Exam 2: Blood, Immune System, and Respiratory System Flashcards
What is the average total blood volume & the relative volumes of erythrocytes & plasma (hematocrit)?
5 liters, 50-60% plasma, 40-50% formed elements (99% erythrocytes, <1% buffy coat (white blood cells, platelets))
How do we use hematocrit to measure health?
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Major constituents of Plasma
Plasma proteins (7%) [Albumins (60%), Globulins (35%), Fibrinogen (4%), Regulatory Proteins (<1%)] water (92%), and other solutes (1%) (electrolytes, organic nutrients and wastes)
Function of erythrocytes and hemoglobin
- Transport of O2 and CO2
- specialized protein with high affinity for binding to O2 and CO2
Where are erythrocytes produced (hematopoeisis)?
In red bone marrow
What are the dietary requirements for erythropoeisis?
Amino acids, Iron, Vitamin B12, folic acid, and many other nutrients
Why is iron balance important?
To make sure O2 levels remain high enough for respiration
Life Span of Erythrocytes
Formed in the bone marrow, then circulate in the blood for ~120 days, then erythropoeitin is stimulated to break down RBCs which swallowed up my macrophages in spleen, liver and bone marrow (AA’s and Fe go back to bones via transferrin) heme gets converted to bilirubin (very toxic to cells; cause of jaundice) which is sent to the liver and kidneys and eliminated in urine and feces
How is erythropoeisis regulated and stimulates erythropoeitin?
When O2 levels are low, the kidneys signal to make erythropoeitin, which triggers erythropoeisis in the bone marrow, which releases more RBCs, which raises O2 levels and shuts of the kidney’s synthesis of erythropoeitin
Polycythemia
higher than normal hematocrit (increase in RBCs), could be the result of EPO doping
Nutritional Anemia
- low hemoglobin
- dietary deficiency in iron, B vitamins, or folic acid
Pernicious Anemia
- low hemoglobin
- “intrinsic factor” not produced by stomach, thus Vitamin B12 not absorbed
Renal Anemia
- reduced number of RBCs
- insufficient amount of EPO from the kidneys
Aplastic Anemia
- reduced number of RBCs
- hematopoietic stem cell failure; often due to destruction by toxic chemicals, radiation, cancer
- could need bone marrow transplant
Hemorrhagic Anemia
- reduced number of RBCs
- caused by excessive bleeding
- generally very short time
Hemolytic Anemia
- reduced number of RBCs
- rupture of excessive number of RBCs
- could be caused by transfusion of wrong blood type
- can cause death quickly, sometimes no treatment
- 2nd transfusion ASAP, massive blood clots
Sickle Cell Anemia
- abnormal hemoglobin caused by recessive alleles
- lethal eventually (slow and painful)
- rare in many populations except Africa and tropical areas
- coexists with malaria
- incomplete dominance = weird shapped cells, but immunity to malaria, high fitness
leukocytes
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How are platelets formed?
cell fragments of megakaryote
Events of platelet plug formation
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How is the platelet plug formation kept localized?
Prostacyclin keeps platelets from aggregating
- present until injury
- made by normal epithelium