Cardio - Blood and hemostasis Flashcards
Erythrocytes have a ___ disc shape which gives them a high ___ ___-to-volume ratio. This allows for better ___ of oxygen and carbon dioxide. They contain large amount of ___, which bind oxygen via ___ atoms.
biconcave; surface area; diffusion; hemoglobin; Fe2+
If you cannot increase blood volume, then how can Hb be used to increase O2?
extract more O2 from Hb
What is the limiting factor in erythropoiesis?
availability of dietary iron, therefore storage and recycling mechanisms are highly developed in humans, as protection from anemia.
___, from the liver and bone marrow, serves as a ___ buffer for iron
Ferritin; storage
What is the life span of a RBC?
120 days (1% of RBCs replaced daily [~250 billion RBCs])
What is the major breakdown product of hemoglobin?
bilirubin
Iron released from ___ RBCs is bound to ___ and delivered to ___ ___.
destroyed; transferrin; bone marrow
What is needed for thymine and if deficient will cause impaired cell division?
folic acid
What requires the action of folic acid whose absorption requires intrinsic factor? What happens if there is no intrinsic factor?
B12
patient will develop pernicious anemia
Where is B12 found?
only in meat, must be supplemented for vegans
How is erythropoiesis regulated?
hormonally
___ oxygen delivery to the kidney causes the secretion of ___, which activates receptors in the ___ ___, leading to an increase in the rate of ___.
Decreased; erythropoietin; bone marrow; erythropoiesis
What are five major causes of anemia?
- dietary deficiencies of iron, vitamin B12, or folic acid
- bone marrow failure due to toxic drugs or cancer
- blood loss from the body leading to iron deficiency
- inadequate secretion of erythropoietin in kidney disease
- excessive destruction of erythrocytes
Anemia is a decrease in the ability of the blood to carry oxygen due to what???
- decrease in the total number of erythrocytes
- diminished concentration of hemoglobin
- combination of both
___ is the stoppage of bleeding. It is accomplished by 2 processes that occur in rapid succession. What are they? What is critical to both?
Hemostasis
- formation of a platelet plug
- blood coagulation (clotting)
Platelets are critical to both