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18 Cards in this Set

  • Front
  • Back

Life cycle of a red blood cell

-live for 120 days


-undergo wear and tear as they squeeze through blood capillaries


-plasma membrane becomes more fragile with age; cells more likely to burst (esp. as the squeeze through narrow channels to enter the spleen)


-ruptured RBCs are removed from circulation and destroyed by fixed phagocytic macrophages into the spleen and liver


-breakdown products recycled

Life cycle of a red blood cell 14 steps

1 phagocytis


2 hemoglobin split


3 globin breakdown into amino acids


4 Fe3+ if removed from heme


5 Fe3+ detaches from transferrin and attaches to ferritin


6 Fe3+ reattaches to transferrin


7 This complex turned to red bone marrow-haemoglobin synthesis


8 erythropoiesis in red bone marrow- red blood cell production


9 non iron portion of haem converted to biliverdin and then bilirubin


10 bilirubin is released and transported to the liver


11 bilirubin is released by liver cells into bile


12 bateria convert bilirubin into urobilinogen


13 some urobilinogen absorbed back into the blood


14 most eliminated in feces

3 general functions of the blood

TRANSPORTATION O2, CO2, metabolic wastes, nutrients, heat and hormones


REGULATION- helps reulate ough buffer, helps regulate bod temp- coolant properties of water


-vasodilation of surface vessels


-regulate water content of cells by interactions with dissolved ions and proteins


- PROTECTION fro disease and loss of blood

development of the formed elements of blood is called

HAEMOPOIESES- before birth in the yolk sac of embryo, after brith in the liver, spleen, thymus and lymph nodes of fetes, RBM is primary site


DEVELOPMENT OF FORMED ELEMENTS

1PLURIPOTENT STEM CELLS- are made in the 2RBM,go on to make myeloid an lymphoid stem cells.


3MYELOID STEM CELLS begin their development of RBC, platelets, monocytes, neutraphills, eosinophils and basophils


4LYMPHOID begin in RBM, finish in lymphatic tissue as lymphocytes


5Myloid stem cells differentiate into progenitor cells. known as CFUs they eventually form RBC, platelets, granular and agranular leukocytes.


6through this development the cells are then described as precursor cells, after several divisions they develop into actual formed elements of blood.


blood loss to an inured vessel is controlled by

vascular spasm-


platelet plug formation


platelet aggregation

vascular spasm

this mechanism reduces blood loss for several minutes-an hour until chemical mediated mechanisms take place.


an immediate neurologic mediated reflex by the NS activated by:


-damage of the small blood vessels smooth muscle


--release of substances from activated thrombocytes


-pain receptor

platelet plug formation

if the hole in the blood vessel is small enough to be contained


-platelet adhesion (platelets stick to collagen fibres)


-platelet release reaction (platelets activation, projection and liberation of vesicles substances)


-platelet aggregation (platelets stick together by the action of clotting factor)

blood clotting

blood loss is prevented by the formation of a blood clot


-the fibrin clot tightens, pulling edges of the dammaged vessel together preventing further damage.


-this mechanism presents a sequence of cascade reactions in which soluble fibrinogen is converted into insoluble fibrin by thrombin.


Extrinsic pathway

dammaged tissues leak tissue factor (thromboplastin) into the blood stream.


-in the presence of Ca+2, clotting factor X combines with V to form thrombinase.


-throminase forms in seconds

Intrinsic pathway

activation occurs


endothelium is dammaged and platelets come in contact with collagen of blood vessel walls.


-platelets are damaged releasing phospholipids


-substance involves Ca2+ and clotting factor x11,X and V.


-requires several minutes


haemostatic control mechanism

haemostatic control mechanism prevent thrombosis.


-plasminogen is contained within formed clots and can be activated by blood or body tissues and converted into plasmin or vibrinolysin


-fibrinolysin occurs by plasmin digesting fibrin threads and inactivating fibrinogen, prothrombin and factors XII, V11, V. small inappropriate clots get dissolved as well as the necessary clots once the damage is repaired.


- normall a clot will remain contained and will not extend to other areas because fibrin absorbs thrombin into the clot and also clotting factors in the blood are not concerntrated enough to cause generalised clotting



haemostatic control mechanism


PROSTACYCLIN

prostaglandin produced by white blood cells and endothelial cells is a powerful inhibitor of thromboxane, A2, inhibiting platelet release and adhesion

haemostatic control mechanism


ANTICOAGULANTS

antithromnin- blocks clotting factors Xii, X, ii


heparin- combines with antithrombin to block thrombin


activated protien c- enhances the activity of plasminogen activators and inactivates two major clotting factors not blocked by antithrombin

trace the pathway of a drop of blood as it enters the heart from the superior vena cava

1. right atrium (deoxygenated blood)


>tricuspid valve


2.Right ventricle


>pulmonary valve


3. pulmonary trunk and pulmonary arteries


4. in pulmonary capillaries blood loses Co2 and gains O2


5. pulmonary veins (oxygenated blood)


6. left atrium


>biscupid valve


7. left ventricle


>aortic valve


8. aortic and systemic arteries


9. in systemic capillaries, blood loses O2 and gains Co2


>superia vena cave


> inferior vena cava


> coronory sinus


10. right atrium

Intrinsic conduction system


phase one

Sinostrial (SA) node spontaneously depolarizes about every .8sec. Depolarization spreads through atria by the internal pathway, causing contraction of the atria. Depolarization spreads onward to the atrioventricular (AV)node

Intrinsic conduction system


stage two

SA node and intermodal pathway repolarize.


After delay at the AV node,the depolarization wave spreads in sequence to the bundle ofHis, the bundle branches then the Purkinji fibres , causing contraction of the ventricles. Atria relax.


Intrinsic conduction system


stage three

the AV node, the bundle of His branches and the purkinji fibres repolarize and ventricles relax.