Blood and Body Fluids Flashcards
Body Fluid % of body weight
60% of body weight
42L
Intracellular Fluid % of Body weight
40% of body weight
28L
Extracellular Fluid % Body weight
20% of body weight
14L
Extracellular Fluid Types
Interstitial Fluid(15%), Plasma(5%)
% are of total body weight
Blood and Hematopoietic Tissue Classification
Specialized Connective Tissue
Bone Origin
Blood and Hematopoietic Tissue Functions
- Gas Exchange
- pH Regulation (7.35-7.45)
- Electrolyte Balance
- Nutrient Transport
- Hormone Transport
- Thermoregulation (100.4 F)
- Immune System
Amount of Blood in the Body
5-6 L in men
4-5 L in women
8% of body weight
Plasma Component
55% of blood volume,
made of water, proteins, and ions,
Proteins in Plasma
Albumins and Globulins, Fibrinogen
Albumins and Globulins
from the liver, carrier function
located in plasma
Fibrinogen
clotting
located in plasma
Ions in Plasma
mostly Na+
Oncotic Pressure
pressure that causes fluid to move into capillaries
Formed Elements (Cellular Component)
- Erythrocytes
- Leukocytes
- Platelets
45% of blood volume
Erythrocytes
contians hemoglobin
Red Blood Cells
lacks nuclei, biconcave disc, 120 day life cycle
Hematocrit
volume percentage of red blood cells in blood
40%-50%
Reticulocytes
immature red blood cells
erythrocyte precursor
made in the bone marrow and sent to the bloodstream, lasts one day before turning into a erythrocyte
Erythropoietin
stimulates red blood cell production in bone marrow
secreted by the Kidneys in response to cellular hypoxia
hemoglobin
red protein responsible for transporting oxygen
2/3 of body iron, other 1/3 is in the liver,
Ferritin
stores and releases iron
in the liver
Transferritin
proteins that bind to and mediate transport of Iron through plasma
from Liver to Bone Marrow
Kuffler Cells
break down RBCs into iron and Bilirubin
in the liver
Bilirubin
binds to albumin
Interstital Fluid
small transcellular compartment
synovium, pericardium, CFS, eye
Thrombus
stational clot
Embolus
clot that migrates
Vessel Reaction to clot
- Platelets swell, release Thromboxanes
- Platelets aggregate and adhere
- Fibrin reaction
- Vasoconstriction, clot retraction
Basic Fibrin Mechanism
- Prothrombin + Ca++, + prothrombin activator yields thrombin
- Thrombin activates Fibrinogen to be converted to Fibrin
- Fibrin is further stabilized by Factor XIII
plasminogen
Produces plasmin, can disolve fibrin clots
plasmin is a natural body anticoagulant
activates by factor XIII
Extrinsic Pathway
- Tissue factors activate Factor VII
- Factor VII activates Factor X
- Factor X + Ca + Factor V activates prothrombin cascade
damage to tissue
Intrinsic Pathway
- Collagen or wettable surface activate Factor XII
- activates Factor XI
- activates Factor IX
- activates Factor VIII
- activates Factor X with V and Ca, activates prothrombin cascade
What factor do Hemophiliacs lack?
Factor VIII
Heparin
activates antithrombin III
anticoagulant
Ca++ Chelators
sodium citrate
anticoagulant
Siliconized Glass
prevents platelet response
anticoagulant
Warfarin/Coumarin
competes at liver with vitamin K
vitamin K is essential for prothrombin, VII, IX, and X assembly
can be reversed with Vitamin K administration, diet can interfere, time tested, anticoagulant
Elliquis/Xarelto
Factor Xa inhibitor
blocks thrombin formation
Pradaxa
direct thrombin inhibitor
All new Anticoagulant agents have these traits
- Block Thrombin Formation
- Not immedietly reversible
- emergency surgery implicaitons
- 3-4x more expensive, but easier to use
Elliquis, Xarelto, Pradaxa
t-PA
tissue Plasminogen Activator
Clot Buster
Produces Plasmin (natural body anticoagulant) from vascular epithelium
Streptokinase
clot buster made from Streptococci bacteria
Clot Buster
Septic Shock
bacteria endotoxins trigger clotting mechanism
Disseminated Intravascular Coagulation
plugs small vessels but bleeding may be triggered