Sources and relative amounts of fluids that enter into and leave the digestive tract

9000 ml of fluid is absorbed from digestive daily


Majority of this fluid comes from secretions from the alimentary canal and accessory organs

Common passageway for the respiratory system and digestive system

The Pahrynx