Blood Flashcards

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1
Q

What are the main two components of blood? And what are their relevant compositions?

A

Plasma (55%) and Red Blood Cell (45%)

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2
Q

What is the haematocrit?

A

ratio of the volume of red blood cells to the total volume of blood

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3
Q

What composition of the plasma in blood is made up of water? What is the rest?

A

Water - 91%
Proteins- 7 %
Other solutes are 2%

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4
Q

How do you collect blood for analysis?

A

By venipuncture from a superficial vein

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5
Q

Why do you use superficial veins for blood collection?

A
  • easy to locate
  • vein walls are thinner than arteries
  • blood pressure is relatively low so wound seals quickly
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6
Q

What can you use if the veins are difficult to access for blood collection?

A
  • capillary blood (finger, ear lobe etc)

- arterial puncture for efficiency of gas

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7
Q

Name some functions of blood.

A
  • transporting dissolved gases, nutrients, hormones and metabolic waste
  • regulating pH and ion composition of fluids
  • restricting blood loss at sites of injury (haemostasis) using platelets and clotting factors
  • defence against toxins and pathogens using white blood ells and antibodies
  • stabilising body temperature by redistributing heat
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8
Q

What proteins are found in the plasma?

A
  • mainly albumins (regulate osmotic pressure)
  • globulins (antibodies, transport globulins)
  • fibrinogen (clotting)
  • 1% enzymes, hormones and pro-hormones
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9
Q

What solutes are found in the plasma?

A
  • organic nutrients
  • electrolytes (Na+, K+, Ca2+)
  • organic wastes
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10
Q

What are albumins?

A

Major plasma proteins

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11
Q

What do albumins do?

A
  • act as molecular taxis - transporting hydrophobic molecules (fatty acids, thyroid hormones and steroid hormones)
  • suck water back in to blood due to osmotic pressure - contributing to plasma osmolarity
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12
Q

What do antibodies do?

A
  • Aid in body defence
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13
Q

What are the different regions in an antibody?

A
  • Antigen binding regions
  • 2 heavy chains and 2 light chains
  • An Fc region that recruits immune cells through interaction
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14
Q

What are transport globulins?

A
  • molecules that bind small ions, hormones and compounds that might otherwise be removed by kidneys or have low solubility in water
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15
Q

What are some examples of transport globulins?

A
  • Hormone-binding proteins
  • Metalloproteins
  • Apolipoproteins
  • Steroid-binding proteins
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16
Q

What is the plasma called after clotting occurs/ the removal of clotting proteins?

A

Serum

17
Q

What other plasma proteins are present in the Plasma?

A
  • peptide hormones (insulin and prolactin)

- glycoproteins including thyroid-stimulating hormone, follicle-stimulating hormone and leutinising hormone

18
Q

What are plasma expanders used for?

A
  • increase blood volume temporarily (e.g. following blood loss after injury such as a major accident or sepsis)
19
Q

What gives blood its red colour?

A

Haemoglobin in erythrocytes

20
Q

What is the ratio of erythrocytes: platelets: leucocytes in the blood?

A

1000: 100: 1

21
Q

What is the red blood cell structure?

A
  • biconcave disc
  • large SA:V ratio
  • forms stacks like plates through narrow vessels (rouleaux) (occur when plasma protein conc is high)
  • bend and flex when entering small capillaries
22
Q

What is the red blood cell composition?

A
  • lose most organelles during differentiation
  • no cell division or protein synthesis
  • haemoglobin >95% of the intracellular protein
23
Q

What organelle do red blood cells retain?

A

the cytoskeleton

24
Q

What is the lifespan of a red blood cell?

A

120 days

25
Q

How do erythrocytes obtain energy?

A

By anaerobic metabolism of glucose absorbed from the plasma

26
Q

What is the function of erythrocytes?

A
  • transport of respiratory gases (oxygen and carbon dioxide)
27
Q

How are red blood cells formed?

A

Differentiation takes 6-8 days.

Addition of hormone EPO (erythropoietin) promotes the formation of red blood cells in the bone marrow

28
Q

What is the red blood cell turnover?

A

300 million red blood cells enter circulation per second

29
Q

What are the Blood types?

A

ABO and Rhesus blood types are based on antigen-antibody responses
A, B, AB, O

30
Q

What do each ABO blood types produce in terms of antigens and antibodies in their plasma?

A

A - produces B antibodies and A antigen
B - produces A antibodies and B antigen
AB - produces A and B antigens and no antibodies
O - produces A and B antibodies but no antigen

31
Q

What is the difference between the Rhesus and ABO Blood types?

A

Unlike ABO types, Rh - individuals do not contain anti- Rh antibodies.

32
Q

When are antibodies present in Rhesus blood types?

A

Only present if individuals sensitises by previous exposure to Rh+ blood

33
Q

What are the functions of white blood cells?

A
  • defends the body against pathogens

- removes toxins, wastes and abnormal or damaged cells

34
Q

Where do white blood cells reside in?

A

Connective tissue proper or the lymphatic system

35
Q

What are the characteristics of circulating leucocytes?

A
  • can migrate out of the blood stream
  • are capable of amoeboid movement
  • are attracted to chemotaxis ( a specific chemical stimuli)
  • many are capable of phagocytosis
36
Q

What are platelets?

A

Cells that clump together at sites of injury, forming a platelet plug to prevent excessive blood loss

37
Q

What are platelets made by?

A

bone marrow megakaryocytes

38
Q

What is haemostasis?

A
  • prevention of excessive blood loss upon injury ( the stopping of bleeding )
39
Q

What are the 4 phases of haemostasis?

A
  1. Vasoconstriction to limit blood flow
  2. Platelet plug formation
  3. Coagulation (clotting) to stabilise the platelet plug
  4. Fibrinolysis