L26 Introduction to the Blood Flashcards

1
Q

what is the volume of blood in the human body?

A

5L

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2
Q

what is the function of the arteries, veins and arteriols/venules/capillaries?

A

artery = takes oxygenated blood away from the heart to organ and tissues.

vein = returns deoxygenated blood from the organs and tissues to the heart.

arterioles/venules/capillaries = small BV in organs/tissues which have a small diameter so have a high blood-tissue interaction

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3
Q

what are the functions of the blood? [6]

A
  • hydration of tissues/organs
  • delivers oxygen/nutrients to tissues
  • fights infection; innate and adaptive immune responses
  • regulated body temp and pH
  • distribution of (endocrine) hormones
  • prevents its own blood loss
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4
Q

what does blood deliver?

A

glucose, aa, fatty acids, vitamins, minerals, oxygen, regulating signals eg hormones, collects waste from tissue cells and delivers to organs for disposal (kidneys/lung), distributes heat

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5
Q

where does the energy from erythrocytes come from if they have no mitochondria?

A

Energy comes from glucose and anaerobic glycolysis

No mitochondria means the oxygen isn’t being used up in respiration

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6
Q

name some white blood cells that contribute to immune response. which ones are granular and which are agranular?

A

agranular:

  • lymphocyte
  • monocyte

granular:

  • eosinophil
  • basophil
  • neutrophil

(also platelets)

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7
Q

what is endocrine secretion?

give 4 examples of endocrine hormones with their endocrine glands.

A

endocrine secretion = secreted into blood stream to distant target

insulin - beta cells in pancreas

oestrogen, progesterone and testosterone - ovary/testes

vasopressin - posterior pituitary lobe

adrenalin - adrenal medulla

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8
Q

what are platelets?

A

small anucleate blood cells that clump together. they have a resting (flat) state and an activated (rounder with arms) state

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9
Q

which one common progenitor cell are all blood cells derived from and where is this cell found?

A

the multipotential haematopoietic stem cell in the bone marrow

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10
Q

what are the 2 major lineages from the multipotential haematopoietic stem cell and which cells arise from these 2 lineages?

A

multipotential haematopoietic stem cell –> common myeloid progenitor and common lymphoid progenitor (bone marrow).

common myeloid progenitor –> megakaryocyte + myeloblast (bone marrow). + mast cell (tissues) + erythrocyte (blood).

megakaryocyte –> platelets (blood/lymph)
myeloblast –> basophil, neutrophil, eosinophil and monocyte (blood/lymph). monocyte –> macrophage (tissues)

common lymphoid progenitor –> natural killer cell + small lymphocyte (both blood/lymph)

small lymphocyte –> T lymphocyte + B lymphocyte/ B lymphocyte –> plasma cell

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11
Q

what percentage of the blood volume does the blood plasma make up and what are the most abundant plasma proteins?

A

makes up 55% of blood volume and contains components of coagulation and immune system

proteins:

  • albumin (35-50g/L)(60-70%)
  • immunoglobulins (15g/L)
  • fibrinogen (3-5 g/L)

albumin is a “filler” - it contributes to osmotic pressure in blood but also is a critical transporter of insoluble items in blood eg of fatty acids

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12
Q

what is the difference between blood plasma and blood serum?

A

blood serum = plasma - clotting factors

blood plasma = serum + clotting factors + clotting inhibitor

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13
Q

what are the 4 main blood groups and their prevalence (in the caucasian population)?

A

A = 42 %. A antigens on RBC, anti-B antibodies in plasma

B = 10 %. B antigens on RBC, anti-A antibodies in plasma

O = 44 %. no antigens, both anti-A and anti-B antibodies in plasma

AB = 4 %. both A and B antigens. no antibodies.

O = universal donor
AB = universal recipient
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14
Q

what are agglutinogens and what is agglutinin?

A

agglutinogen = like antigen that lies on RBC surface. can stimulate production of agglutinin

agglutinin = antibody. can cause agglutination (aggregation + lysis of incompatible RBC). they bind to agglutinogens

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15
Q

which groups are universal donors/recipients for RBC transfusion and blood plasma transfusion?

A

RBC:
O - universal donor
AB - universal recipient

blood plasma:
AB - universal donor
O - universal recipient

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16
Q

what is acute haemolytic reaction?

A

haemolysis due to incompatibility of RBC. can lead to lypotension, kidney failure (due to haem and iron in blood - toxic to kidney), DIC (bleeding) and hypoxia as RBC cannoy deliver oxygen

17
Q

how are rhesus (Rh) blood groups determined?

A

based on the presence or not of ion-channel antigen on RBC membrane

if present = Rh+ (common)

if missing = Rh- (rare, no Rh agglutinogens)

Rh- more common in west (15%) than asia or africa (1%)

18
Q

how are agglutinins against Rh+ve RBC produced?

A

the agglutinins are only produced after the blood has been introduced to Rh-ve blood

EXAMPLE
woman is preg with baby 1. mum is Rh-ve. baby is Rh+ve. both protected due to placenta. mother gets introduced to Rh+ve agglutinogens during childbirth where the placenta tears.

mum now produces Rh+ve agglutinins against Rh+ve blood.

during preg of baby 2, if baby is Rh+ve, the mothers Rh+ve agglutinins pass to the baby and cause haemolysis. baby is born with haemolytic anaemia.

19
Q

how do you prevent a baby from getting haemolytic anaemia?

A

treat the mother with anti-Rh gamma globulin. this stops the Rh+ve antibodies/agglutinins from being produced.