Blood Flashcards
What is blood?
a liquid connective tissue consisting of cells and extracellular matrix
What is plasma?
matrix of blood, clear fluid
What are the formed elements of blood?
blood cells and cell fragments; RBC, WBC, and platelets
What are the 7 formed elements?
Erythrocytes, platelets, neutrophils, eosinophils, basophils, lymphocytes, monocytes
What are erythrocytes?
RBCs
What are leukocytes?
WBCs
What are the types of granulocytes?
neutrophils, eosinophils, basophils
What are the types of agranulocytes?
lymphocytes, monocytes
What does hematocrit do?
centrifuge blood to separate components
What is the heaviest component of blood? How much is there?
RBCs, 37-52%
How much of blood is plasma?
47-63%
What makes up the buffy coat?
WBCs and platelets
What are the 3 categories of plasma proteins?
Albumins, globulins, fibrinogen
What is serum?
plasma without the fibrinogen
What organ are plasma proteins (except globulins) produced by?
liver
What contributes to blood viscosity?
RBCs + albumin
What does albumin regulate?
osmolarity
What is the osmolarity of blood?
total molarity of particles that cannot pass through the blood vessel wall
What relationship does osmolarity have to blood pressure?
proportional
What is hypoproteinemia?
deficiency of plasma proteins caused by starvation, liver/kidney disease, or severe burns
What is the production of blood called? Where is it carried out?
Hemopoiesis; in red bone marrow
What are pluripotent stem cells?
cells that can become all types of cells
What is a colony forming unit?
specialized stem cells that only produce one class of formed element of blood
What are the 2 functions of RBCs
Carry O2 from lungs, carry CO2 to lungs
Why are RBCs biconcave?
so they can bend to fit through capillaries
Do RBCs have most organelles?
No
What is hemoglobin made of?
4 globins, 2 alpha and 2 beta (2 alpa and 2 gamma fetally)
How many heme groups does hemoglobin have?
4 (one O2 per heme)
What does hemoglobin bind at its center?
iron
What does hematocrit show?
percentage of whole blood volume composed of RBCs
What sex has a higher RBC count?
men
Why do women have lower RBC?
less androgen, menstrual loss, and more body fat = less hematocrit
What is the term for RBC production
Erythropoiesis
What is the average lifespan of an RBC?
120 days
What is the first committed cell in formed element production?
colony forming unit
What receptors do RBC colony forming units have?
erythropoietin
Where is EPO made?
kidneys
Why is the nucleus discarded in RBC formation?
to form the reticulocyte
What do reticulocytes have a lot of?
endoplasmic reticulum
What is iron stored as?
Ferritin
What is hypoxemia
low O2 in blood
What is the negative feedback loop for RBCs?
Drop in RBC count causes hypoxemia, causes kidneys to release EPO and stimulate red bone marrow
What is RBC rupturing called?
hemolysis
Where are the macrophages for RBCs?
Spleen
What are the steps for RBC death?
- Separate heme from globin
- Globins hydrolyzed into amino acids
- Iron removed from heme
- Heme pigment converted to biliverdin
- Biliverdin converted to bilirubin
- released into blood plasma
- liver removes bilirubin and secretes into bile
Where is bilirubin concentrated?
gallbladder
What is urobilinogen?
brown feces created by bacteria
What is polycythemia?
Excess of RBCs?
What are the dangers of polycythemia?
increased blood volume, pressure, viscosity, embolism, stroke, heart failure
What are the 3 categories of anemia?
Inadequate erythopoieisis or hemoglobin synthesis, hemorrhagic anemia, hemolytic anemia
What are the consequences of anemia?
tissue hypoxia and necrosis, reduced osmolarity, low viscosity
What is sickle cell disease?
RBCs become rigid, sticky, and pointed and clump together
What are agglutinogens determined by?
glycolipids on RBC surface
What is an antigen?
Complex molecules on surface of cell membrane that activate an immune response
How abundant are leukocytes?
least abundant formed element
What do WBCs do?
protect against pathogens
Do WBCs have organelles?
yes
What is the order of abundance for WBCs?
Neutrophils, lymphocytes, monocytes, eosinophils, basophils
What do neutrophils do?
antibacterial
What do eosinophils do?
Fight against parasitic infections
What do basophils do?
fight chickenpox, sinusitis, diabetes, secrete histamine, secrete heparin
What do lymphocytes do?
fight diverse infections like cancer
What do monocytes do?
fight viral infections
What is WBC formation called?
leukopoiesis
What do myeloblasts differentiate into?
neutrophils, eosinophils, basophils
What do monoblasts form?
monocytes
What do lymphoblasts differentiate?
lymphocytes
Where are granulocytes and monocytes stored and released?
red bone marrow
Do WBCs stay in the bloodstream?
no, except lymphocytes
What is leukopenia?
low WBC count, causes elevated risk of infection
What is leukocytosis?
high WBC count, causes infection, allergy, and disease
What is leukemia?
cancer of leukocytes that produce high leukocytes
What does CBC include?
Hematocrit, hemoglobin, total count for RBCs, reticulocytes, WBCs, and platelets, differential WBC count, RBC size and hemoglobin concentration per RBC
What is hemostasis?
cessation of bleeding
What are the hemostatic mechanisms?
vascular spasm, platelet plug formation, coagulation
What are platelets?
small fragments of megakaryocytes
What are the functions of platelets?
secrete vasoconstrictors, form platelet plugs, secrete procoagulants, formation of clot-dissolving enzymes, secrete growth factors, destroy bacteria
What is thrombopoiesis?
stem cells become megakaryoblasts
What are megakaryoblasts?
form megakaryocytes
What are megakaryocytes?
live in blood and have long tendrils that protrude in the sinusoids
What are in the extrinsic pathway?
factors released by damaged tissues
What are in the intrinsic pathway?
factors found in blood
What factors are in the extrinsic pathway?
initiated by factor 3, cascade to factor 7, 5, and 10
What factors are in the intrinsic pathway?
Initiated by hageman factor (12), cascade to 11, 9, 8, 10
What is required for either pathway?
calcium
What is the completion of coagulation steps?
Factor 10 - prothrombin - thrombin - fibrinogen - fibrin
When does clot retraction occur?
within 30 minutes
What is secreted by platelets and endothelial cells?
platelet-derived growth factor
What is fibrinolysis?
dissolution of a clot
What prevents inappropriate clotting?
platelet repulsion, thrombin dilution, natural anticoagulants (heparin/antithrombin)
What is a hematoma?
mass of clotted blood in the tissues
What is thrombosis? Thrombus?
abnormal clotting, clot