Cardiovascular system Pt. 3 Flashcards

1
Q

Blood is made of?

A

5 L. of fluid CT
8% TBW
comprised of plasma & formed elements

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2
Q

Plasma

A

-liquid ECM of blood

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3
Q

Formed elements
(Definition and 3 things)

A

Cells & Cell Fragments suspended in plasma
🔸️RBCs (Erythrocytes)
🔸️WBC (Leukocytes)
🔸️Platelets (Thrombocytes)

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4
Q

Erythrocytes what are they also known as?

A

also known as red blood cells (RBCs)

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5
Q

Leukocytes what are they ?

A

also known as white blood cells (WBCs)

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6
Q

Platelets
What are they and what are they also known as ?

A

small cellular fragments (thrombocytes)

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7
Q

Centrifuged blood sample is composed of 3 layers, what are they?

A
  • Top layer-plasma 55% of total volume
    Middle layer - leukocytes and platelets (buffy coat) ~1% of total volume
    Bottom layer - erythrocytes 44%
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8
Q

hematocrit

A

% of RBCs in blood

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9
Q

Functions of the blood
(7 functions)

A

🔸️Exchanging gases
🔸️Distributing Solutes
🔸️Immune functions
🔸️Maintaining body temperature
🔸️Blood clotting platelets
🔸️Acid-Base balance
🔸️BP: determined by blood vol.

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10
Q

Functions of the blood:
Exchanging gases

A

O2 and CO2

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11
Q

Functions of the blood:
Distributing Solutes

A
  • transports ions, nutrients, hormones, and wastes, and regulating [ions]
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12
Q

Functions of the blood:
Immune functions

A

both leukocytes and immune system proteins are transported in blood

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13
Q

Functions of the blood:
Acid-Base balance

A

7.35-7.45 pH

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14
Q

Plasma is made up of?

A

🔸️Pale yellow liquid
🔸️90% water, determining viscosity
🔸️plasma proteins (9% of plasma vol.)
🔸️Other Solutes: glucose, a.a., gases, wastes

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15
Q

plasma proteins are?

A

🔸️Albumins (COP)
🔸️Immune & Transport (Gamma globulins, lipoproteins)
🔸️Clotting (Fibrinogen)

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16
Q

Erythrocyte (RBC) How many are there in the body?

A

5 million cells/μL

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17
Q

Erythrocyte (RBC) structure:

A

-biconcave disc
- anucleated, more space for O2-binding

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18
Q

Hemoglobin (Hb) structure:

A

2 alpha (a) chains and 2 beta (b) chains

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19
Q

heme group

A

iron-containing compound

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20
Q

oxyhemoglobin (Hbo₂)

A

Fe ion in each heme group is oxidized when it binds to oxygen

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21
Q

Hemoglobin what does it do?

A
  • Releases oxygen into tissues where oxygen conc. is low
    -also makes blood red
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22
Q

Life span of an erythrocyte:

A

100-120 days

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23
Q

Hematopoiesis

A
  • process in red bone marrow where formed elements in blood are produced by hematopoietic stem cells (HSCS)
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24
Q

Erythropoiesis produces what? From what? And how many days?

A

erythrocytes from HSCS
takes 5-7 days

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25
Q

Regulation of Erythropoiesis
(6 parts)

A

🔸️erythropoietin(EPO)
🔸️Stimulus
🔸️Receptor
🔸️Control center
🔸️Effector/Response
🔸️Homeostasis

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26
Q

Regulation of Erythropoiesis
erythropoietin (EPO)

A

triggers neg. feedback - maintains hematocrit within normal

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27
Q

Regulation of Erythropoiesis:
Stimulus

A

Blood levels of oxygen fall below normal

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28
Q

Regulation of Erythropoiesis:
Receptor

A

Kidney cells detect falling oxygen levels

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29
Q

Regulation of Erythropoiesis:
Control center:

A

Kidneys produce more EPO

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30
Q

Regulation of Erythropoiesis:
Effector/Response:

A

RBC production increases

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31
Q

Regulation of Erythropoiesis:
Homeostasis

A

Blood lvls of oxygen rise to normal

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32
Q

Erythrocyte destruction:

A
  1. Erythrocytes trapped in sinusoids of spleen
  2. Spleen macrophages digest erythrocytes
  3. Hemoglobin is broken down into a.a, Fe, and (biliverdin→)bilirubin
33
Q

Bilirubin goes to?
Fe and a.a. recycled to?

A

4a. Liver for excretion
4b. → Hb in red bone marrow

34
Q

Anemia

A

Decreased oxygen-carrying capacity of blood

35
Q

Anemia cause:

A

decreased Hb, decreased Hct, and abnormal Hb

36
Q

Anemia symptoms:

A

pallor, weakness, fatigue, incr. HR

37
Q

Anemia types:

A

Iron-deficiencyanemia(decr.Hb)
Pernicious anemia (decr. Hct)
SCA (abnormal Hb)

38
Q

Sickle-cell trait

A

Individuals with single copy of defective gene, generally asymptomatic

39
Q

sickle-cell disease

A

Individuals with two defective copies of gene

40
Q

hemoglobin S (HbS)

A

produce abnormal hemoglobin

41
Q

When oxygen levels are low, RBCs containing HbS change into a sickle shape; leads to…

A

erythrocyte destruction in small blood vessels and a reduction in circulating erythrocytes

42
Q

Leukocytes (WBCs)

A

5,000-10,000 cells/μL
- larger than erythrocytes
-nucleated
-use blood-stream as transportation only

44
Q

Two types of Leukocytes:

A

Granulocytes: contain plasmic granules
Agranulocytes: lack visible granules

45
Q

What are the 3 types of granulocytes?

A

Neutrophil 60-70%
Eosinophils <4%
Basophils <1%

46
Q

Granulocytes:
Neutrophils (PMNs)

A
  • (60 - 70%)
  • most numerous leukocyte
  • phagocytosis
  • nucleus composed of 3-5 lobes
47
Q

Eosinophils

A

<4%
-bilobed nucleus
- Phagocytes that ingest foreign molecules
- Respond to parasitic infections and allergic rxn.
- Granules contain enz. specific to parasites

48
Q

Basophils

A

-least numerous leukocyte
- S-shaped nucleus
- Chemicals in granules mediate inflammation

49
Q

What are the 2 types of Agranulocytes?

A

Monocytes and Lymphocytes

50
Q

Agranulocytes:
Lymphocytes

A

-20-25%
-2nd most common leukocyte
-contain large, spherical nuclei

51
Q

B lymphocytes (B cells)

A

• when activated, produce antibodies

52
Q

T lymphocytes (T cells)
What do they do?

A

•Directly Kill abnormal cells (virus infected, cancer cells)

53
Q

Monocytes

A

-3-8%
-largest leukocyte
- large U-shaped nuclei
-Some mature into macrophages

54
Q

Macrophages

A

phagocytic cells that ingest dead and dying cells,bacteria, antigens, and other cellular debris

55
Q

Leukopoiesis

A
  • formation of WBCs from hematopoietic stem cells
    (HSCs)
56
Q

Leukopoiesis:
Myeloid cell line

A

produces most formed elements (RBCS, monocytes, and platelets)

57
Q

Leukopoiesis:
Lymphoid cell line

A

produces lymphoblasts, committed to becoming B and
T lymphocytes
- B cells in bone marrow
- T cells in thymus

58
Q

Platelets (4 things more to know)

A

-small cell fragments of megakaryocyte
- involved in hemostasis
(stops blood loss from an injured blood vessel)
- several types of granules: contain clotting factors, enzymes
- Lifespan: 7- 10 days
-150,000-450,000 platelets/μL

59
Q

Hemostasis

A

-forms blood clot to plug broken vessel
- to limit significant blood loss

60
Q

Steps of Hemostasis

A
  • Part 1: Vascular Spasm
  • Part 2: Platelet Plug Formation
  • Part 3: Coagulation (Intrinsic and Extrinsic Pathway)
  • Part 4: Clot Retraction
  • Part 5: Thrombolysis
61
Q

Blood clotting is positive or negative feedback loop?

A

Positive feedback loop

62
Q

Clotting Disorders

A
  1. Bleeding disorders: Hemophilias
  2. Hypercoagulable conditions:
    thrombus formation/thromboembolism
63
Q

Bleeding disorders: Hemophilias

A

lack of clotting protein

64
Q

Hypercoagulable conditions:
thrombus formation/thromboembolism

A

DVT (deep vein thrombosis) PE pulmonary embolism

65
Q

Immune System

A

Defends body against internal & external threats
The lymphatic system works with the immune system

66
Q

Lymphatic system

A

group of organs and tissues that work with the immune system
- functions in fluid homeostasis

67
Q

Lymphatic system
main components:

A
  • Lymphatic vessels: blind-ended tubes
  • Lymphatic tissue and organs: tonsils, lymph nodes, spleen, & thymus
68
Q

Lymphatic system functions:

A
  1. Regulation of interstitial fluid volume
  2. Absorption of dietary fats
  3. Immune functions
69
Q

Lymphatic system function:
Regulation of interstitial fluid volume

A
  • return excess fluid lost from plasma to CV system
70
Q

Lymphatic system function:
Absorption of dietary fats

A

breakdown products of fats in diet that are too large to pass into blood cap. (absorbed into lacteal)

71
Q

Lymphatic system function:
Immune functions

A

filter pathogens from lymph and blood

72
Q

Lymphatic vessels
(Definition)

A
  • low-pressure circuit because no main pump to drive lymph through vessels, and most of them are transporting lymph against gravity also have valves to prevent backflow
73
Q

LYMPHOID TISSUES AND ORGANS

A

Mucosa- Associated Lymphatic Tissue (MALT)
- Tonsils (palatine, pharyngeal, lingual)
- Peyer’s patches (aggregated lymphoid nodules)
- Appendix
-Lymph nodes
-Thymus
-Spleen

74
Q

Gamma globulin

A

proteins found in the blood plasma that play a crucial role in the immune system. primarily composed of antibodies.

75
Q

Lipoproteins

A

are spherical particles composed of proteins and lipids (fats) that transport cholesterol, triglycerides, and other lipids throughout the bloodstream

76
Q

Fibrinogen

A

A proteins that is converted into fibrin, which forms a mesh-like network that traps blood cells and platelets, creating a clot to stop bleeding.

77
Q

Albumin (COP)

A

is a protein in blood plasma. It plays crucial roles in maintaining blood volume, transporting substances, and regulating osmotic pressure.

78
Q

Carbamino hemoglobin

A

-Binds to CO2 → where oxygen levels low