Chapter 10 - Blood Flashcards
What are the three functions of blood?
- Transport
- Homeostasis
- Immune Response
What is blood made of?
Fluid CT consistening of cells and ECM
Which of the four general categories of tissue does blood fall under?
Connective Tissue (specialized connective tissue)
What are the three main types of cells that compose the ECM of blood?
- Erythrocytes
- Leukocytes
- Thrombocytes
What are the two parts of blood composition?
- Cells (45%)
- ECM (55%)
What is the ECM of blood composed of?
Plasma
What does PCV stand for? What is it?
Packed Cell Volume
Hematocrit
What might a low hematocrit value indicate?
Anemia
Reduced hemoglobin
What is the buffy coat?
Layer of WBC and plattlets
What are the four layers in a blood sample after its been spun down?
Top: liquid portion; plasma
????
Buffy coat
hematocrit
What is the main componenet of plasma? What is the function of this portion?
Water
Acts as a solver
What is plasma?
Liquid ECM
What is plasma composed of? (3)
- Water (91-92%)
- Protiens (7-8%)
- Other solutes (1-2%)
What three protiens are most abundent in your plasma?
- Albumin
- Globulins
- Fibrinogen
What is albumin? Where is it made? What does it do?
Albumin is a carrier protien found in the plasma
It is make in the liver
Carreirs hormones etc
Creates colloid osmotic pressure
What is the importance of colloid osmotic pressure? What protien is responsible for creating it?
With out it all blood would go to the tissue
Albumin
What are globulins? Where are they made? What do they do?
Immunoglobulins and alpha/beta/gamma/globulins
Made by the liver
Create colloid osmotic pressure
Immune System
What is fibrinogen? Where is it made? Wht does it do?
A protien in plasma
Made in the liver
In case of injury, firinogen produces fibrin which acts as a net and helps form a clot
What is the difference between plasma and serum?
Serum is just the liquid portion of the plasma
Plasma contians the protiens and other solutes too
Would you want plasma or serum if you were testing clotting ability?
Plasma, it contians clotting factors etc
What are the “other solutes” found in plasma?
Electrolytes
Gases
Waste
What kind of stain do they use on a blood smear?
Write’s stain
What are the two cell types in blood based on granularity?
- Granulocytes
- Agranulocytes
What are the three types of leukocytes based on granularity? What kind of dye do they take up? Which means that have what kind of charge?
- Neutrophils; don’t take up either
- Eosinophils; take up negativly charged dye, positivily charged cells
- Basophils; take up positivly charged dye, negitivly charged cells
What are the physical characteristics of RBC? (2)
- Anucleated
- Biconcave dics
What does having a doughnut shape help the RBC do?
Decrease SA in the center > better gas exchange
What is the primary function of RBC?
Bind oxygen ofr delivery and CO2 for removal
What gives RBC a uniform stain?
Hemoglobin is right at the entirety inner surface
What are two important membrane protiens in RBC? What do they do?
- Glycophorin C; indicated blood type
- band 3; interacts with hemoglobin and keeps it on the surface
What do the protiens in the peripheral membrane of RBC do?
Cytoskeleton gives RBC lots of flexibility
What would a decrease in RBC cytoskeleton flexibility cause?
Increased blood clotts
What is hemoglobin composed of?
4 polypeptide chains in comples with iron-containing heme group
alpha, beta, gamma, lambda
What is the primary function of hemoglobin?
Specialized protien for transport of O2 and CO2
What are the 3 hemoglobin types?
- HbA (HbA1a1, HbA1a2, HbA1c, HbA1d)
- HbA2
- HbF
What is the primary hemoglobin type found in adult humans?
HbA
What is HbA1c hemoglobin an idicator of?
Diabetes
It binds irrebersibly to glucose
It can give a snap shot of blood glucose levels in an individual over 2-3 months
What is the average life span of a RBC?
60-90 days
What type of hemoglobin is found in fetuses and babies 0-6 months? Why?
HbF
(F for fetal)
Has gamma instead of beta chains which gives it a higher affinity for oxyge n
What is anemia? What causes it?
Low RBC count caused by a lack of vitamin B6 or B12
What is the cause hypochromic anemia specifically?
Deficieny in B6
What is polycythemia?
High RBC
What are 3 things that can cause polycythemia?
Sleep apnea
insufficent O2
High altitudes
What is sickle cell anemia? What causes it? What are some symptoms?
RBC look like half moons
Caused by a single point mutation in beta chain of hemoglobin
RBCs carry less oxygen and have a shorter life span (45-60 days) due to fragility
Prone to clotting
How does glycoporin C determine blood type?
glycoporin C carries the different sugars
A and B have additional sugars
O has no additional sugars
AB has both types of additional sugars
What can occur if there is a mismatch in a blood donation/transfussion?
- Your antibodies will recognize it as foriegn and attack the new RBC
- Clotting
- RBC will burst releasing hemoglobin which is toxic to the kidneys
- Agglutination
What is erythroblastosys fetalis?
- Rh negative mom, Rh positive fetus
- Has first kid, blood gets mixed together during birth
- Mom develops antibodies against Rh positive RBC
- Mom has second Rh positive fetus, moms antibodies attack RBC of fetus #2
How do we treat/prevent erythroblastosis fetalis? What does it do?
Rhogam
Removes any Rh pos RBC from mom before she can develop antibodies agians it
What are the five types of leukocytes? What classes do they call under?
Granulocytes:
- Neutrophils
- Eosinophils
- Basophils
Agranulocytes:
- Lymphocytes
- Monocytes
Rank the leukocytes from most to least abundent
Never Let Monkeys Eat Bananas
Neutrophils
Lymphocytes
Monocytes
Eosionophils
Basophils
What are the physical characteristics of neutrophils?
10-12 micrometers in diameter
Multi-lobed nucleous
PMNs (polymorphonuclear neutrophil)
What three granule types do neutrophils contain?
- Specific granules
- Azurophilic granules (MPO)
- Tertiary granules
What is the primary function of a neutrophil?
Phacogytosis
What does MPO do in a neutrophil?
A type of azurophilic granule
Makes ROS