1.1 Blood, erythrocytes Flashcards

1
Q

describe the physical characteristics of blood

A
  • colour: scarlet (O2 bound) to dark red (deoxygenated aka venous blood)
  • pH: 7.35 (venous) - 7.45 (aterial, less CO2 so less acidic)
  • temp: 38 C
  • blood accounts for 8% of body weights
  • Average volume: 5-6 L for males, and 4-5 L for females
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2
Q

composition of blood

A

composed of liquid plasma and formed elements

Formed elements include:

  • Erythrocytes, or red blood cells (RBCs)
  • Leukocytes, or white blood cells (WBCs)
  • Platelets
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3
Q

at is hematocrit

A

percentage of RBCs out of the total blood volume

*females have lower hematocrit

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4
Q

what is in blood plasma

A

*90% water

  • 6-8% proteins: albumin, globulins, clotting proteins, and others
  • 2-3% other icnldues over 100 diff solutes:
  • Organic: carbohydrates, amino acids, fats, lactic acid, urea, creatinine
  • Electrolytes: Na+, K+, Ca2+, Cl-, bicarbonate
  • GasesL O2 an CO2
  • hormones
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5
Q

descirbe improtance and role of diff plasma proteins in blood

A
  • all contribute to osmotic pressure and maintain water balance in good and tissues

*susually dont leave blood stream, they pull fluids out of tissues back into capillary beds

  • Albumin
    • 60% of palsma proteins
    • carry Fas and formones
  • Glogulins
    • contain alpha, beta and gamma
      • alpha and beta: important for binding and transport of fat soluble thigns
      • gamma: AKA antibodies, released by palsma cells during immune response
  • Fibrinogen
    • 4%
    • precursor in coagulation pathway
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6
Q
A
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7
Q

onyl ___ are complete cells

A

WBC

aka have a nucleus

*RBC have no nuclei or organelles, and platelets are just cell fragments

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8
Q

What are erythrocytes

A
  • Biconcave discs, anucleate, essentially no organelles
  • Filled with hemoglobin (Hb) functions in gas transport
  • Most oxygen in the blood is bound to Hb
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9
Q

what is the purpose of the unqiue structure of erthyrocytes

A

RBCs have resilient and flexible shape

  • spectrin linked to cytoplasm slide and allow them to change shape
  • biconcave shape: large surface area relative to volume
  • eryhtocytes are more than 97% hemoglobin
  • ATP is generated anaerobically
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10
Q

role of heme group

A
  • has a central iron atom that can bind to one O2
  • each Hb molecule can transport 4 O2
  • hemoglobin has 4 heme groups and 4 polypeptides (two alpha dn two beta chains)
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11
Q

describe production of erthrocytes depending on age

A

•Yolk sac phase - blood in ‘islands’ in yolk sac, no leukocytes (In first few monthf of fetus)

  • Hepatic/spleen phase - primitive nucleated RBCs, fetal Hb
  • Bone marrow phase - mature RBCs, leukocytes, ~12 weeks (closer to birth)

• Adult phase - made in axial skeleton and distal long bones (pelvis, vertebrae, skull, ribs, ends of long bones)

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12
Q

What is Erythropoiesis

A
  • development of erythrocytes
  • has 3 phases: Stem cell (hemocytoblast), committed cell (proerythroblast), developmental pathway

*developmental pathway has 3 phases: ribosome syn -> hemoglobin accumulation -> ejection of nucleus

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13
Q

WHat regualtes eryhtropoiesis

A
  • process reuqires: Proteins, lipids, carbohydrates, Iron, vitamin B12 and folic acid

*FOlic acid is Vit B9, important for rapid DNA syn)

  • body stores stores iron in Hb (65%), the liver, spleen, and bone marrow
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14
Q

how is iron found inside cell vs inside blood

A
  • instracellular iron is stores in protein-iron complexes like ferrritin and hemosiderin (important for bidngin iron inside cells)
  • ciruclating iron is loosely bound to transport protein transferrin (in blood stream not in cell)
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15
Q

steps in regulation of Erythroproeisis

A
  1. Low O2 levels in blood stimulate kidneys to produce erythropoietin (EPO)
  2. EPO levels rise in blood
  3. EPO and necessary raw materials in blood promote erythropoiesis in red bone marrow
  4. Newerythrocytes enter bloodstream; function ~120 days
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16
Q

Describe the rpocess of breaking down aged/damaged RBCs

A

Aged and damaged RBC are engulfed by macrophages of liver, spleen, and bone marrow; the hemoglobin is broken down

  • Hemoglobin -> heme and globin
  • globin is broken down into tis amino acids and enters blood
  • heme is broken down into iron (stored as ferritin, hemosiderin) and billirubin
    • Bilirubin picked up from blood by liver -> secreted into intestine in bile -> metabolized to stercobilin by bacteria -> feces
    • Iron found to transferrin and released to blood from liver as needed for erythropoiesis
17
Q

what is anemia

A
18
Q

what is anemia, wht are common symptoms

A
  • symptom, not a disease itself
  • blood ahs abnormally low oxygen carrying capacity
  • blood oxygen levels cannot support normal metabolism
    symptoms: fatigue, paleness, shortness of breath and chills
19
Q

what are the types of anemia caused by insufficient eryhtrocytes

A

Hemorrhagic anemia - result of acute or chronic loss of blood

Hemolytic anemia - prematurely ruptured RBCs

Aplastic anemia - destruction or inhibition of red bone marrow (dec in RBC production

20
Q

what are the types of anemia caused by Decreased Hb Content

A
  • Iron-deficiency anemia results from:
    • Inadequate intake of iron-containing foods
    • Impaired iron absorption
    • A secondary result of hemorrhagic anemia
  • Pernicious anemia
    • Deficiency of vitamin B 12 (critical role in rapid DNA syn, reqires cofactor (intrinsic factor)
    • Lack of intrinsic factor needed for absorption of B12

*Treatment is intramuscular injection of B12; application of Nascobal

21
Q

what is sickle cell anemia

A
  • abnormal hemoglobin
  • results from defective gene coding for an abnormal Hb (hemoglobin S (HbS)
  • due to a point mutation of Beta chain Glu -> Val
  • RBC is normal as passes throuhg capilaries and releases O2
  • HbS polymers form in sickle cells after O2 release -> forms sickle cell shape

* forms sickle cell shape in low O2 situations

  • deformed RBCs can block flow of other RBCs and interrupt delivery of O2

*RBCs last 20 days instead of normal 120

22
Q

what is Polycynthemia?

What are the types?

A
  • inc qty of RBCs in blood volume
  • can be use to increase in mass of RBCs (absolute polycynthemia) or decrease in volume of plasma (relative polycythemia)
  • excess RBCs increase blood viscoity
23
Q

what are the types of abosulte polycythemias

A
  • Primary Polycythemia (or polycythemia vera) (inc RBC production)
  • Secondary polycythemia (elevated EPO by natural or blood doping)