Chapter 17: Blood Flashcards

0
Q

Spun tube of blood yields three layers

A
  • Plasma on top (55%)
  • WBCs and platelets in Buffy Coat in the middle (1%)
  • Erythrocytes on bottom (45%)
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1
Q

Hematocrit

A
  • Percent of blood volume that is RBCs

- 47% for males and 42% for females

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2
Q

Plasma

A

Non-living fluid matrix

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3
Q

Formed Elements

A

Erythrocytes
Leukocytes
Platelets

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4
Q

Physical Characteristics and Volume of Blood

A

-Sticky, opaque fluid, with metallic taste
-Color varies with oxygen content
.High Oxygen = Scarlet
.Low Oxygen = Dark Red
-pH= 7.35-7.45
-8% body weight
-Volume = 5 L

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5
Q

Functions of Blood

A
  • Distributing substances
  • Regulating blood levels of substances
  • Protection
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6
Q

Distribution Function

A
  • Delivering oxygen and nutrients to body cells
  • Transporting metabolic wastes to lungs and kidneys for elimination
  • Transporting hormones from endocrine organs to target organs
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7
Q

Regulation Function

A
  • Maintaining body temperature by absorbing and distributing heat
  • Maintaining normal pH using buffers; alkaline reserve of bicarbonate ions
  • Maintaining adequate fluid volume in circulatory system
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8
Q

Protection Function

A
-Preventing blood loss
 .Plasma proteins and platelets initiate clot formation
-Preventing infection
 .Antibodies
 .Complement proteins
 .WBCs
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9
Q

Blood Plasma

A

90% water
Over 100 dissolved solutes
-Nutrients, gases, hormones, wastes, proteins, inorganic ions
-Plasma proteins most abundant solutes
.Remain in blood; not taken up by cells
.Proteins produced mostly by liver
.60% albumin; 36% globulins; 4% fibrinogen

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10
Q

Albumin

A

60% of plasma protein

Substance carrier, Blood buffer, Major contributor of plasma osmotic pressure

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11
Q

Formed Elements

A

Only WBCs are complete cells
RBCs have no nuclei or other organelles
Platelets are cell fragments
Most formed elements survive in bloodstream only few days
Most blood cells originate in bone marrow and do not divide

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12
Q

Erythrocytes

A

Biconcave discs, anucleate, essentially no organelles
Diameters larger than some capillaries
Filled with HB for gas transport
Contain plasma membrane protein spectrin and other proteins
-Spectrin provides flexibility to change shape
Major factor contributing to blood viscosity

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13
Q

Structural Characteristics of Erythrocytes for Gas Transport

A

Biconcave shape- huge surface area relative to volume
>97% hemoglobin (not counting water)
No mitochondria; ATP production anaerobic; do not consume oxygen they transport

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14
Q

Erythrocyte Function

A
RBCs dedicated to respiratory gas transport
Hb binds reversibly with oxygen
Normal values
 - Male 13-18g/100ml
 - Females 12-16g/100ml
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15
Q

Globin

A

Composed of 4 polypeptide chains

Two alpha and two beta chains

16
Q

Heme

A

Pigment bonded to each globin chain

Gives blood red color

17
Q

Hb Structure

A

Heme’s central iron atom binds to one oxygen
Each Hb molecule can transport four oxygens
Each RBC contains 250 million Hb molecules

18
Q

Oxyhemoglobin

A

Oxygen loading in lungs

Ruby red

19
Q

Deoxyhemoglobin

A

Oxygen unloading in tissues

Dark red

20
Q

Carbaminohemoglobin

A

Carbon Dioxide loading in tissues

20% of CO2 in blood binds to Hb

21
Q

Hematopoiesis

A

Blood cell formation in red BM
- Composed of reticular connective tissue and blood sinusoids
In adult, found in axial skeleton, girdles, and proximal epiphyses of humerus and femur
New blood cells enter blood sinusoids

22
Q

Hematopoietic Stem Cells

A

Hemocytoblasts
Give rise to all formed elements
Hormones and growth factors push cell toward specific pathway of blood cell development
Committed cells cannot change

23
Q

Erythropoiesis

A

As myeloid stem cell transforms
-Ribosomes synthesized
-Hb synthesized; iron accumulates
-Ejection of nucleus; formation of reticulocyte (young RBC)
Reticulocyte ribosomes degraded; then become mature erythrocytes
Reticulocyte count indicates rate of RBC formation

24
Regulation of Erythropoiesis
Too few RBCs lead to tissue hypoxia Too many RBCs increases blood viscosity >2 million RBCs made per second Balance between RBC production and destruction depends on - Hormonal controls - Adequate supplies of iron, amino acids, and B vitamins
25
Erythropoietin
Direct stimulus for erythropoiesis Always small amount in blood to maintain basal rate - High RBC or oxygen levels depress production Released by kidneys (some from liver) in response to hypoxia - Dialysis patients have low RBC counts
26
Causes of Hypoxia
Decreased RBC numbers due to hemorrhage or increased destruction Insufficient Hb per RBC (iron deficiency) Reduced availability of oxygen (high altitude)
27
Effects of Erythropoietin
Rapid maturation of committed marrow cells | Increased circulating reticulocyte count in 1-2 days
28
Testosterone and EPO Production
Testosterone enhances EPO production | Resulting in higher RBC counts in males
29
Dietary Requirements for Erythropoiesis
Nutrients- AA, lipids, and carbohydrates Iron -Available from diet - 65% in Hb; rest in liver, spleen and BM - Free iron ions toxic . Stored in cells as ferritin and hemosiderin, transported in blood bound to protein transferrin Vitamin B12 and folic acid necessary for DNA synthesis for rapidly dividing cells (developing RBCs)
30
Life Span of Erythrocytes
100-120 Days | No protein synthesis, growth, or division
31
Destruction of Erythrocytes
``` Old RBCs become fragile Hb begins to degenerate Get trapped in smaller circulatory channels especially in spleen Macrophages engulf dying RBCs in spleen Heme and globin are separated ```
32
Fate of Erythrocytes
Iron salvaged for reuse Heme degraded to yellow pigment bilirubin Liver secretes bilirubin (bile) into intestines -degraded to pigment urobilinogen -pigment leaves body in feces as stercobilin Globin metabolized into AA -released into circulation