BLOOD PHYSIOLOGY (Hematopoiesis, Blood Typing, and Hemostasis) Flashcards
fluid of cardiovascular system
● Composed of : Plasma, WBC, and RBC
● Cellular elements: WBC, RBC, Platelets
BLOOD
functions of the blood
Maintains Homeostasis - Body temperature osmotic and ionic balance › Transport of: - Gases (O2 and CO2) - Nutrients - Hormones › Defense: - Infections - Hemostasis
TYPES OF PLASMA proteins
albumin
globulin
clotting factors
major plasma protein
maintains oncotic pressure
carries molecules and drugs
albumin
α β globulins (liver): transport of fats
› γ globulins (WBC): immunoglobulins
globulin
The force that retains the fluids inside the blood vessels
● Albumin maintains intravascular oncotic pressure
ONCOTIC PRESSURE
what happens when there is low albumin
edema
ascites
pulmonary edema
Fluid moves out of the blood vessels and into the
interstitium or in the subcutaneous area
edema
Fluid moves out of the blood vessels and into the
interstitium or in the subcutaneous area
ascites
Fluid leaking into the alveoli and pleural space
pulmonary edema
where is the albumin produced
liver
what happens with patiens with liver problems or liver cirrhosis
low levels of albumins
what does the serum protein electrophoresis
measures different levels of proteins in the blood
- diganoses serum protein disorder
Majority of serum will be albumin , followed by alpha-1,
alpha-2, beta , and gamma globulins (immunoglobulins)
Abnormal proliferation of plasma cells producing abnormal
amounts of immunoglobulins
will yield a spike showing a
high level of immunoglobulins
MULTIPLE MYELOMA
inherited immunodeficiency state that causes a low
concentration of immunoglobulins in the blood
serum electrophoresis test will show a deficit
AGAMMA GLOBULINEMIA
process of making red blood cells
Erythropoiesis
different site of erythropoiesis in fetus
- yolk sac
mid semester - liver, spleen and lymph nodes
different site of erythropoiesis in children and adolescents
all bone marrows
different site of erythropoiesis in adults
Marrow of axial skeleton (membranous bones) continue to produce RBCs: › Vertebrae › Ilia/Pelvis › Sternum › Ribs
As age increases, the marrow becomes less productive of RBC
tibia and femure stop at 20
others start to lessen by ageing
a hormone and a principal stimulus for RBC
production in low oxygen state
erythropoietin
most important regulator of RBC
production
Tissue oxygenation
what happens when hypoxia occurs
increases rbc production
sensed by the kidney then releases erythropoietin
what causes to hypoxia
anemia
pulmonar disease
poor blood flow high altitude
other stimulant of erythropoiesis
Norepinephrine › Epinephrine › Prostaglandins › Androgens (reason why males have higher level of hematocrit than females)
when does the rate of making erythropoietin the kidney decreases
when adequate oxygen starts to flow to the tissues
what does erythropoietin produce
stimulates production of proerythroblasts from
hematopoietic stem cells
high altitudes induce hypoxia that can cause anemia
- thin air
- increases hematocrit, hemo, erythropoietin
CHRONIC LUNG DISEASES AND HIGH ALTITUDE
SETTINGS
this is a banned substance in sports
Doping