Blood Flashcards

1
Q

What type of tissue is blood?

A

connective

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2
Q

What are the main functions of blood?

A

transportation of oxygen, regulation, immunity and nonspecific defenses

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3
Q

How is blood different from water?

A

heavier, thicker, 3-5x more viscous. Slightly higher temperature than the rest of the body (100.4). pH: 7.35-7.45. Specific gravity: 1.050 g/ml.

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4
Q

What is hematocrit and what does it measure?

A

packed cell volume.

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5
Q

Erythrocyte sedimentation rate.

A

men 2-8 mm/h, women 2-10 mm/h

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6
Q

When we remove formed elements from the blood, what is left?

A

plasma, platelets, and white blood cells

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7
Q

What is blood without clotting factors?

A

serum

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8
Q

Where is blood formed in a fetus?

A

yolk sac, liver, spleen, thymus gland, lymph nodes, and red bone marrow

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9
Q

What is the shape of a RBC?

A

biconcave disc without a nucleus. 1/3 hemoglobin

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10
Q

Describe a hemoglobin molecule.

A

4 peptide chains with iron containing pigment, heme.

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11
Q

Where does oxygen bind in the blood?

A

hemoglobin

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12
Q

What compound is formed when heme combines with oxygen?

A

oxyhemmoglobin

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13
Q

Why would a person appear cyanotic?

A

low oxygen to the tissues near the skin

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14
Q

Why is Carbon monoxide dangerous?

A

binds more tightly to heme than oxygen

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15
Q

Where does Nitric oxide bind and what does it do?

A

to sulfur atoms in lungs. It is a vasodilater

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16
Q

What is the avg RBC count for men? women? children? high altitudes?

A

men: 5.4 million/mm3
women and children: 4.8
high alt: 8 million

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17
Q

What is a reticulocyte?

A

immature blood cells.

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18
Q

What do normoblasts tell us?

A

heamolytic anemia

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19
Q

What enzymes and enzyme systems are found in a mature erythrocyte and what do they do?

A

carbonic anhydrase: combines Carbon Dioxide and water.

Glycolytic enymes for glycolysis

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20
Q

What is transferrin?

A

combines with heme and is taken into marrow

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21
Q

what is ferritin?

A

protein complex

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22
Q

What is erythropoietin?

A

glycoprotein that produces RBC

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23
Q

What happens to bilirubin when the ducts from the liver to the small intestine are blocked?

A

jaundice

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24
Q

what is anemia?

A

the inability of the blood to carry sufficient oxygen to the body.

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25
Pernicious anemia is a lack of ?
Vitamin b-12
26
What vitamins are needed to prevent anemia?
folic acid
27
What is sickle cell anemia?
RBC form a sickle shape that lyse the blood vessels
28
What is polycythemia?
excess RBC
29
What is the main function of leukocytes?
Immunity
30
3 cell lines of leukocytes?
1. myeloid 2. lymphoid 3. monocytic
31
Neutrophils
Granular. 54-62%. Phagocytes
32
Eosinophils
1-3% granular. combat parasites
33
Basophils
less than 1%. Granular. allergic rxn
34
lymphocytes
agranular. 25-33%. B make antibodies, T attack invaders
35
monocytes
agranular. 3-9% phagocytes
36
What is leukocytosis?
rise in the number of WBC
37
leukopenia?
deficiency in WBC
38
What is a complete blood count?
differential count of each type of leukocyte
39
What are platelets?
cell fragments. release serotonin that contracts smooth muscle in the wall of blood vessels.
40
What are the 3 types of proteins found in blood plasma?
1. albumin. 2. Alpha globulins 3. fibrinogin
41
lipids found in blood plasma?
cholesterol and triglycerides.
42
carbs found in plasma?
glucose
43
what does serum contain?
antibodies
44
What is hemostasis?
stoppage of bleeding
45
4 steps in hemostasis:
1. vascular spasm, 2. platelet plug formation. 3. blood clotting 4. clot retraction
46
Platelet plug formation:
1. platelets contact damaged vessels and adhere. 2. platelets become activated, dump granules. 3. platelets become sticky and accumulate.
47
What is thrombosis?
clotting in an unbroken vessel
48
what is a thrombus?
a clot
49
what is an embolus?
clot that travels in the blood stream
50
what is an embolism?
clot that is lodged in a part of the body
51
what are clotting factors?
vitamin k that is important in clotting
52
3 stages of clotting:
1. formation of prothrombinase 2. conversion of prothrombin to thrombin 3. conversion of soluble fibrinogen in insoluble fibrin.
53
What are the differences between the extrinsic and intrinsic pathways?
Extrinsic: clotting factor leaks into the blood from outside the vessels. Intrinsic: more complex, slower, by roughened endothelium or exposure to foreign substances.
54
What keeps are blood from clotting all over the body?
the fibrolytic system
55
Fibrolytic system
plasminogen, an inactive enzyme, is incorporated into a clot. it can be activated to plasmin, which digests fibrin and inactivates other clotting factors.
56
What is hemophilia?
hereditary trait where a person is deficient in one of the clotting factors
57
What are some common anticoagulants?
prostaglandins, heparin, warfarin, aspirin. blocks conversion of prothrombin to thrombin. warfarin is an antagonist to fit k. aspirin inhibits vasoconstriciton
58
what are the 3 major blood groups?
ABO
59
What antigens are found in each blood group?
A-anti a, B-anti b, AB-anti a and anti b, O-none
60
Rh factor?
rhesus factor.
61
erythroblastosis fetalis?
hemolytic disease of a newborn when mom is - and father is +.