Blood Flashcards

1
Q

Composition of Blood

A

60% plasma, 40% cells – suspension

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2
Q

Oxygen Solubility in Plasma

A

Oxygen INSOLUBALE in plasma – 0.003mL O2 in 100mL plasma per 1mmHg pp of oxygen (PO2)

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3
Q

Hemoglobin

A

tetramer (MW 64kDa) – two α, two β chains, each containing a heme, central iron molecule that binds O2
o Hgb carries oxygen much more readily than plasma

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4
Q

Oxygen Capacity

A

Each gram of hemoglobin can carry approximately 1.34mL of oxygen (oxygen capacity)
 Oxygen capacity does not include oxygen dissolved in plasma

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5
Q

HB and Binding to Oxygen

A

Hb must be in reduced/ferrous state (Fe2+) to transport oxygen – 1.34mL oxygen – maintained in this state by NADH-methemoglobin reductase
o Methemoglobin – iron oxidized to Fe3+ ferric state – cannot bind oxygen

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6
Q

Binding of Oxygen to Hemoglobin

A

Binding of O2 to Hb – important role in vasoregulation – promotes binding of NO to form S-nitrosohemoglobin
o Deoxygenation of Hb releases NO group – relaxes vessels to improve blood flow in this deoxygenated T structure (vs. oxygenated R structure)

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7
Q

Consequences of Hemolysis

A

Free plasma hemoglobin maintained in ferrous (Fe2+) redox state: reacts with an O in near diffusion limited reaction to inhibit NO signaling

Oxidation of cell free hemoglobin from ferric (Fe3+) to ferryl (Fe4+) state acts as potent pro inflammatory agonist initiating oxidative cellular injury

When protective hemoglobin scavenging mechanisms saturated, levels of free hgb increases in plasma = consumption of NO

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8
Q

Which species lack fetal hemoglobin?

A

pig, guinea pig, dog, horse, possum, mouse, rabbit

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