EXAM 1 - Blood & Heart Flashcards
proteins in plasma
albumin, globulin, fibrinogen, regulatory ones
albumin
maintains osmolarity, transports lipids and hormones, minor role in pH regulation
globulin
transports immunoglobulin (antibodies)
fibrinogen
generates fibrin
urea
byproduct of AA
bilitrubin
byproduct of RBC breakdown
lymphocytes
T and B cells for adaptive immunity
hematocrit
percentage of formed elements / total blood volume
40-54 in men
37 - 47 in women
hemoglobin
Oxygen carrying capacity of RBC
differential
neutrophils predominate
types of anemia
insufficient number of RBC, low functional hemoglobin levels/iron defficiency
erythropoeisis track
hemocytoblast –> (multi-CSF) myeloid –> (EPO) proerythroblast –> reticulocyte –> erythrocytes
platelet track
hemo –> (Multi) –> myeloid –> progenitor –> (thrombopoeitin/MGDF) megakaryocyte –> platelet
leukopoeisis
production in RBM and in spleen, thymus, lymph nodes
thrombocytopenia
fewer than 80k platelets
thrombocytosis
greater than 1 m platelets
vascular phase
muscles constrict to decrease blood flow (vasoconstriction, vascular spasm
ADP, TF, PDGF
ADP
adhesion and aggregation
TF
forms fibrin
PDGF
cell proliferation and ECM production (regeneration of damaged tissue)
Platelet phase
primary hemostasis; adhesion, activation, aggregation, plug formation
- platelets adhere to site of injury, aggregate, and activate
- aggregated platelets form platelet plug
- activated platelets release ADP, vWF, PF3, PGDF, thomboxane A2
vWF
induces plug formation, attaches to collagen and platelets –> cross links
coagulation phase
secondary hemostasis; fibrin creates clot in
extrinsic pathway
intrinsic pathway
extrinsic pathway
initiator pathway; TF pathway
intrinsic pathway
amplifier pathway; contact activation pathway
intrinsic pathway pathway
prekallikrien and XII work with HMWK to convert into kallikrien and XIIa –> converges on X
extrinsic pathway pathway
tissue damage releases TF (III) which converges on X
common pathway
X converts to Xa which converts prothrombin (II) to thrombin (IIa); IIa converts fibrinogen (I) to fibrin (Ia) which cross links and creates clot