infection and blood loss Flashcards

1
Q

red blood cell

A

biconcave disc, no nucleus, contains hemoglobin

transports O2 and CO2

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2
Q

white blood cells

A

spherical cells with a nucleus

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3
Q

five types of white blood cells

A

neutrophil, basophil and eosinophil (granulocytes)

lymphocyte and monocyte (agranulocytes)

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4
Q

platelet

A

cell fragment surrounded by a cell membrane and containing granules

form platelet plugs; releases chemicals necessary for blood clotting

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5
Q

neutrophil

A

phagocytizes miroorganisms and other substances

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6
Q

basophil

A

releases histamine, which promotes inflammation

and heparin which prevents blood clot formation

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7
Q

eosinophil

A

participates in inflammatory response of allergic reactions and asthma; attacks certain worm paracites

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8
Q

lymphocyte

A

produces antibodies and other chemicals responsible for destroying microorganisms; contributes to allergic reactions, graft rejection, tumor control, and regulation of immune system

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9
Q

monocyte

A

phagocytic cell in the blood; leaves the blood and becomes a macrophage, which phagocytizes bacteria, dead cells, cell fragments and other debris within tissues

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10
Q

what are the three processes that minimize blood loss

A

vascular spasm
platelet plug
blood clotting

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11
Q

vascular spasm

A

quick constriction of damaged vessel to minimize blood flow and loss

constriction is stimulated by chemicals released from damaged vessel cells and platelets

immediate temporary constriction of blood vessel when smooth muscle within the wall of blood vessel contracts

thromboxanes and endothelin

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12
Q

platelet plug

A

sealing of small break in blood vessel wall by multi step aggregation of
platelet cells

accumilation of platelets that can seal up a small break in a blood vessel

all steps are happening simultaneously

happens regularly everyday

steps
1. platelet adhesion
2. Platelet release reaction
3. platelet aggregation

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13
Q

blood clotting

A

clot formation is needed to repair larger tears or cuts in blood vessels
- a clot is a network of threaded protein fibers (fibrin) that trap blood cells platelets and
fluid

for larger tears
coagulation

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14
Q

platelet adhesion

A

platelets stick to collagen exposed by blood vessel damage

mediated through von Willebrand factor (protein made and secreted by blood vessel endothelial cells

forms a bridge between collagen and platelets by binding to platelet surface receptors and collagen

after platelets adhere to collagen they become activated, change shape and release chemicals

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15
Q

platelet release reaction

A

platelets release chemicals like ADP and thromboxane, which bind to receptors of other platelets

creates cascade causes other platelets to release ADP and thromboxane

positive feedback

as platelets activate they express surface receptors called fibrinogen receptors which bind to fibrinogen

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16
Q

platelet aggregation

A

fibrinogen forms bridges between fibrinogen receptors of numerous platelets, resulting in platelet plug

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17
Q

anticoagulation

A

prevent clotting factors under normal circumastance

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18
Q

inactive clotting factors

A

injury to a vessel leaves connective tissue exposed; chemicals are related. this is the first step.

prothrombinase is produced leading to active clotting factors

calcium and platelet chemicals come together which intiate the release of prothrombinase

then this activates prothrombin and thrombin is produced

fibrinogen produced fibrin which forms the clot

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19
Q

antigens

A

on surface of rbcs

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20
Q

tranfusion

A

reaction between antigens and antibodies

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21
Q

antibodies

A

proteins in plasma

bind to antigens

very specifc

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22
Q

ABO blood grouping

A

used to categorize human blood

the surface of rbcs contains different types of molecules (antigens) that can stimulate antibody production in other individuals

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23
Q

Type A blood cells

A

have type A antigens and anti-B antibodies

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24
Q

type B blood cells

A

have B type Antigens and anti-A Antibodies

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25
type AB blood cells
have both A type and B type Antigens and neither antibodies no antibodies
26
type O blood cells
have neither antigen and both anti A and anti –B antibodies universal donor
27
Rh blood grouping
Some individuals also have Rh antigens on the surface of their red blood cells, these individuals are Rh positive, most people are Rh positive. Rh negative individuals can form anti Rh antibodies after exposure to Rh positive blood. This can be particularly problematic during pregnancy if the blood types are different. when mom is Rh-neg and fetus in Rh pos
28
no agglutination reaction
type A blood donated to type A recipient does not cause an agglutination reaction because the anti-B antibodies in the recipient do not combine with the type A antigens on the rbcs in the donated blood
29
agglutination reaction
type A blood donated to type B recipient causes an agglutination reaction because the anti-A antibodies in the recipient combine with the type A antigens on the rbs in the donated blood hemolysis (our bodies attack!) can cause damage to other tissues, esp. kidneys
30
what does the lymphatic system include
lymph, lymphatic vessels, lymph nodes, tonsils, spleen and thymus
31
tonsils
are collections of lymphoid nodules associated with the pharynx
32
thymus
is involved in lymphocyte production
33
lymphatic vessels
return fluid to the blood circulation
34
speen
filters the blood
35
lymph nodes
filter lymph Lymph nodes vary in size and are distributed along lymph vessels Lymph fluid moves through node interacting with lymphocytes and macrophages remove and destroy pathogens. Activated lymphocytes (can divide and reproduce) can also enter blood stream to attack pathogens as part of Adaptive Immunity. fluid will usually pass through at least once before capillary
36
pathogens
microorganisms that cause disease or damage to tissues
37
functions of lymphatic system
maintenance of fluid balance lipid absorption defense
38
maintenance if fluid balance
Fluid (and blood contents) not reabsorbed after filtration at the capillaries enters the lymphatic capillaries. Eventually returning to venous blood just before the right atrium lymph (fluid inside lymphatic capillaries)
39
lipid absorption
Chylomicrons (packaged triglycerides) are absorbed from epithelial cells of small intestine into lacteals of lymphatic system. Eventually entering venous blood just before the right atrium. lipids pass here before entering venous circulation
40
defense
Pathogens are filtered from lymph at lymph nodes (by speen) – lymphocytes can destroy pathogens
41
immunity
Immunity is the ability to protect against damage from pathogens (bacteria, viruses), chemical toxins or cancer cells innate and adaptive
42
innate immunity
recognition and destruction of pathogens – response is the same each time we are exposed to the pathogen. non specific resistance phagocytic cells (ingestion and destruction and then they usually die) neutrophils - pus (accummilation of fluid, dead neutrophils) macrophage (monocyte- ingests larger items. in circulation then move into tissue) NK cells (release chemicals and recognize cells invaders and bust them) inflammation - basophils, eosinophils always active, even when we are healthy involves physical barriers like skin, mucous, tears, and saliva to prevent entry to bloodstream either general response or impact the area around it
43
adaptive immunity
recognition and destruction of pathogens – response improves with each encounter of the pathogen specific immunity
44
what does adaptive immunity require
Specificity – recognition of a particular substance (antigen) – e.g. a type of - bacteria Memory – recall of previous interaction with a specific substance. Allows body to have an enhanced rapid response with re-exposure to same specific substance.
45
what are the two types of adaptive immunity
antibody mediated immunity - B lymphocyte cells cell mediated immunity - specific T lymphocyte cells
46
local inflammatory response
redness, heat, swelling, pain, specific body area, increase blood flow and vascular permeability
47
what is the inflammatory response when a bacteria enters the tissue
E.g. Bacteria entering stimulates release of chemical mediators – histamine, prostaglandins, complement. 1. Increased blood flow brings white blood cells to area - tissue damage occurs 2. Phagocytes enter infected tissue 3. Fibrinogen and Complement enter due to enhanced permeability - chemical mediators are released - Fibrin isolates infection - Complement attracts more phagocytes. - chemotaxis, increased vascular permeability, increased blood flow - increased number of wbcs and chemical mediators at site of tissue damage - bacteria is contained, destroyed and phagocytized 4. Tissue repair and recovery - if bacteria is gone then additional chemical mediators activated
48
foreign antigen
adaptive immunity substance that initiates adaptive immunity - introduced from outside the body – microorganisms, chemicals released from microorganisms – often portion of protein or polysaccharide
49
MHC
Major histocompatibility Complex – contain binding sites for antigens -MHC class 1 – display internal antigens on most cells -MHC class 2 – display external antigens on antigen presenting cells such as macrophages and B lymphocytes - present foreign antigen to activate the immune system
50
cell mediated immunity
Lymphocytes (T Cells) – effective against intracellular microorganisms
51
antibody mediated immunity
lymphocytes (B cells) produce; - Daughter B cells to specific antigen. - Daughter B cells produce; - plasma cells – make antibodies specific to the antigen - Memory B cells – retain awareness of antigen and stimulate fast, secondary response with reinfection
52
cell mediated immunity in stimulating a helper t cell
1. Antigen presenting cell (macrophage) displays processed antigen through MHC class II molecules. 2. Processed antigen binds with T-cell receptor to activate Helper T-cell 3. Interleukin -1 acts as a paracrine co-stimulator Interleukin-2 acts as an autocrine stimulator. 4/5.Produce Daughter helper T cells (can divide again) and memory Helper T cells
53
cell mediated immunity in cytotoxic t-cell activation
Target cell has been invaded by microorganism 1. Presents processed internal antigen on surface (MHC Class 1) 2. Processed antigen interacts with T cell receptor 4. Co stimulation from Helper T cell 5. Division to increase ability to combat infection and destroy other infected cells and activate other immune responses (cytokine release)- to have a more robust response chemical reaction that can attract t-cells; other immune response -(ie/ macrophages)
54
antibody mediated immunity
B-cell receptor binds specific unprocessed antigen Processed antigen displayed by MHC class 2 Helper T cell binds and is activated Interleukins release to activate B cell proliferation Daughter B cells created Plasma cells able to produce antibodies specific to antigen produced Memory B cell specific to antigen produced
55
variable regions of an antibody
region that combines with antigen changes with each antibody for one antigen only
56
constant regions of antibody
consistant for all types of antibodies
57
effects of antibodies
antibody binding inactivates the antigen antibodies bind several antigens together activate the complement cascade initiate the release of inflammatory chemicals facilitate phagocytosis
58
two types of acquired adaptive immunity
active and passive
59
two types of active immunity
natural and artificial
60
tow types of passive immunity
natural and artificial
61
active immunity
immunity is provided by the individual's own immune system
62
passive immunity
immunity is transferred from another person or animal
63
natural immunity
antigens are introduced through natural exposure that stimulates immune system to respond against antigen not immune during the first exposure, so develops symptoms ie/ getting an infection
64
artificial immunity
antigens are deliberately introduced in a vaccine usually consists of part of the pathogen antigen changed to stimulate immune response and not cause disease symptoms
65
natural immunity
antibodies from the mother are transferred to her child across the placenta or in milk before birth protect baby for first few months and then wear down
66
artificial immunity
antibodies produced by another person or an animal are injected
67
mRNA vaccine production
To stimulate an immune response, a foreign antigen needs to be present within the body The antigen can be a portion of a viral or bacterial protein. As with traditional vaccines, the entire virus is not needed to stimulate antibody recognition and an immune response. COVID 19 mRNA vaccines use a portion of viral mRNA that encodes for the spike proteins on the surface of a coronavirus (the crown) which are ideal targets for vaccines. When we are given the vaccine, the mRNA enters our cells and our cell machinery (Ribosomes) manufactures the viral spike proteins that can then be presented on the surface as antigens. The viral antigens stimulate an immune response, and the generation of memory cells. The memory cells provide us with antibody mediated immunity to infection from the intact COVID 19 virus if we are ever exposed to it. As only a small portion of the virus enters our body, we do not get an actual infection. The viral mRNA never enters our nucleus, and is broken down quite quickly
68
why are the variants of COVID-19 so important?
The antigens that are recognized memory B-cell and able to stimulate antibody mediated immunity are small portions of a COVID 19 virus. The COVID 19 virus can mutate, changing it genes, and slightly alter its structure which can result in a change to how infectious it is and or a change in how likely those infected are to have severe symptoms. When the COVID 19 virus (or other virus) mutates it may change a portion of its protein structure. If the antigen portion of the virus mutates, our immune system will less readily recognize the virus, our antibody mediated immune response will be less robust, but there will likely still be significant protection. Variants of the viral antigen could impact both our natural (infection) and artificial (vaccine) actively acquired adaptive Immune responses