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
Transfusion reaction: - agglutination can interrupt blood flow in ________ blood vessels - ________ to tissue leading to _________
- smaller - hypoxemia; necrosis (death of body tissue)
26
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 ________
donor - plasma
27
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
recipient - plasma - minimum
28
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
- rhesus monkey - D; Rh+
29
_____________ 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
Hemolytic - antibodies - antibodies; antigens - ABO
30
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
- infectious microorganisms; pathogens - few hours - conspicuous (clear) - protein synthesis - cytoplasm -lysosomes; nonspecific (azurophilic) -enzymes
31
Types of Leukocytes: Granulocytes 1. 2. 3.
1. Neutrophil 2. Eosinophil 3. Basophils
32
Neutrophil - (___% to ___%) - ________________ leukocytes (PMN) - barely visible _________ in cytoplasm; ____to_____ lobed nucleus - fight ____________ ___________ - ______________ bacteria - release antibacterial __________
- 60% to 70% - polymorphonuclear - granules; 3 to 5 - bacterial infections - phagocytize - agents
33
Eosinophil - (___% to ___%) - large ____-_________ granules; ________ nucleus - Work against _______ __________ and __________ - phagocytize __________-_________ complexes, __________, and ____________ chemicals - release _________ that destroy parasites
- 2% to 4% - rosy-orange; bilobed - parasitic infection; allergens - antigen-antibody; allergens; inflammatory - enzymes
34
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
- 1% - violet; S - chickenpox; sinusitis; diabetes - histamine - heparin
35
Agranulocytes 1. 2.
1. Monocyte 2. Lymphocyte
36
Monocyte - (____% to ____%) - usually _______ WBC; _________-shaped nucleus
- 3% to 8% - largest; horseshoe
37
Lymphocyte - (___% to ___%) - variable amounts of _______ cytoplasm (scanty to abundant) - round, uniform dark violet _________
- 25% to 33% - bluish - nucleus
38
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)
- increase - cancer; foreign; virally - antigens - coordinate - antibodies; memory - viral; inflammation - macrophages - pathogens; debris - antigen
39
Prevalence of WBCs Never Let Monkeys Eat Bananas
1. Neutrophils 2. Lymphocytes 3. Monocytes 4. Eosinophils 5. Basophils
40
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
- myeloblasts - monoblasts - lymphoblasts -thymus - red bone marrow
41
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
- Cancer; HIGH - cell; clotting; infections - myeloid leukemia - lymphoid leukemia - actue leukemia - chronic leukemia
42
_____________: the cessation of bleeding -stopping potentially fatal leaks -_________: excessive bleeding
hemostasis - hemorrhage
43
3 stages of Hemostasis: 1. 2. 3. - _________ play an important role in all three stages
1. Vascular spasm 2. Platelet plug formation 3. Coagulation (Blood clotting) - platelets
44
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 _______
fragments; megakaryoctyes - megakaryocytes; sinusoid; blood - enzymes; pores
45
Hemostasis 1. Vascular Spasm - platelets secrete ____________ that help reduce blood loss 2. 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 3. Coagulation - ___________ series of enzymatic reactions via _____ _________/___________ factors resulting in ________ clot
- vasoconstrictors - adhesion; collagen - serotonin - ADP - Thromboxane A2 - cascade; plasma proteins/ clotting factors; fibrin
46
______________ (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
Coagulation - last - insoluble - procoagulants - liver - reaction cascade
47
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
- Extrinsic mechanism - Intrinsic mechanism - X - X; prothrombin activator - fibrin
48
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 _____
- deficiency - Hemophilia 1. Hemophilia A; VIII; 83% 2. Hemophilia B; IX; 15% 1. Hemophilia C; XI