Blood Flashcards
1
Q
What type of tissue is blood?
A
connective
2
Q
Plasma
A
the nonliving liquid part
3
Q
Formed elements
A
- the living cells
- erythrocytes (RBCs), leukocytes (WBCs), thrombocytes (platelets)
4
Q
What is the average blood volume in men and women?
A
- men: 5.5 liters
- women: 5 liters
5
Q
Erythrocytes
A
- most common formed element
- 5 million RBCs in a cubic mm of blood
- trillions in the body
- packed with hemoglobin for O2 transport
6
Q
Hemoglobin (Hb)
A
- O2 loading in lungs (produces oxyhemoglobin)
- O2 unloading in tissues (produces deoxyhemoglobin or reduced hemoglobin)
- CO2 loading in tissues (20% of CO2 in blood binds to Hb- carbaminohemoglobin)
7
Q
Where are RBCs formed?
A
- in red bone marrow from hemocytoblasts or hematopoeitic stem cells
- control of production is based on O2 levels in blood
- in adults, kidney senses levels of O2
8
Q
Too few RBCs leads to…?
A
tissue hypoxia
9
Q
Too many RBCs…?
A
increases blood viscosity
10
Q
How many RBCs are made per second?
A
> 2 million RBCs made per second
11
Q
Balance between RBC production and
destruction depends on…?
A
- hormonal controls
- adequate supplies of iron, amino acids, and B vitamins
12
Q
Erythropoietin (EPO)
A
- if O2 levels are low (hypoxia), kidney releases erythropoietin (a hormone)
- stimulates the hematopoietic stem cells to become erythrocytes
- RBC count increase (due to prolonged exercise, high altitudes, and COPD)
- direct stimulus for erythropoiesis
- always small amount in blood to maintain basal rate (high RBCs or O2 levels depress production)
- dialysis patients have low RBC counts due to damaged kidneys
13
Q
Causes of hypoxia
A
- decreased RBC numbers due to hemorrhage or increased destruction
- insufficient hemoglobin per RBC (e.g., iron deficiency)
- reduced availability of O2 (e.g., high altitudes, consistent vigorous activity, COPD)
14
Q
How long do RBCs live?
A
- about 120 days
- old or damaged red blood cells
are removed by the spleen and the
liver - these are the most actively replaced
cells in the body
15
Q
What happens when RBCs are removed from blood?
A
- hemoglobin is broken down
into heme and globin - globin is a protein that is
digested and recycled - heme is broken down into iron
and bile pigments
16
Q
What happens to iron after heme is broken down?
A
- iron is stored in the liver and
transported back to the red bone
marrow as transferrin - bile pigments, biliverdin and bilirubin, are released into bile as waste and
ultimately end up in feces giving fecal
material its characteristic color
(brownish / greenish) - also gives urine its usual color
17
Q
Jaundice
A
- occurs when excess bile pigments
accumulate in body fluid and/or bile ducts are blocked, liver disease - sclera looks yellow and skin looks yellow in someone light-complected
- about 1/3rd of newborns have jaundice (liver needs time to mature; bili lights break down bile pigments)
18
Q
What are nutrient requirements for erythropoiesis?
A
nutrients, iron, vitamin B12, and folic acid
19
Q
Nutrients
A
amino acids, lipids, and
carbohydrates