blood, tissue and lymph Flashcards

1
Q

what is blood

A

the fluid used to transport materials around the body

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2
Q

what is hydrostatic pressure

A

the pressure a fluid exerts when pushing against the sides of a vessel or container

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3
Q

what is lymph

A

the fluid held in the lymphatic system which is a system of tubes that return excess tissue fluid to the blood system

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4
Q

what is oncotic pressure

A

the pressure created by the osmotic effects of the solute

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5
Q

what is plasma

A

the fluid portion of the blood

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6
Q

what is tissue fluid

A

the fluid surrounding cells and tissues

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7
Q

what does blood consists of

A

a yellow liquid (plasma) and different types of red blood cells and white blood cells and also platelets

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8
Q

what does plasma carry

A
  • dissolved glucose and amino acids
  • mineral ions
  • hormones
  • large plasma proteins such as albumin, fibrinogen, globulins
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9
Q

what are the functions of albumin, fibrinogen and globulin

A

albumin maintains osmotic potential of the blood
fibrinogen is important in blood clotting
globulins control transport and the immune system

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10
Q

what are platelets

A

fragments of large cells called megakarocytes in the bone marrow. they are involved in the clotting mechanism

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11
Q

how much does plasma make up (by volume)

A

55% and much of that is actually water

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12
Q

which components of the blood are involved in transport functions of the blood

A

red blood cells and plasma

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13
Q

what is the total volume of blood

A

5dm3

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14
Q

give the total blood cell numbers of ..
- rbc
- wbc
- platelets

A

rbc = 2.5 x 10^-15
wbc = 5 x 11^-11
platelets = 6 x 10^-12

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15
Q

what are megakarocytes

A

large bone marrow cells with a lobated nucleus that produce thromocytes which are necessary for normal clotting

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16
Q

how much of the blood do the cells make vs the plasma

A

cells = 45%
plasma = 55%

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17
Q

what are the different types of cells in the blood

A

erythrocytes (red blood cells)
leukocytes (white blood cells)
thrombocytes (platelets)

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18
Q

what is the function of erythrocytes

A

transport oxygen
4-6 million per mm2

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19
Q

what is the function of leukocytes

A

involved in immunity, 4000-11000 per mm3

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20
Q

what is the function of thrombocytes

A

involved in blood clotting
200,000-500,000 per mm2

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21
Q

what is plasma composed of

A

water - approx 92%
proteins - albumins, fibrinogen, antibodies
ions - Na+, K+, Ca2+, Cl-
nutrients - glucose, amino acids, fatty acids
waste products - urea
hormones - insulin, oestrogen
gases - oxygen and carbon dioxide

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22
Q

what is the term for the formation of blood clotting

A

coagulation

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23
Q

what does coagulation involve

A

involves a complex series of biochemical reactions involving cellular and protein components

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24
Q

why do blood clots form

A

artery walls become narrow

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25
Q

what drugs usually prevent blood from clotting

A

circulating coagulants such as heparin normally prevent blood from clotting

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26
Q

describe the process of coagulation

A
  • when the wall of a blood vessel is damaged, collagen fibres become exposed to the blood
  • platelets stick to the exposed collagen fibres and form a plug to stop bleeding
  • platelets are activated and release thromoplastins (enzyme released from damaged cells)
  • through a cascade complex, thromboplastins convert prothombin (inactive plasma protein) into thrombin (active plasma protein). this process requires calcium and vitamin K
  • thrombin catalyses conversion of soluble fibrinogen into insoluble fibrin. the fibrin forms a mesh that traps red blood cells and strengthens platelet plug forming a clot
27
Q

how is the blood clot eventually reabsorbed

A

during fibrinolysis (controlled by plasmin enzyme)

28
Q

state some functions of the blood

A
  • transport food molecules from storage compounds to cells that need them.
  • transport hormones
  • transport of cells and antibodies involved in the immune response
  • transport platelets to damaged areas
  • transported digested food from the small intestine
  • transport oxygen to and carbon dioxide from cells
  • transport nitrogenous waste products from the cells to the excretory organs
29
Q

what else does the blood contribute to

A

maintenance of a steady body temperature and acts as a buffer, minimising pH changes

30
Q

what is different about tissue fluid compared to plasma

A

tissue fluid does not contain most of the cells found in blood or plasma proteins

31
Q

describe tissue fluid

A

formed by plasma leaking out of the capillaries. surrounds the cells in the tissue and supplies them with the oxygen and nutrients they require. as blood plasma leaks from the capillary it carries all the dissolved substances into the tissue fluid. waste products will be carried back into the capillary as some of the tissue fluid returns to the capillary

32
Q

which substances dissolved in plasma can pass through the pores of the capillary walls

A

all dissolved substances except plasma proteins

33
Q

why can’t blood plasma pass through the pores of the capillary walls

A

plasma proteins give blood a high solute potential compared to the surrounding fluid

34
Q

how does water move into the blood in the capillaries from the surrounding fluid

A

by osmosis

35
Q

what is the term for the tendency of water to move into the blood by osmosis

A

oncotic pressure (about -3.3kPa)

36
Q

what happens every time the heart contracts

A

as blood flows through the arterioles into the capillaries it is still under pressure from the surge of blood that occurs every time the heart contracts

37
Q

what is the term for the pressure inside blood vessels caused by the hearts contraction

A

hydrostatic pressure

38
Q

what is happening at the arterial end of the capillary

A

the hydrostatic pressure forcing fluid out of the capillaries is relatively high (4.6kPa). this is higher than the oncotic pressure attracting water in by osmosis so tissue fluid that fills spaces between the cells is squeezed out of the capillaries

39
Q

at the arterial end of the capillary…

A

… water moves in, fluid squeezes out

40
Q

what takes place between blood and cells through tissue fluid

41
Q

what happens as blood moves through the capillaries towards the venous system

A

the balance of forces

42
Q

what happens at the venous end of the capillary

A

hydrostatic pressure falls to 2.3kPa in the vessels as the fluid has moved out and the pulse is completely lost. the oncotic pressure is still -3.3kPa so is stronger than the hydrostatic pressure so water moves back into the capillaries by osmosis as it approaches the venous end of the capillaries

43
Q

at the venous end of the capillary…

A

..tissue fluid moves back in

44
Q

what happens when blood returns to the veins

A

90% of tissue fluid is back in the blood vessels

45
Q

briefly describe how tissue is formed in terms of hydrostatic and oncotic pressure

A
  • hydrostatic pressure of the fluid pushes fluid back into tissues
  • hydrostatic pressure of the tissue fluid tends to push fluid back into capillaries
  • the oncotic pressure of the blood tends to pull water back into the blood
  • the oncotic pressure of the tissue fluid pulls water into the tissue fluid
46
Q

what is the hydrostatic pressure at the arterial end and what does this result in

A

high hydrostatic pressure of 4.6kPa net flow of fluid out of the capillary to form tissue fluid

47
Q

what is the hydrostatic pressure at the venous end and what does this result in

A

low hydrostatic pressure of 2.3kPa net flow of fluid back into the capillary

48
Q

what does the fluid that leaves the blood consist of

A

a plasma with dissolved nutrients and oxygen.

49
Q

what remains in the blood after tissue fluid is formed

A

rbc, most of the wbc, platelets and plasma proteins - they are too large

50
Q

what is the function of tissue fluid

A

surrounds cells so exchange of gases and nutrients can occur across the plasma membrane. oxygen and nutrients can enter cells and carbon dioxide and waste can leave the cells

51
Q

what happens to some of the tissue fluid

A

they dont return to the capillaries

52
Q

10% of the liquid that leaves the blood vessels drains into a system of lymph capillaries where it is known as..

53
Q

describe lymph

A

it is a colourless, pale yellow fluid similar in composition to plasma and tissue fluid with less oxygen and fewer nutrients. contains fatty acids which have been absorbed into the lymph from the villi of the small intestine.

54
Q

what do the lymph capillaries join up to form

A

larger vessels

55
Q

how is lymph transported

A

through the larger vessels by the squeezing of the body muscles

56
Q

what prevents the backflow of lymph

A

one-way valves

57
Q

how does the lymph eventually return back to the blood

A

by flowing into the right and left subclavian veins

58
Q

what are located along the lymph vessels

A

lymph nodes

59
Q

what happens in the lymph node

A

lymphocytes build up when necessary and produce antibodies which are then passed into the blood. lymph nodes intercept bacteria and other debris from the lymph which are ingested by phagoctyes found in the nodes

60
Q

what does the lymphatic system play a major role in

A

the defence mechanism of the body

61
Q

describe the lymphatic system

A

lymphatic capillaries —> lymph vessels containing valves —> lymph nodes —> lymphatic tissue

62
Q

what would happen without the lymph system

A

you would die within 24 hours as the rate of water loss from the body would be too large. this would lead to a buildup of tissue fluid in the tissues called oedema

63
Q

the journery from blood plasma to lymph

A

blood plasma —> {ultrafiltration} tissue fluid —> {drainage} lymph

tissue fluid —-> {reabsorption} blood plasma