Lecture 6 Flashcards

1
Q

Functions of circulator system: Blood
1. ______________: O2, CO2, nutrients, wastes, hormones, and stem cells
2. _____________: inflammation, limit spread of infection, destroy microorganisms and cancer cells, neutralize toxins, and initiate clotting
3. _____________: fluid balance, stabilizes pH of ECF, and temp. control

A
  1. Transport
  2. Protection
  3. Regulation
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2
Q

Components and General Properties of Blood:
- Plasma: _______ of blood
-clear, light yellow fluid
- Formed elements: ___________,__________, and ____________ (which are cell fragments)

A
  • matrix
  • red blood cells, white blood cells, platelets
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3
Q

The formed elements of blood:
- _____________: red blood cells (RBCs) (___% of formed elements)
- ____________: fragments of certain bone marrow cells
- ____________: white blood cells (WBCs)
-three types of WBCs classified as ____________
1.
2.
3.
-two types of WBCs classified a _____________
1.
2.

A
  • erythrocytes; 99%
  • platelets
  • leukocytes-granulocytes
    1. Neutrophils
    2. Eosinophils
    3. Basophils-agranulocytes
    1. Lymphocytes
    2. Monocytes
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4
Q

_____________ blood to separate components

  • erythrocytes
    -__________ and settle first
    -____%-____% total volume
    -_____________ (packed RBC volume)
  • White blood cells and platelets
    -___% total volume
    -________ ________
  • Plasma
    -____%-____%
    -complex mixture of water, ________, nutrients, wastes, ____________, and gases
A

centrifuge

-heaviest
-37%-52%
-hematocrit

-1%
-buffy coat

-47%-63%
-proteins; hormones

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5
Q

Plasma Components

  • blood plasma: liquid portion of blood (w/ no formed elements)
  • serum: remaining fluid when blood clots and solids are removed
    -identical to plasma except for the absence of _____________
  • Plasma proteins (blood __________)
    -________,________,_________
    -plasma proteins are formed by _________
    -except __________ (produced by plasma cells)
  • Nitrogenous compounds
    -free _____ _______ from dietary protein or tissue breakdown
    -nitrogenous wastes (_____)
    -normally removed by the _____________
  • Nutrients
    -glucose, vitamins, fats, cholesterol, phospholipids, and minerals
  • Dissolved ___,______, and ________

-_____________ (blood osmolarity)
-_____ makes up 90% of plasma cations

A

-fibrinogen

  • osmolarity
    -albumins, globulins, fibrinogen
    -liver
    -globulins

-amino acids
-urea
-kidneys

  • O2; CO2; nitrogen
  • Electrolytes
    -Na+
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6
Q
  • ________________: production of blood, especially its formed elements
  • Daily adult production:
    -___________platelets
    -_______ to ______ _______ RBCs
    -________ ________ WBCs (may see increase if you have a bacterial infection)
A
  • Hematopoiesis

-400 billion
-100 to 200 billion
-10 billion

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7
Q

Hematopoietic tissues
- Yolk sac produces ______ cells for first blood cells
-colonize fetal bone marrow, liver, spleen, thymus
- liver stops producing blood cells at ________
- Spleen remains involved with __________ production

A
  • stem
  • birth
  • lymphocyte
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8
Q

Hematopoietic stem cells (HSCs)
- ___________ stem cells in ______ ________
-give rise to all ________ _________
-also called ____________ stem cells (PPSC), ______________ or hematopoietic stem cells

  • Multiply in order to:
    -maintain their ____________ in the ______ ________
    -form _______-__________ units (CFUs)
    -more specialized cells.
    -each CFU produces one class of formed elements
A
  • multipotent; bone marrow
    -formed elements
    -pluripotent; hemocytoblast
    • population; bone marrow
      -colony-forming units
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9
Q

Multipotent hematopoietic stem cell produces ______________ and ______________

  • _______________ produces megakaryocytic, erythrocyte, mast cell, and myeloblast
    -myeloblast produces: ____________, ___________,__________, and ___________
  • _______________ produces small lymphocyte and large granular lymphocyte (natural killer cell)
A

common myeloid progenitor; common lymphoid progenitor

  • common myeloid progenitor
    -basophil; neutrophil; eosinophil; monocyte
  • common lymphoid progenitor
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10
Q

Erythrocytes
- principal function is _______ transport:
-carry oxygen from lungs to tissues
-insufficient RBCs can cause death within __________
-also contribute to ______ transport- very SMALL amount

A
  • gas
    -minutes
    -CO2
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11
Q

RBCs are _______ cells with a ___________ shape
- _______ um diameter and _____ um thick at rim
- lose nearly all _________ during development
-lack __________
-__________ ___________ to produce ATP
-lack _______ and _______–> no protein synthesis or __________

A

discoid; biconcave
- 7.5; 2.0
- organelles
-mitochondria
-anaerobic fermentation
-nucleus; DNA; mitosis

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12
Q

Gas transport
- major function of blood
- RBCs have high surface area/volume ratio
- due to loss of organelles during maturation–> ___________ diffusion rate of substances
- ____-% of cytoplasm is __________
- ______ million hemoglobin molecules in one RBC
- Hemoglobin facilitates _____ delivery to tissue
- also enhances _____ transport to lungs
- _____________ in cytoplasm: produces _________ _______ from CO2 and water
-important role in gas transport and _____ balance

A
  • increases
  • 33%; hemoglobin
  • 280
  • O2
  • CO2
  • Carbonic anhydrase (CAH); carbonic acid
    -pH
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13
Q

Hemoglobin
- Each hemoglobin (Hb) protein consists of:
-_________ polypeptide subunits (__________)
-Adult Hb has two ______ and two ______ chains
-Fetal Hb has two ______ and two ______ chains
-__________ bind small amount of CO2 (5% of CO2 in blood), not _________

  • ______ heme groups (4 ______) binding sites
A

-four (globins)
-alpha; beta
-alpha; gamma
-Globins; heme

-four; O2

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14
Q

Heme groups
- _________ moiety
- ________ ______ at center binds O2
-_______ O2 binding sites per Hb

A
  • nonprotein
  • ferrous iron (Fe)
    -four
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15
Q

Measure of blood’s O2 carrying ability:
- Hematocrit (packed cell volume)
-percentage of whole blood volume composed of RBCs
-Men: ____% to ____% cells
-___________ stimulate RBC production
-Women: ______% to _____%
-lower due to blood loss w/_____________
- Hemoglobin of whole blood; RBC count
-Men: ____ to ____ g/dL; 4.6-6.2E6 cells/uL
-Women: _____ to _____ g/dL; 4.2-5.4E6 cells/uL

A
  • 42%-52%
    -adrogens
  • 36%-48%
    -menstruation

-13 to 18
-12 to 16

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16
Q

Erythrocyte Production- ____ to ____ days
- Normal conditions: production=______________
Stages
1. ____________ stem cell
2. Colony-forming unit: contains _______ receptors
3. Precursor cells: ____________ —> ______________
4. Mature red blood cells= ________________

  • _________ RBCs are produced per second
  • During development
    -reduction in cell ______
    -increase in cell __________
    -synthesis of ____________
    -loss of _________ & other ____________
A

3 to 5 days
- destruction

  1. Hematopoietic
  2. EPO
  3. erythroblasts–> reticulocytes
  4. erythrocytes
  • 1 million
    -size
    -numbers
    -hemoglobin
    -nucleus; organelles
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17
Q

Causes of Hypoxemia (inadequate O2 transport):
- ________ loss/low _______
- high __________
- increase ____________
- loss of ______ tissue (_________); loop ineffective with this

A
  • blood; RBCs
  • altitude
  • exercise
  • lung; emphysema
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18
Q

Correction of Hypoxemia by a Negative Feedback Loop:
1. Hypoxemia
2. Sensed by _________ and __________
3. Secretion of ________________
4. Stimulation of _______ ________ __________
5. Accelerated _________________
6. Increased _______ count
7. Increased O2 transport

A
  1. liver; kidneys
  2. erythropoietin
  3. red bone morrow
  4. erythropoiesis
  5. RBC
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19
Q

Formation & Destruction of RBC- Recycling of Hb
RBC lasts for about ______ days
1. RBC death and phagocytosis by __________
2. RBCs broken down into ______ and _________
3. _________ broken down into amino acids and _________ out into the blood stream and get used for ________ synthesis elsewhere
4. Macrophage separates _______ from heme group
5. Iron doesn’t travel very well in the water so ____________ (plasma protein) transports it to the _________
6. Iron atoms will get reduced to __________
7. This will then get hooked to transferrin which takes it back to _______ _______ ________ in order to be used to make more hemoglobin in new RBCs that are produced
8. Rest of heme group is converted into __________ (green pigment) and the macrophage converts that into __________ (yellow pigment)
9. This gets transferred to the ________ which secretes it into ______
10. Bile goes to _______ intestine where there are bacteria that converts bilirubin into ___________ (yellowish pigment)
11. Some of that will go to __________ and become __________ which makes urine yellowish in color
12. Rest of urobilinogen will be converted to __________ (brown pigmentation) which gives feces its brown color

A

120
1. macrophage
2. heme; globin
3. globin; secreted; protein
4. Fe 2+ (iron)
5. transferrin; liver
6. Ferritin
7. red bone marrow
8. Biliverdin; bilirubin
9. liver; bile
10. small; urobilinogen
11. kidneys; urobilin
12. stercobilin

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20
Q

Blood Types
- Blood types and transfusion compatibility are a matter of interactions between surface ____________/____________ on RBCs and plasma ___________

  • _______________: complex molecules on surface of cell membrane that elicit an immune response
    -they are genetically unique to the individual
    -used to distinguish _______ from _____-______ (foreign matter)
    -also called __________________
A
  • glycoproteins/glycolipids; proteins
  • Antigens
    -self; non-self
    -agglutinogens
21
Q

Your ABO blood type is determined by presence or absence of ________ on RBCs
- Type A= _____ antigens (has ______ antibodies)
- Type B= _____ antigens (has _______ antibodies)
- Type AB= ______ antigens (has ______ antibodies)
-_________
- Type O= ______ antigens (has _______ antibodies)
-________

A

antigens
- A; B
- B; A
- A&B; no
-rarest
- no; A&B
-most common

22
Q

Chemical Basis of the ABO Blood Types
- Type O= __________,___________,________
- Type A= (_______) ________, __________, __________
- Type B= ___________, (_______)__________,__________
- Type AB= (______) _________, and (_____) ________, __________

A
  • N-acetylgalactosamine; galactose; fucose
  • (extra) N-acetylgalactosamine; galactose; fucose
  • N-acetylgalactosamine; (extra) galactose; fucose
  • (extra) N-acetylgalactosamine; (extra) galactose; fucose
23
Q

Agglutination of Erythrocytes
- _____________ (aka __________): proteins (gamma globulins) secreted by _________ cells
-part of immune response to foreign matter
-bind to _______ and mark them for destruction
-cause transfusion mismatch

  • Agglutination is _______ clotting/coagulation
    -__________ of red blood cells
    -caused by antibodies binding to antigens
A
  • antibodies (agglutinins); plasma
    -antigens
  • NOT
    -clumping
24
Q

Types of Antibodies
- simple, monomer= ______,________,_______–> can bind 2 antigens at once
- middle= __________ can bind 2, 4, or 6 antigens
- complex, ________= _________–> can bind 10 different antigens at once

A
  • IgG; IgE; IgD (one antibody)
  • IgA (one antibody, 2 antibodies, or 3 antibodies together)
  • pentamer; IgM (five antibodies together)
25
Q

Transfusion reaction:
- agglutination can interrupt blood flow in ________ blood vessels
- ________ to tissue leading to _________

A
  • smaller
  • hypoxemia; necrosis (death of body tissue)
26
Q

Type O is sometimes called the “universal ______”
- No A or B antigens on RBCs
-RBCs of type O donor will not be agglutinated by any ABO type receiver’s ________

A

donor
- plasma

27
Q

Type AB is sometimes called the “universal _____”
- No anti-A or anti-B antibodies
- Plasma of type AB recipient will not agglutinate RBCs from any ABO type donor

  • However, RBCs express both antigen A and B
  • Type AB recipient’s RBC may be agglutinated by the donor’s ______ if it contains anti-A or anti-B
  • There are procedures for reducing the risk of a transfusion reaction in certain mismatches
  • Giving packed RBCs with a _________ of plasma
A

recipient
- plasma
- minimum

28
Q

The Rh Group
- Rh (C,D,E) agglutinogens discovered in the _______ ________ in 1940
- Rh ____ is most reactive and a patient is considered blood type _____ if having D antigen (agglutinogens) on RBCs
- Rh frequencies vary among ethnic groups

A
  • rhesus monkey
  • D; Rh+
29
Q

_____________ disease of the newborn (HDM)
First Pregnancy
- Rh- mother and Rh+ fetus
- Rh antigens can pass through to mother

Between pregnancy
- Rh___________ are produced

Second pregnancy
- Rh-mother and Rh+ fetus
- Rh__________ can pass through the placenta and start attacking Rh ______ of fetus

  • Rh antibodies can pass through placenta _____ antibodies CAN’T
A

Hemolytic
- antibodies
- antibodies; antigens

  • ABO
30
Q

Leukocyte (WBC) function
- protect against _________ ___________ and other _________
- spend only a _____ _______ in bloodstream before migrating to connective tissue

Leukocyte histology
- ________________ nucleus
- retain their organelles for ___________ __________
- granules in ____________
-All WBCs have ____________ called __________ granules
-granulocytes have specific granules that contain _________ and other chemicals employed in defense against pathogens

A
  • infectious microorganisms; pathogens
  • few hours
  • conspicuous (clear)
  • protein synthesis
  • cytoplasm
    -lysosomes; nonspecific (azurophilic)
    -enzymes
31
Q

Types of Leukocytes: Granulocytes
1.
2.
3.

A
  1. Neutrophil
  2. Eosinophil
  3. Basophils
32
Q

Neutrophil
- (___% to ___%)
- ________________ leukocytes (PMN)
- barely visible _________ in cytoplasm; ____to_____ lobed nucleus
- fight ____________ ___________
- ______________ bacteria
- release antibacterial __________

A
  • 60% to 70%
  • polymorphonuclear
  • granules; 3 to 5
  • bacterial infections
  • phagocytize
  • agents
33
Q

Eosinophil
- (___% to ___%)
- large ____-_________ granules; ________ nucleus
- Work against _______ __________ and __________
- phagocytize __________-_________ complexes, __________, and ____________ chemicals
- release _________ that destroy parasites

A
  • 2% to 4%
  • rosy-orange; bilobed
  • parasitic infection; allergens
  • antigen-antibody; allergens; inflammatory
  • enzymes
34
Q

Basophils
- (less than ___%)
- Large, abundant _________ granules; obscure __-shape nucleus
- numbers increase in _________,_________,__________
- __________ (vasodilator): speeds flow of blood to an injured area
- secrete ________ (anticoagulant): increase the mobility of other WBCs

A
  • 1%
  • violet; S
  • chickenpox; sinusitis; diabetes
  • histamine
  • heparin
35
Q

Agranulocytes
1.
2.

A
  1. Monocyte
  2. Lymphocyte
36
Q

Monocyte
- (____% to ____%)
- usually _______ WBC; _________-shaped nucleus

A
  • 3% to 8%
  • largest; horseshoe
37
Q

Lymphocyte
- (___% to ___%)
- variable amounts of _______ cytoplasm (scanty to abundant)
- round, uniform dark violet _________

A
  • 25% to 33%
  • bluish
  • nucleus
38
Q

Variations in WBC Number: Agranulocytes
- Lymphocytes
- numbers _______ in diverse infections and immune responses
- Functions:
- destroy ______, _______, and ______ infected cells
- “Present” _________ to activate other immune cells
- _________ actions of other immune cells
- secrete ________ and provide immune ________

  • Monocytes
  • numbers increase in ______ infections and _____________
  • Functions:
  • leave blood stream and transform into _________
  • Phagocytize __________ and ________
  • Act as __________- presenting cells (APCs)
A
  • increase
  • cancer; foreign; virally
  • antigens
  • coordinate
  • antibodies; memory
  • viral; inflammation
  • macrophages
  • pathogens; debris
  • antigen
39
Q

Prevalence of WBCs
Never Let Monkeys Eat Bananas

A
  1. Neutrophils
  2. Lymphocytes
  3. Monocytes
  4. Eosinophils
  5. Basophils
40
Q

Leukopoiesis
hemopoietic cells produe CFUs, CFU’s then go on to produce the following cell lines:
- _____________: form neutrophils, eosinophils, basophils
- ____________: form ____________
- _____________: all forms of lymphocytes
-T lymphocytes complete development in ______

  • _____ _______ _____________ stores and releases granulocytes and monocytes
A
  • myeloblasts
  • monoblasts
  • lymphoblasts
    -thymus
  • red bone marrow
41
Q

Leukocyte Disorders
- ________ of hematopoietic tissue usually producing a very _____ number of circulating leukocytes
- Effects: normal ______ percentages disrupted; impaired _______; opportunistic _________

Types of leukemia:
- ___________ ___________: uncontrolled granulocyte production
- _________ ____________: uncontrolled lymphocyte or monocyte production
- ______ _____________: appears suddenly, processes rapidly, death within months
- ______ ____________: undetected for months, survival time 3 years

A
  • Cancer; HIGH
  • cell; clotting; infections
  • myeloid leukemia
  • lymphoid leukemia
  • actue leukemia
  • chronic leukemia
42
Q

_____________: the cessation of bleeding
-stopping potentially fatal leaks
-_________: excessive bleeding

A

hemostasis
- hemorrhage

43
Q

3 stages of Hemostasis:
1.
2.
3.
- _________ play an important role in all three stages

A
  1. Vascular spasm
  2. Platelet plug formation
  3. Coagulation (Blood clotting)
    - platelets
44
Q

Platelets are cell ___________ formed from _______________
- these large _______________ have extensions (pseudopods) that go through __________ capillaries and the sheer force of ______ flowing through tears off fragments that become platelets

-Platelets have sacks of __________ and have _______

A

fragments; megakaryoctyes
- megakaryocytes; sinusoid; blood
- enzymes; pores

45
Q

Hemostasis
1. Vascular Spasm
- platelets secrete ____________ that help reduce blood loss

  1. Platelet plug formation
    - Platelet __________: stick to damaged blood vessel (exposed ________ fibers)
    - Activated platelets release ________ (vasoconstrictor)
    - ______ attracts more platelets, makes them sticky
    - ____________ ____ promotes all of the above
  2. Coagulation
    - ___________ series of enzymatic reactions via _____ _________/___________ factors resulting in ________ clot
A
  • vasoconstrictors
  • adhesion; collagen
  • serotonin
  • ADP
  • Thromboxane A2
  • cascade; plasma proteins/ clotting factors; fibrin
46
Q

______________ (clotting)
- ______ and most effective defense against bleeding
- conversion of plasma protein fibrinogen into _________ fibrin threads to for framework of clot
- ____________ (clotting factors)
- present in plasma
- usually produced by the ________
- ________ _________: activate one factor and it will activate the next

A

Coagulation
- last
- insoluble
- procoagulants
- liver
- reaction cascade

47
Q

The Pathways of Coagulation
- _______ __________
- ______ ___________
- these two pathways come together w/ activation of factor ____
- Factor ____ activates ______________ which causes a big cascade that gets amplifies
- End result= ______ polymer –> blood clot

A
  • Extrinsic mechanism
  • Intrinsic mechanism
  • X
  • X; prothrombin activator
  • fibrin
48
Q

Clotting Disorders
- __________ of any clotting factor can shut down coagulation
- _____________: family of hereditary diseases characterized by deficiencies of one clotting factor or another
- Many types
- Sex-linked recessive (on X chromosome)
1. ____________ missing factor _____ (___% of cases)
2. ___________ missing factor ____ (___% of cases)
- Autosomal
1. ___________ missing factor _____

A
  • deficiency
  • Hemophilia
    1. Hemophilia A; VIII; 83%
    2. Hemophilia B; IX; 15%
  1. Hemophilia C; XI