final chp. 19 Flashcards

1
Q

blood

A

fluid of CT with cells suspended in the fluid matrix with a 38 C normal temp

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2
Q

whole blood

A

plasma(55) and formed elements(45)

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3
Q

plasma

A

plasma proteins (7%) albumins, globulins and fibrinogen
solutes: plasma proteins
water (92%)

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4
Q

formed elements

A

RBC: transport oxygen
WBC: immune system component
platelets: cell fragments for clotting

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5
Q

hemopoiesis

A

RBC production by forming blood components from hematopoietic stem cells in the bone marrow
- creates about 3 million RBCs every second

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6
Q

hemoglobin structure

A

quaternary structure, 4 globular protein subunits that move respiratory gases
heme + iron ion
Hb + O2 = HbO2 (oxyhemoglobin)

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7
Q

hemoglobin function

A

give RBCs their color
picks up O2 and delivers it to the rest of the body

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8
Q

hemostasis

A

to cease or stop bleeding
1. vascular, platelet, coagulation, clot retraction

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9
Q

thrombocytopenia

A

low platelet count

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10
Q

thrombocytosis

A

high platelet count

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11
Q

vascular phase

A

30 mins of vascular spasm
- endothelial cells contract and release endothelins to stimulate smooth muscle contraction
- cells become sticky to stop blood flow

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12
Q

platelet phase

A

15 secs from initial injury
- platelets stick to endothelial cells, basement membrane and collagen fibers
- aggregate to close the wound and release clotting compounds
(ADP, PDGF, Ca 2+, serotonin)

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13
Q

coagulation phase

A

blood clotting begins 30 sec after cut
- enzyme chan reactions turn fibrinogen into fibrin forming a blood clot (soluble into insoluble)

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14
Q

clot retraction phase

A

pulls the cut together, stops the bleeding and stabilizes the injury site

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15
Q

clotting pathways

A

extrinsic, intrinsic, common

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16
Q

extrinsic pathway

A

begins outside the bloodstream in vessel wall
- tissue factor released with other enzymes to form factor X

17
Q

intrinsic pathway

A

collagen activates enzymes and circulates proenzymes in the bloodstream, activates Factor X

18
Q

common pathway

A

extrinsic and intrinsic pathways converge & activate Factor X
prothrombin will turn into thrombin
thrombin will convert fibrinogen into fibrin