Physiology of Blood Flashcards
What is the highest composition of total plasma
water
What is the highest composition of plasma proteins
albumin
What is the 2nd highest composition of plasma proteins
globulins
Function of albumin
maintain oncotic pressure of blood
transport free fatty acids
Function of haptoglobin
binds free hemoglobin
Function of transferrin
binds Fe++ and carries it to tissues
How do you calculate plasma osmolatity
(2Na+) + (BUN/2.8) + (glucose/18)
oncotic pressure
generated by plasma proteins, force that allows reaborption of fluid at the venous ends of the capillaries
hydrostatic pressure
capillary pressure, drives fluid out of capillaries into tissues
What can increase oncotic pressure
hyperalbunemia
What can decrease oncotic pressure
hypoalunbemia
Hematopoiesis
formation of blood cells
TRP
secreted by liver, stimulated megakaryocyte-progenitor cells to differentiate into megakaryocyte precursors
EPO
myeloid progenitor generates erythroid progenitor, which begin to express EPO receptors makes EPO necessary for cells to preogress to erthroblast stage
Charactersitics of erythrocytes
do not have organelles, carbonic anhydrase is present,
Hematocrit
precent of total volume of RBCs per total blood volume
MCV
average volume of RBCs
MCHC
measure of conc of hemoglobin in a given volume of RBCs
RDW
measure of variation of RBC volume
erythropoiesis
process by which new RBCs are formed
How does erythropoiesis take place
EPO produced
HIF-1aphla synthesized, increases EPO production
Why may the number of reticulocytes be incrased
recent increase in erythropoiesis
Why may the number of reticulocytes be decreased?
diminishing erythropoiesis
How is heme iron degraded
taken to the liver so iron can be used elsewhere in body
How is porphyrin ring degradedd
converted into bilirubin, which is conjugated into glucuronic acid
How do platelets regulate hemostatis
they have glycolipids on their surface, when these are exposed they form a platelet plug to prevent blood loss and secrete factors for blood clotting
Steps of thrombopoiesis
TPO stimulated megakaryocyte progenitors to become megakaryocyte precursors, endergo endomitosis, become large multinucleated cells. Cytoplasmic budding produces platlets from megakaryocytes
5 types of WBCs from least to most abundant
basophils eosinophils monocytes lymphocytes neutrophils