Slide 6 Flashcards
What is atherosclerosis?
blocked artery due to plaque buildup causing abnormal blood flow or blocking it
What happens if the coronary artery is blocked?
heart attack
What are catheters for?
for coronary artery
they expand the stent to compress the plaque so that there is a widening artery
What is the blood composed of?
formed elements
- erythrocytes
- platelets
- leukocytes
plasma 55%
- plasma protein
- water
- other solutes
these percentages can change with disease
What is the role of albumin?
synthesized by the liver
contribute to colloid osmotic pressure of plasma
carry many substance
What are globulins for?
synthesized in the liver and lymphoid tissue
act as clotting factors
enzymes
antibodies
carrier for substances
What is fibrinogen for?
source is the liver
forms fibrin threads for blood clot
What is transferrin for?
from the liver and other tissues
iron transport
Why is liver disease associated with edema?
liver disease is dysfunctional
edema: fluid accumulation in the interstitial fluid due to leaky capillaries
less circulation protein synthesis = even less water retention by osmosis
What are the formed elements composed of?
RBCs
WBCs
granulocytes:
monocytes
lymphocytes
agranulocytes:
basophils
neutrophils
eosinophils
Platelets
Describe the structure and function of RBC. What is the spectrin molecule look like and its function?
structure: biconcave disk
flexibility
SPECTRIN cytoskeleton create this unique shape of RBCs by binding to the membrane and gives them elastic strength under deformation
it is two intertwined polypeptide chains
contains hemoglobin composed of four protein chains [globins], each heme has one iron = give the red colour
What happens during RBC differenciation?
takes 4 days to mature
hematopoietic stem cells [hemocytoblast] -> proerythroblasts - mitotic divisions -> basophilic erythroblasts - differentiation -> polychromatic erythroblasts [produce hemoglobin] - lose their nuclei-> reticulocytes
What is aplastic anemia?
serious form of anemia
What is leukopenia?
reduction of WBC leaving a person with many infections
What is thrombocytopenia?
reduce production of platelets leaving a person at high risk for hemorrhage
What does erythropoiesis do?
- when low oxygen levels detected by kidneys
- releases erythropoietin
- red bone marrow receives signal to make more RBCs = increased erythropoiesis so increased number of RBCs
- when levels are normalized, kidneys stop release of EPO
Why would athletes train at high altitudes?
at high altitudes, there is lower oxygen availability
therefore more production of erythropoietin and more erythropoiesis so they have more red blood cells for more oxygen carrying capacity [ get used to low oxygen supply, will perform better at a higher oxygen supply]
What is the process of RBC breakdown?
macrophage cells in the liver and spleen phagocytose the aged/abnormal/fragmented RBCs
they breakdown hemoglobin = amino acids used for energy or synthesis of new protein
iron is recycled by returning to bone marrow for synthesis of new hemoglobin
bilirubin brought to the liver where it is excreted into the intestine as bile
Describe iron homeostasis and metabolism.
iron comes from the diet binds to transferrin where it is transported to the bone marrow for the synthesis of new RBC. It is added to heme and heme combines with protoporphyrin to make a RBC. It then circulates for 120 days and becomes mature where a macrophage engulfs it in the liver or spleen. Once digested, it partitions the bilirubin for excretion by sending it back to the liver then to intestine into the bile out of the body. The iron is recycled by storing it in the ferritin stores of the liver or brought back to the bone marrows for synthesis of more RBCs.
What separate layers can be seen if the blood is allowed to stand or centrifuged?
hematocrit, buffy coat and RBC [ measured by PCV~ 42-45%]
anemia: reduced PCV
polycythemia: increase PCV