Blood Components Flashcards

1
Q

Constituents of blood

A

Men have 4-6 litres, women have 4-5 litres

Plasma 55% and formed elements is 45%

Plasma= 70-80% water , 7% plasma proteins , 1% other solutes
Proteins maintain osmotic pressures, tissue repair and clotting
1% solutes would mean dissolved gases, Na+, K+ and ca++

Formed elements= 95.6% oxygen, 0.1% WBC , 4% platelets

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2
Q

Plasma

A

Straw coloured fluid , like interstitial fluid
92% water
Small amount electrolytes (sodium. Potassium and calcium ions)
6-8% plasma proteins = Fibrinogen, albumin and globulins
Waste products
Nutrients, vitamins and hormones
Gases like O2, CO2 and nitrogen

Plasma + interstitial fluid maintain osmotic pressures + hydrostatic pressures
Oedema

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3
Q

Erythrocytes

A
95.6%
Red bone marrow 
Biconcave discs- thin in middle and thick at edges 
No nuclei so can’t reproduce 
No mitochondria- rely on energy from anaerobic glycolysis 
Carry 02 but to other cells 
Lack ribosomes 
RBC programmed for 120 days = apoptosis 
Constantly produced in bone marrow 

Haemoglobin = 4 polypeptide chains and haem + iron

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4
Q

Leucocytes

A

0.1% formed elements
Lymphatic system
Connective tissue
Granulocytes = Neutrophils, basophils + eosinophils, nucleus appears under stain
Agranulocytes= Lymphocytes and monocytes, nucleus does not appear under stain
WBC appear in inflammation and infection
Only specific cells are lymphocytes

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5
Q

Roles of different WBC

A

Neutrophils - Phagocytosis of bacteria+ pus

Eosinophils- allergic reactions, defend against parasites , control inflammation

Basophils- allergic reactions + inflammation

Lymphocytes = T and B cell, immunity

Monocytes= phagocytosis of large particles, attracts immune system cells

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6
Q

Platelets

A

Thrombocytes

Red bone marrow

Small , no colour and disc shaped fragment

No nucleus

Large numbers in blood

Release clotting chemicals

Patch damaged vessel walls + contract tissue after clot formation

Sizes = RBC largest, then WBC then platelets

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7
Q

Blood functions

A

Transportation
Regulation
Protection

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8
Q

Transportation

A

60,000 blood vessels

To tissue:
Oxygen 
Nutrients 
Electrolytes (Na+ and k+ for nerves and ca++ for muscles)
Vitamins and hormone
Carries these things away:
CO2
H20
Electrolytes 
Urea in urine via kidney
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9
Q

Regulation

A

Regulate acidity of fluids using buffers
Eg PH of 7.35-7.45
Enzymes activity optimal
Blood control ph by controlling levels of bicarbonate and co2

Regulates volume of fluid in tissues by proteins - osmosis

Thermoregulation - redistribute blood and excess heat

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10
Q

Protection

A

Defend against disease - carry WBC, factors for inflammation and antibodies

Haemostasis - prevent major blood loss

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11
Q

Haemostasis

A

Very pretty cake

VASCULAR
PLATELET
COAGULATION

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12
Q

Vascular phase

A

Immediate vasospasm
Basement membrane of vessels exposed

Endothelial cells release chemical factors and hormones for more muscle contraction. ADP + tissue factor = smooth muscle contraction.
Also cell division of endothelial cells, smooth muscle cells and fibrocytes

Endothelial cells sticky

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13
Q

Platelet phase

A

PLATELET ADHESION - 15 secs after injury. Platelets stick to the sticky endothelium, basal laimnae and exposer collagen fibres

PLATELET AGGREGATION - platelets accumulate and stick together.
Release substances for more platelet
More sticky so more can stick

Platelet plug formed

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14
Q

Coagulation phase

A

Involves series of steps, converting circulating fibrinogen to insoluble fibrin
Chain reaction of enzymes and pro enzymes

EXTRINSIC= blood vessel damaged from outside eg, kicked 
INTRINSIC= inside damage 

COMMON PATHWAY- Both get to here, and made clotting factor 10 + prothrombinase

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15
Q

Common pathway

A

Prothrombinase with CF10 changes prothrombin into thrombin

Thrombin converts fibrinogen into fibrin

Fibrin, with calcium and stabilising factor, becomes fibrin threads

Fibrin threads = Mesh with blood cells and plasma

Fibrin mesh covers platelet plug , traps blood cells and seals off area

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16
Q

Good calcium needed to clot blood

A

:

17
Q

Blood disorders

A

Anaemia
Polycythaemea
Leucocytosis and leukopenia
Blood clotting issues

18
Q

Anaemia

A

Hb deficient = not enough RBC or too little HB

Men need 12-15 g / dl and women need 10-13g/ dl

Haenatocrit ratio of RBC ; total

Blood loss
Bad RBC production eg vit b or folic acid
Excessive RBC destruction - wrong shape or incorrect lifespan eg, sickle cell

19
Q

Polycythaemia

A

Too much hb

Thickens blood

Can get blood clots and heart failur

20
Q

Leucocytosis and leukopenia

A
Too high WBC 
infection 
Inflammation 
Necrosis 
Allergic 
Leukaemia - bone marrow produce abnormal WBCs takes over healthy ones 

acute or chronic

Leukopenia si not enough wbc
bone marrow damage 
Dietary deficiency 
Sepsis 
Viral infection 
Lymphoma - lymphocytes change and grow out of control 
Hopkins and non Hodgkins
21
Q

Blood clot thing issues

A

Leukaemia also has low RBC and platelets

Medicines can affect platelet production

Aspirin

Aspiring long term can make blood less thick- but can struggle to clot blood

Haemophilia 
Missing clotting factors 
More common in male 
Bleeding doesn’t stop 
Orally or injections