The Blood System Flashcards

1
Q

Main functions of blood

A

TRANSPORTATION of respiratory gases, nutrients, waste and hormones
REGULATION of body temperature, pH and ion composition of interstitial fluids
PROTECTS against blood loss - clotting, against infection - immune system

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2
Q

what temperature can blood be

A

38/39 degrees Celsius

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3
Q

hematocrit

A

the packed red cell volume of blood

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4
Q

hematocrit percentage of blood

A

42% in women
45% in men

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5
Q

plasma percentage of blood

A

58% in women
55% in men

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6
Q

what are the products of blood spun with anti-coagulants and their constituent’s

A

hematocrit - RBCs
buffy coat - platelets and WBCs
plasma - water, proteins, inorganic solutes, organic substnaces

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7
Q

what does albumin carry and what does it maintain

A

carrier of lipid soluble substances (drugs, hormones)
maintains osmotic pressure

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8
Q

types of globulins and their roles

A

alpha and beta - transport water insoluble substances including clotting factors
gamma - antibodies

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9
Q

fibrinogen

A

inactive precursor of clot’s fibrin meshwork

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10
Q

contents of erythrocytes

A

crucial enzymes for glycolysis and carbonic anhydrase
no nucleus

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11
Q

contents of reticulocytes

A

same as erythrocytes
remnants of organelles

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12
Q

what properties of RBCs support their function

A

flat concave shape allows large surface area
flexible membrane can squeeze through capillaries
contains Hb for oxygen transport

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13
Q

haemoglobin

A

a pigment made of 4 globin chains and a heme group

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14
Q

haem binding to oxygen

A

weak and reversible so its senstive to pH changes in blood
1 oxygen molecule per group

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15
Q

why does oxygenated blood appear red

A

Hb is a pigment
high iron content is reddish when combined with oxygen

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16
Q

Hb O2 binding

A

loose and reversible
depends on PO2

17
Q

Hb CO2 binding

A

when PCO2 is high
different binding site than O2
forms carbamino Hb

18
Q

Hb CO binding

A

same binding as oxygen
240x higher affinity for CO

19
Q

why do erythrocytes have short life spans
how long is it

A

no DNA so cannot synthesise proteins or divide
120 days

20
Q

erythropoiesis

A

bone marrow generation of new red blood cells

21
Q

where do old RBCs die

A

the spleen

22
Q

what controls erythropoiesis
where does it act

A

erythropoietin from the kidneys in response to reduced O2 delivery
red bone marrow

23
Q

when there is haemorrhage or blood loss

A

reticulocyte levels increase, peaks at 4-7 days
decreases by 2 weeks when Hb becomes normal
remains high in there is further blood loss

24
Q

epogen
what is it used for

A

synthetic erythropoietin
surgery and chemotherapy
dialysis patients
doping

25
what are the products of haemoglobin broken down to
globin - amino acids haem - iron (stored as ferritin), bilirubin (taken up by liver)
26
what is bilirubin used for
secreted into intestine in bile metabolized into stercobilin by -gut bacteria and excreted
27
what food nutrients absorbed from intestines for erythropoiesis
iron, vit B12, protein, folic acid
28
what happens to aged and damaged RBCs
engulfed by macrophages of liver and bone marrow
29
why do babies get jaundice why is it treated with UV
their liver is not developed enough to remove bilirubin transforms bilirubin into water-soluble isomers that can be eliminated without conjugation in the liver
30
symptoms of anaemia
fatigue, paleness, shortness of breath, increased heart rate, and chills
31
causes of anaemia
nutritional pernicious (vit B12) aplastic (lack of erythropoiesis) renal haemorrhagic haemolytic malaria sickle cell
32
polycythaemia
too many circulating RBCs
33
primary vs secondary polycythaemia
primary - genetic or cancer cause bone marrow to over produce secondary - reduced O2 delivery causes over production (high altitude, sleep apnoea, heart/lung diseases)
34
thick blood vs thin blood
thick blood: polycythaemia, high bp, more platelets lead to clots thin blood: anaemia, less platelets, more bruising