LAB EXAM 1 Flashcards

1
Q

Describe the general functions of blood

A

As blood is transported through the blood vessels it transports oxygen from and carbon dioxide to the lungs for gas exchange, nutrients absorbed from the gastrointestinal (GI) tract, hormones released by endocrine glands, and heat and waste products from the systemic cells

Regulation
Blood participates in the regulation of body temperature, body pH, and fluid balance:
∙ Body temperature. This is possible because blood absorbs heat from body cells, especially skeletal muscle, as it passes through blood vessels of body tissues. Heat is then released from blood at the body surface as blood is transported through blood vessels of the skin.
∙ Body pH. Blood, because it absorbs acid and base from body cells, helps maintain the pH of cells. Blood contains chemical buffers (e.g., proteins, bicarbonate) that bind and release hydrogen ions (H+) to maintain blood pH until the excess is eliminated from the body.
∙ Fluid balance. Water is added to the blood from the GI tract and lost in numerous ways (including in urine, sweat, and respired air). In addition, there is a constant exchange of fluid between the blood plasma in the capillaries and the interstitial fluid surrounding the cells of the body’s tissues. Blood contains proteins and ions that exert osmotic pressure to pull fluid back into the capillaries to help maintain normal fluid balance.

Protection
Blood contains leukocytes, plasma proteins, and various molecules that help protect the body against potentially harmful substances.

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2
Q

List six characteristics that describe blood

A

Scarlet (oxygen-rich) to dark red (oxygen-poor)
4–5 L (females) 5–6 L (males)
Viscosity (relative to water) - 4.5–5.5× (whole blood)
Plasma concentration - 0.09%: relative concentration of solutes (proteins, ions) in plasma
38°C (100.4°F)
7.35–7.45

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3
Q

List the three components of a centrifuged blood sample

A

Erythrocytes form the lower layer of the centrifuged blood. They typically make up about 44% of a blood sample.
∙ A thin buffy coat makes up the middle layer. This slightly gray-white layer is composed of both leukocytes and platelets. The buffy coat forms less than 1% of a blood sample.
∙ Plasma is a pale yellowish liquid that rises to the top in the test tube; it generally makes up about 55% of blood

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4
Q

Define hematocrit

A

The percentage of the volume of all formed elements (erythrocytes, leukocytes, and platelets) in the blood is called the hematocrit

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5
Q

Name the three formed elements of the blood and compare their relative abundance

A

erythrocytes, leukocytes, and platelets

Leukocytes: 4.5–11 thousand per cubic mm
Neutrophils 50–70%
Lymphocytes 20–40%
Eosinophils 1–4%
Monocytes 2–8%
Basophils 0.5–1%

Platelets: 150–400 thousand per cubic mm

Erythrocytes (44% of whole blood)
Erythrocytes
4.2–6.2 million per cubic mm

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6
Q

List the major types of plasma proteins and explain the general function of each

A

Albumin (~58% of plasma proteins) -
Exerts osmotic force to retain fluid within the blood
Contributes to blood’s viscosity
Responsible for transport of some ions, lipids (e.g., fatty acids), and hormones

Globulins (~37% of plasma proteins) -
Alpha-globulins transport lipids and some metal ions (e.g., copper)
Beta-globulins transport iron ions and lipids in blood
Gamma-globulins are antibodies that immobilize pathogens

Fibrinogen (~4% of plasma proteins) - Participates in blood coagulation (clotting)

Regulatory proteins (<1% of plasma proteins) - Consists of enzymes and hormones

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7
Q

List the major solutes found in plasma

A

Electrolytes (e.g., sodium, potassium, calcium, chloride, iron, bicarbonate, hydrogen)

Nutrients (e.g., amino acids, glucose, cholesterol, vitamins, fatty acids)

Respiratory gases (oxygen: <2% dissolved in plasma, 98% bound to hemoglobin within erythrocytes, and carbon dioxide: ~7% dissolved in plasma, ~23% bound to hemoglobin within erythrocytes, ~70% converted to HCO3−)

Wastes (breakdown products of metabolism, such as lactate, creatinine, urea, bilirubin, ammonia)

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8
Q

Explain the general process of hematopoiesis, including the name of the hematopoietic stem cell
and the substances (CSFs) involved in hematopoiesis.

A

New ones are continually produced by the process of hemopoiesis, also called hematopoiesis. The red bone marrow (myeloid tissue) is responsible for hemopoiesis.

Hemocytoblasts are considered multipotent cells, meaning that they can differentiate and develop into many different kinds of cells

Hemocytoblasts produce two different lines for blood cell development:
The myeloid line forms erythrocytes, all leukocytes except lymphocytes (this would include granulocytes and monocytes), and megakaryocytes (cells that produce platelets).
(2) The lymphoid line forms only lymphocytes like B/T/NK cells.

The maturation and division of hemopoietic stem cells are influenced by colony - stimulating factors (CSFs).

Thrombopoietin: Growth Factor
Stimulates both the production of megakaryocytes in the bone marrow and the subsequent formation of platelets

Multi-colony-stimulating factor (multi-CSF): Growth factor
Increases the formation of erythrocytes, granulocytes, monocytes, and platelets from myeloid stem cells

Erythropoietin (EPO) : Hormone (produced primarily by the kidneys)
Increases the rate of production and maturation of erythrocyte progenitor and erythroblast cells

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9
Q

Colloid osmotic pressure

A

Osmotic pressure exerted by plasma proteins is called colloid osmotic pressure. This osmotic force is responsible for drawing fluids into the blood and preventing excess fluid loss from blood capillaries into the interstitial fluid

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10
Q

Describe the process of erythropoiesis

A

The process of erythropoiesis begins with a myeloid stem cell, which under the influence of multi-CSF forms a progenitor cell. The progenitor cell forms a proerythroblast, which is a large, nucleated cell.
It then becomes an erythroblast, which is a slightly smaller cell that is producing hemoglobin in its cytosol. The next stage, called a normoblast, is a still smaller cell with more hemoglobin in the cytosol; its nucleus has been ejected. A cell called a reticulocyte eventually is formed. The transformation from myeloid
stem cell to reticulocyte takes about 5 days.

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11
Q

Compare the production of granulocytes, monocytes, and lymphocytes in leukopoiesis

A

All three types of granulocytes (neutrophils, basophils, and eosinophils) are derived from a myeloid stem cell. This stem cell is stimulated by multi-CSF and GM-CSF to form a progenitor cell. The granulocyte line develops when the progenitor cell forms a myeloblast under the influence of G-CSF. The myeloblast ultimately differentiates into one of the three types of granulocytes.
Like granulocytes, monocytes are also derived from a myeloid stem cell. The myeloid stem cell differentiates into a progenitor cell, and under the influence of M-CSF this cell forms a monoblast. The monoblast forms a promonocyte that differentiates and matures into a monocyte.
Lymphocytes are derived from a lymphoid stem cell through the lymphoid line. The lymphoid stem cell differentiates into B-lymphoblasts and T-lymphoblasts. Some lymphoid stem cells differentiate directly into NK

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12
Q

Summarize the process by which platelets are formed in thrombopoiesis

A

From the myeloid stem cell, a committed cell called a megakaryoblast is produced. It matures under the influence of thrombopoietin to form a megakaryocyte. Megakaryocytes produce platelets by forming long extensions from themselves called proplatelets. While still attached to the megakaryo-yte, these proplatelets extend through the blood vessel wall (between the endothelial cells) in the red bone marrow. The force from the blood flow “slices” these proplatelets into the fragments we know as platelets.

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13
Q

Describe the structure of erythrocytes

A

An erythrocyte has a unique biconcave disc structure. It is composed of a plasma membrane within which are housed about 280 million hemoglobin molecules. This single file of erythrocytes is termed a rouleau, as they pass through capillaries.

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14
Q

List the events by which erythrocyte production is simulated

A

Stimulus: Decreased blood oxygen levels

RECEPTOR: Kidney detects decreased blood O2

Control center: Kidney cells release EPO into the blood.

EFFECTOR: EPO stimulates red bone marrow to increase the rate of production of erythrocytes.

NET EFFECT: Increased numbers of erythrocytes enter the circulation, during which time the erythrocytes are oxygenated and blood O2 levels increase.

Increased blood O2 levels are detected by the kidney, which inhibits EPO release by negative feedback.

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15
Q

Explain the process by which erythrocyte components are recycled

A

Erythrocytes circulate in the blood for about 120 days, after which they are phagocytized in the liver and spleen.

Aged erythrocytes are phagocytized by macrophages in the liver and spleen. The three components of hemoglobin are separated.

Each of the separated components of heme (globin, iron ion, and heme) has a different fate.

Globin proteins are broken down into amino acids and enter the blood. Some of these amino acids may be used to make new erythrocytes.

Small amounts of iron are lost in sweat, urine, and feces daily; iron is also lost via injury and menstruation.

Heme (minus the iron) is converted to Biliverdin –> Bilirubin

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16
Q

Compare and contrast the different blood types and their importance when transfusing blood

A

Type A blood has erythrocytes with surface antigen A only.
∙ Type B blood has erythrocytes with surface antigen B only.
∙ Type AB blood has erythrocytes having both surface antigens
A and B.
∙ Type O blood has erythrocytes with neither surface antigen A nor B.

∙ Type A blood has anti-B antibodies within its plasma.
∙ Type B blood has anti-A antibodies within its plasma.
∙ Type AB blood has neither anti-A nor anti-B antibodies
within its plasma.
∙ Type O blood has both anti-A and anti-B antibodies within its blood plasma.

If a person is transfused with blood of an incompatible type, antibodies in the plasma bind to surface anti- gens of the transfused erythrocytes, and clumps of erythrocytes bind together in a process termed agglutination. Clumped erythrocytes can block blood vessels and prevent the normal circulation of blood. Eventually, some or all of the clumped erythrocytes may rupture, a process called hemolysis.

17
Q

Rh factor

A

The Rh blood type is determined by the presence or absence of the Rh surface antigen, often called either Rh factor or surface antigen D

In contrast to the antibodies of the ABO blood group, which may be found in the blood even without prior exposure to a foreign antigen, Rh antibodies to the Rh factor (termed anti-D antibodies) appear in the blood only when an Rh negative individual is exposed to Rh positive blood. This most often occurs as a result of an inappropriate blood transfusion. Individuals who are Rh positive never exhibit anti-D antibodies, because they possess the Rh antigen on their erythrocytes. Only individuals who are Rh negative can exhibit anti-D antibodies, and that can occur only after exposure to Rh antigens.

18
Q

Distinguish between granulocytes and agranulocytes, compare the various types with respect to
abundance, and function

A

GRANULOCYTES:
Neutrophils - Phagocytize pathogens, especially bacteria
Release enzymes that target pathogens
50–70% of total leukocytes (1800– 7800 cells per microliter)

Eosinophils - Phagocytize antigen-antibody complexes and allergens
Release chemical mediators to destroy parasitic worms
1–4% of total leukocytes (100–400 cells per microliter)

Basophils - Release histamine (vasodilator and increases capillary permeability) and heparin (anticoagulant) during inflammatory reactions
0.5–1% of total leukocytes (20–50 cells per microliter)

AGRANULOCYTES

Lymphocytes - Coordinate immune cell activity
Attack pathogens and abnormal and infected cells
Produce antibodies
20–40% of total leukocytes (1000– 4800 cells per microliter)

Monocytes - Exit blood vessels and become macrophages
Phagocytize pathogens (e.g., bacteria, viruses), cellular fragments, dead cells, debris
2–8% of total leukocytes (100–700 cells per microliter)

19
Q

Explain what is meant by a differential count and how it is clinically useful.

A

A differential count, or white blood cell differential count, measures the amount of each type of leukocyte in your blood and determines whether any of the circulating leukocytes are immature. Infection, tissue necrosis, bone marrow failure, cancers, or some other stresses to the body can affect the total ranges or percentages of a specific type of leukocyte, so differential counts are useful for diagnosing ailments.

20
Q

Describe the structure and function of platelets

A

Platelets are irregular-shaped, membrane-enclosed cellular fragments that are about 2 μm in diameter. Platelets are sometimes called thrombocytes; as with erythrocytes, that name is inappropriate because they are not true cells. Platelets are cell fragments. Platelets are continually produced in the red bone marrow by megakaryocytes. Platelets serve an important function in hemostasis as they become trapped within the fibrin network of a blood clot.