Ch 19 - CV System - The Blood Flashcards

1
Q

blood

A

a liquid connective tissue that consists of cells surrounded by a liquid extracellular matrix (plasma)

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2
Q

Functions of Blood

A
  • transportats oxygen, carbon dioxide, nutrients, hormones, heat, and waste products
  • regulates homeostasis of all body fluids, pH, body temperature and water content of cells
  • protects against excessive loss by clotting and against infections through the use of white blood cells
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3
Q

Components of Blood

A
  • Erythrocytes (RBCs) - 45% (a percentage known as hematocrit)
  • Buffy coat - less than 1% - contains leukocytes and platelets
  • Plasma - 55%
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4
Q

Physical Characteristics of Blood

A
  • Oxygen-rich blood is scarlet red
  • Oxygen-poor blood is dull red
  • pH must remain between 7.35 and 7.45
  • Blood temperature is slightly higher than body temperature, at 100.4°F
  • In a healthy man, blood volume is about 5–6 liters, or about 6 quarts
  • Blood makes up 8 percent of body weight
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5
Q

Blood Plasma

A
  • Composed of approximately 90 percent water
  • Includes many dissolved substances
    • Nutrients
    • Salts (electrolytes)
    • Respiratory gases
    • Hormones
    • Plasma proteins
    • Waste products
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6
Q

Plasma Proteins

A
  • Most abundant solutes in plasma
  • Most plasma proteins are made by liver
  • Various plasma proteins include
    • Albumin—regulates osmotic pressure
    • Clotting proteins—help to stem blood loss when a blood vessel is injured
    • Antibodies—help protect the body from pathogens
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7
Q

Acidosis

A

blood pH becomes too acidic

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8
Q

Alkalosis

A

blood pH becomes too basic

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9
Q

Hematocrit

A

the percentage of total blood volume occupied by RBCs

Females: 38-46%

Males: 40-50%

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10
Q

Polycythemia

A
  • Disorder resulting from excessive or abnormal increase of RBCs
    • May be caused by bone marrow cancer (polycythemia vera)
    • May be a response to life at higher altitudes (secondary polycythemia)
  • Increase in RBCs slows blood flow and increases blood viscosity
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11
Q

Hemopoiesis

A

the process of producing blood cells

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12
Q

Hemoglobin

A
  • Iron-containing protein
  • Binds strongly, but reversibly, to oxygen
  • Each hemoglobin molecule has four oxygen binding sites
  • Each erythrocyte has 250 million hemoglobin molecules
  • Normal blood contains 12–18 g of hemoglobin per 100 mL of blood
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13
Q

Erythropoiesis

A
  • production of red blood cells
  • begins in the red bone marrow
  • Reticulocytes (immature red blood cells) enter the circulation and mature in 1 to 2 days
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14
Q

Erythropoietin

A

a hormone released by the kidneys in response to hypoxia (lowered oxygen concentration) stimulates differentiation of hematopoietic stem cells into erythrocytes

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15
Q

White Blood Cells

(Leukocytes)

A
  • ​Crucial in body’s defense against disease
  • Complete cells, with nucleus and organelles
  • Classified as either granular (containing vesicles that appear when the cells are stained) or agranular(containing no granules)
    • Granular leukocytes: neutrophils, eosinophils, basophils
    • Agranular leukocytes: lymphocytes, monocytes
  • Able to move into and out of blood vessels (diapedesis)
  • Move by amoeboid motion
  • Respond to chemicals released by damaged tissues (known as positive chemotaxis)
  • 4,800 to 10,800 WBCs per cubic millimeter of blood
  • May live for several months or years
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16
Q

Emigration

A
  • During an invasion, many white blood cells are able to leave the bloodstream and collect at sites of invasion. The process is called emigration (diapedesis)
17
Q

Leukocytosis

A
  • WBC count above 11,000 cells/mm3
  • Generally indicates an infection
18
Q

Leukopenia

A
  • Abnormally low leukocyte level
  • Commonly caused by certain drugs, such as corticosteroids and anticancer agents
19
Q

List of the WBCs, from most to least abundant

A
  • Neutrophils
  • Lymphocytes
  • Monocytes
  • Eosinophils
  • Basophils
20
Q

Granulocytes

A
  • Granules in their cytoplasm can be stained
  • Possess lobed nuclei
  • Include neutrophils, eosinophils, and basophils
21
Q

Agranulocytes

A
  • Lack visible cytoplasmic granules
  • Nuclei are spherical, oval, or kidney-shaped
  • Include lymphocytes and monocytes
22
Q

Neutrophils

A
  • Cytoplasm stains pale pink and contains fine granules
  • Deep purple nucleus contains three to seven lobes
  • Function as phagocytes at active sites of infection
  • Numbers increase during infection
  • 3,000–7,000 neutrophils in a cubic millimeter of blood (40–70 percent of WBCs)
23
Q

Eosinophils

A
  • Red, coarse cytoplasmic granules
  • Figure-8 or bilobed nucleus stains blue-red
  • Function to kill parasitic worms and play a role in allergy attacks
  • 100–400 eosinophils in a cubic millimeter of blood (1–4 percent of WBCs)
24
Q

Basophils

A
  • Sparse but large blue-purple granules
  • U- or S-shaped nucleus stains dark blue
  • Release histamine (vasodilator) at sites of inflammation
  • Contain heparin (anticoagulant)
  • 20–50 basophils in a cubic millimeter of blood
    (0–1 percent of WBCs)
25
Q

Lymphocytes

A
  • Cytoplasm is pale blue
  • Dark purple-blue nucleus
  • Functions as part of the immune response
    • B lymphocytes produce antibodies
    • T lymphocytes are involved in graft rejection, fighting tumors and viruses
  • 1,500–3,000 lymphocytes in a cubic millimeter of blood (20–45 percent of WBCs)
26
Q

Monocytes

A
  • Largest of the white blood cells
  • Gray-blue cytoplasm
  • Dark blue-purple nucleus is often kidney-shaped
  • Function as macrophages
  • Important in fighting chronic infection
  • 100–700 monocytes per cubic millimeter of blood (4–8 percent of WBCs)
27
Q

Platelets

A
  • used to clot the blood.
  • Under the influence of the hormone thrombopoietin, hemopoietic stem cells differentiate into platelets
  • Megakaryocytes in red bone marrow splinter into 2000–3000 fragments to create the platelets that contain many vesicles but no nucleus.
  • survive for only 5 to 9 days.
28
Q

Hemostasis

A
  • means to stop bleeding
  • The process involves:
    • Vascular spasm
    • Platelet plug formation
    • Blood clotting (coagulation)
29
Q

Vascular spasms

A
  • Vasoconstriction causes blood vessel to spasm
  • Spasms narrow the blood vessel, decreasing blood loss
30
Q

Platelet plug formation

A
  • Collagen fibers are exposed by a break in a blood vessel
  • Platelets become “sticky” and cling to fibers (platelet adhesion)
  • Anchored platelets release chemicals to attract more platelets – Release ADP and thromboxane A2 to attract more platelets)
  • Platelets pile up to form a platelet plug (white thrombus) – becomes tight when reinforced by fibrin threads
31
Q

Coagulation – Blood Clotting

A
  • Injured tissues release tissue factor (TF)
  • PF3 (a phospholipid) interacts with TF, blood protein clotting factors, and calcium ions to trigger a clotting cascade
  • Prothrombin activator converts prothrombinase to thrombin (an enzyme)
  • Thrombin joins fibrinogen proteins into hairlike molecules of insoluble fibrin
  • Fibrin forms a meshwork (the basis for a clot)
  • Within the hour, serum is squeezed from the clot as it retracts
    • Serum is plasma minus clotting proteins
32
Q

Thrombus

A
  • A clot in an unbroken blood vessel
  • Can be deadly in areas such as the heart
33
Q

Embolus

A
  • A thrombus that breaks away and floats freely in the bloodstream
  • Can later clog vessels in critical areas such as the brain
34
Q

Thrombocytopenia

A
  • Platelet deficiency
  • Even normal movements can cause bleeding from small blood vessels that require platelets for clotting
  • Evidenced by petechiae (small purplish blotches on the skin)
35
Q

Hemophilia

A
  • Hereditary bleeding disorder
  • Normal clotting factors are missing
36
Q

Antigens

A

glycoproteins and glycolipids onthe surface of erthyrocytes

37
Q
A