Ch 18- Circulatory system: Blood Flashcards

1
Q

Cardiovascular system consists of

A

-blood
-heart
-blood vessels and circulation

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2
Q

red blood cells are also called what?

A

-erythrocytes
-they have no nucleus so they can’t reproduce
-disc shape

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3
Q

function of the blood

A

-restricts fluid loss (clotting)
-contains white blood cells to protect against disease
-regulates the body temp
-transports hormones and enzymes
-regulate water and pH balance

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4
Q

respiratory function of the blood

A

transport oxygen to cells throughout the body and remove carbon dioxide from the body

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5
Q

blood pH and adult volume

A

average of 7.4
5 average

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6
Q

what does venipuncture mean

A

withdrawing blood

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7
Q

why do we draw from the veins

A

-superficial veins are easier to locate
-vein walls are thinner and therefore easier to penetrate
-blood pressure lower

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8
Q

what is the break down of blood

A

-55% plasma (92% is made of water and 8% solutes)
-45% formed elements: erythrocytes (RBS- make most of formed elements), leukocytes (WBS) , platelets
-buffy coat- 1% platelets and leukocytes

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9
Q

hematopoiesis

A

production of the blood

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10
Q

formed elements are formed in

A

red bone marrow

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11
Q

erythropoiesis (creation of RBC) production

A

-hematopoietic

–erythrocyte (CFU)

-erythroblast (last stage with nucleus)

-reticulocyte (no nucleus, found in blood)

-erythrocyte (RBC)

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12
Q

function of RBC

A

-pick up oxygen from lungs and deliver it to tissues (IN)

-pick up carbon dioxide from tissues and unload it in the lungs (OUT)

-deficiency can be fatal

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13
Q

structure of RBC

A

-disc shape
-large surface for rapid exchange
-can deform to fit through narrow cavities
-no nucleus, no mitochondria= no repair

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14
Q

normal HCT blood occupancy volume

A

female- 42% (loses in menstruation)
male- 46% (testosterone stimulates RBC production)

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15
Q

anemia

A

reduction in the oxygen carrying of the RBC

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16
Q

polycythemia

A

abnormal increase of RBC

17
Q

sickle cell disease

A

abdormal shaped RBC from genes

18
Q

Lifecycle of RBCs – how are they degraded?

A

-macrophages eat old RBC

-hemoglobin separates into heme and globin

-iron binds with transferrin and also stored to ferritin

-bilirubin converted to urobilinogen and reabsorbed back to blood and coverted to urobilin

19
Q

agglutination

A

when same letter bind together (dangerous)
-clumping

20
Q

antigens are found where? antibodies are found where?

A

-antigens on RBC (glycolipids)
-antibodies linking to antigens

21
Q

what are the four blood types

A

A, B, AB, O (universal donor)

22
Q

what antigens are on each blood type? what antibodies are on each blood type?

A

BTA= anti A body B
BTB= anti B body A
BTAB= anti AB body neither
BTO= anti neither body AB

23
Q

whats the other antigen besides A and B? what does positive and negative mean for blood types?

A

Rh (also called D antigen)

+= rh present
-= not rh present

23
Q

what happens if there is clumping in a blood test? what happens if there is no clumping in any? how bout if only clumping in rh?

A

antigen is present

-o- cause rh isnt present and o has nothing in it

-o+

23
Transfusion mismatch- what happens after
-when transfer of blood is incompatible with the blood group -agglutination occurs and block blood vessels, damage to the brain, heart and kidney -disrupts oxygen carrying capacity macrophages destroy agglutination of RBS due to immune response releasing hemoglobin which can lead to kidney failure
24
hemolytic disease of the newborn cycle
-when a rh- women is pregnant with a rh+ fetus and gets exposed to rh+ -after pregnancy the body starts to produce anti-rh antibodies -second pregnancy with rh+ fetus can result in HDN as the anti-rh crosses the placenta
25
prevention of HDN
-injection of anti-rh given before during and after delivery to avoid HDN which binds to immune system so mother cant produce rh bodies
26
5 white blood cells (never let monkeys eat bananas)
-neutrophils (most comm) acute infection -lymphocytes- inflammation -monocytes - macrophages -eosinophils - allergies and parasite infections -basophils (least comm) secrete histamine
27
are WBC or RBC bigger?
WBC which are mostly found in tissue, few in blood
28
characteristics of all WBCs
-emigration via diapedesis -ameboid movement -positive chemotaxis
29
leukemia
someone with leukemia has "a lot of lymphoblasts" in their blood and bone marrow
30
platelets
-originate from megakaryocytes found in bone marrow that are stimulated by thrombosis in kidneys -have a short life span (9-12 days) which are removed by phagocytes in spleen (spleen is a storage site) -important for clotting response
31
homeostasis steps to stop bleeding
3 steps: -vascular spasm: smooth muscle contracts to decrease blood flow and walls become sticky which allow platelets to form -platelet plug formation: platelets form a patch to control clotting (two types- platelet adhesion: attracts platelets together AND platelet aggregation: positive feedback loop which makes a plug) -coagulation (clotting)- creation of a clot consiting of fibrin
32
three main pathways of coagulation
-extrinsic pathway- tissue factor 3 which starts to activate factor x -intrinsic pathway- in blood stream factor XII, also activates factor X -common pathway- Factor X activates fibrinogen and fibrin
33
normal blood clotting also requires
vitamin k and calcium
34
hemophilia
blood disorder caused by lack of one or more clotting factor (eg Hemophilia A lacks factor VIII)
35
thrombosis
clotting that occurs in an unbroken blood vessel -can be caused from infection