Blood Flashcards

1
Q

what is blood

A

Blood is a connective tissue that circulates constantly around the body, allowing constant communication between tissues distant from each other. It transports the following components;

  • oxygen
  • nutrients
  • heat
  • hormones
  • protective substances, e.g. WBCs
  • clotting factors, e.g. platelets
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2
Q

Components of blood

A

Blood is composed of a clear, straw-coloured, watery fluid called blood plasma. Several cells are suspended within this making up the following;

  • 55%plasma
  • 45% blood cells & platelets
  • 1% wbcs and platelets

Blood makes up around 7% of an adult’s body weight, more in children 8-9% , and even more in infants; 9-10% (the percentage decreasing until adulthood is reached).

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3
Q

Blood and heat conversion/loss & transportation

A

The heat produced by metabolically active organs such as the liver and working muscuoskeletal muscles is distributed around the body via the bloodstream which contributes to the maintenance of core body temperature (CBT).

Homeostasis and blood;

  • When too hot
  • heat loss is allowed by vasodilation of blood vessels from the skin to the external environment
  • When too cold
  • heat conservation is allowed by vasoconstriction which helps to prevent heat loss from the skin to the external environment
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4
Q

Blood Plasma

A

The components of blood plasma are 90-92% water and dissolved substances are the rest;

  • plasma protiens, e.g.
  • inorganic salts
  • nutrients, mainly from digested foods
  • waste materials, e.g. CO2, urea, etc.
  • hormones, which travel to their target organs/cells via the blood
  • gases, e.g. O2 & CO2
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5
Q

Plasma protiens

A

these make up about 7% of plasma and are normally retained within the blood because they are too big to escape through capillary pores and into the tissues.

These are largely responsible for creating osmotic pressure of blood.

If levels of plasma proteins fall, due to either reduced production or loss from the blood vessels (e.g. within a bleed), osmotic pressure will also reduce and and fluid will move into the tissues (oedema) and body cavities.

Examples;

Albumin

  • the smallest of plasma proteins but largest in quantity.
  • they maintain colloid pressure of the blood; maintaining water within the blood and (ECF)
  • deficiency of these results in oedema (excess ECF due to leaked ICF)
  • helps to transport substances; drugs, hormones, fatty acids

Globulins;

  • three types; alpha, beta, gamma, smallest to largest respectively
  • gamma; antibodies
  • alpha; carry fats to cells for energy metabolism
  • beta; transport fat to cells for steroid and cell membrane synthesis

Fibrinogen
- an important soluble plasma clotting factor which is converted to fibrin to help in the clotting action to prevent further bleeding

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6
Q

Waste products found in blood

A

Urea
creatinine (left over from energy-producing actions in the body)
uric acid
CO2

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7
Q

Cellular content of blood

A

Erythrocytes (rbcs)
Thrombocytes (platelets; not a cell, fragments of cells)
Leukocytes (wbcs)

Blood cells are synthesised mainly in the red bone marrow, whilst some lymphocytes (wbcs) are produced by the lymphoid tissue.

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8
Q

The name of the process of blood cells

A

haematopoiesis

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9
Q

Red Blood Cells

A
  • 99% of blood cells are RBCs, (erythrocytes).
  • biconcave discs & no nucleus gives a large surface area
  • no nucleus means they cannot divide and therefore need to be continually replaced
  • lifespan of 120 days
  • 30 trillion RBCs in average human body, 25% of total blood cell count
  • development of RBCs is 7days; erythropoiesis
  • vitamin B12 & folic acid are required for synthesis of RBCs
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10
Q

RBCs & haemoglobin

A

haemoglobin is a protein with an iron-containing protein which gives blood its red pigment. each Hb molecule has 4 binding sites which allows 4 O2 molecules to attach (forming oxyhemoglobin), allowing O2 to be transported around the body via the blood. - this binding is known as ‘saturated’ and is a reversible process.

An average RBC carries 280million Hb molecules; over 1billion O2 molecules transported.

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11
Q

Hypoxia

A

This term relates to inadequate tissue perfusion (not enough O2 supplying the tissues). Tissues are constantly in need of O2 and constantly producing CO2.

Hypoxemia (low O2 circulating in the blood) can cause hyoxia (low O2 in the tissues).

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12
Q

Platelets (thrombocytes)

A

these are very small fragments of cells. they lack a nucleus and their cytoplasm is packed with granules containing a variety of substances that promote blood clotting. this causes haemostasis (cessation of bleeding).

lifespan of platelets is between 8-11 days and those not used for clotting are destroyed by macrophages (wbcs) in the spleen.

about a third of platelets are stored in the spleen 9as oppose to circulation) and these act as emergency storage for excessive bleeding.

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13
Q

Haemostasis (3 stages)

A

Coagulation (clotting) can start as quickly as 15 seconds after injury (depending in severity of bleed/damaged blood vessel);

1- vasoconstriction; platelets become sticky, adhere to damaged blood vessel wall, release serotonin to constrict vessel and therefore reduce more blood passing and leaking out

2- platelet plug formation; platelets clump together forming a plug to the bleed, release ADP to attract other platelets, this is usually complete with 6 minutes- positive feedback mechanism.

3- coagulation; blood clotting.

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14
Q

heat distribution

A

the blood can carry and transfer heat and excessive heat, away from organs that are metabolically active, e..g the liver, to prevent the organ from over-heating and distribute this excess heat around the body, maintaining warmth throughout the body to other less metabolically-active organs and maintain the organ/liver’s functionality.

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15
Q

what is an anti-coagulant and what would it do to blood (composition) ?

A

if blood was taken as a sample and treated wth an anti-coagulant (substances like blood thinners that prevent clots; opposite of blood clotting agents), it would separate into two layers;

  • upper layer; plasma fluid (55% of blood sample)
  • lower layer; suspended cellular components (overall 45%, in-depth; 99% rbcs & 1% wbcs and platelets).
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16
Q

what happens if a blood sample treated with an anticoagulant is shaken?

A

the two separated layers will remerge with one another and become whole again

17
Q

what happens if you expose blood (in the body or in a sample) to the air?

A

blood exposed to the air will be triggered to begin to clot.

18
Q

function of blood

A
  • transportation; of wastes, nutrients, gases, plasma proteins, heat, etc.
  • defence; carries WBCs
  • coagulation; sealing damaged blood vessel walls during bleeds
  • regulating IF (interstitial fluid); this fluid is formed from the blood, which bathes cells.
19
Q

three types of anaemia

A

iron-deficient anaemia;
-the most common type and occurs as a lack of iron in the body. this can be caused by blood loss, poor absorption via the diet. iron-rich foods can prevent this.

aplastic anemia;
-cause by a rare bone marrow failure disorder which stops the bone marrow from making enough blood cells (rbcs, wbcs, platelets). caused by destruction or deficiency of blood-forming cells in the marrow, like when one’s own immune system attacks the stem cells.

haemolytic anaemia;
-occurs when rbcs are broken up in the bloodstream or in the spleen. caused by mechanical causes, e..g leaky heart valves or aneurisms, infections, autoimmune disorders, congenital abnormalities in the rbc, etc. examples of inherited forms of this anaemia include thalasemmia and low enzyme levels.

20
Q

causes of anaemias

A
  • poor iron intake in the diet
  • excessive blood loss (loss or rbcs)
  • autoimmune, heart, respiratory problems, etc.
  • inherited concerns