The Circulatory System Flashcards

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1
Q

What is the composition of blood?

A

Plasma: the liquid part, making up approximately 55% of the blood volume.

Formed Elements: the non-liquid part, making up 45% of the blood volume and consisting of erythrocytes (red blood cells), leucocytes (white blood cells) and thrombocytes (platelets).

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2
Q

What is plasma?

A

A mixture of water with dissolved substances such as sugar and salts. Plasma transports the components of the blood, including nutrients, wastes, hormones, proteins and antibodies, throughout the body.

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3
Q

What are erythrocytes?

A

One of the formed elements of the blood containing haemoglobin-

  • Account for 40-45% of the volume of blood, (haematocrit).
  • Biconcave shape.
  • Do not contain a nucleus which increases their flexibility and, hence, their ability to move blood through blood vessels.
  • Life span of 120 days on average.
  • Function is the transport oxygen from the lungs to the cells throughout the body.
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4
Q

What is the haematocrit?

A

The ratio of red blood cells to the total volume of blood.

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5
Q

What are leucocytes?

A

One of the blood cells; it contains a nucleus, but no haemoglobin. They play an important role in protecting the body from infection. They make up 1% of the blood and are larger than erythrocytes.

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6
Q

Neutrophils.

A

Contain enzymes to digest pathogens.

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7
Q

Monocytes.

A

Form other cells, including macrophages that engulf pathogens and aged or damaged cells by phagocytosis.

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8
Q

Lymphocytes

A

Are involved in the immune repose.

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9
Q

Basophils.

A

Are responsible for allergic reactions, producing heparin and histamine to defend the body against parasites and bacteria.

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10
Q

Eosinophils.

A

Also lead to inflammatory responses; they respond to larger parasites such as worms.

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11
Q

What are thrombocytes?

A

One of the formed elements of blood; a fragment of cytoplasm enclosed in a membrane but lacking a nucleus; also called a platelet. When a blood vessel is injured, the platelets adhere to the lining and form a scaffold for the coagulation of blood to form a clot.

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12
Q

How is oxygen carried in the blood (percentages)?

A

3% of oxygen is carried in the blood plasma.

97% is carried in combination with haemoglobin molecules, only found in red blood cells.

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13
Q

How is oxygen transported in the blood?

A

Oxygen combines with haemoglobin when the oxygen concentration is relatively high. This occurs in the capillaries in the lungs, where oxygen diffuses from the air in the alveoli. Oxyhaemoglobin breaks down to haemoglobin and oxygen when the concentration of oxygen is relatively low. As the cells of the body are continually using oxygen, tissue fluids around the cells have a relatively low oxygen concentration. Therefore, when the red blood cells flow through the capillaries between the body cells, they give up their oxygen, which diffuses into the tissue fluid and then into the cells.

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14
Q

Why are red blood cells well suited to their function of oxygen transport?

A
  • Contain haemoglobin, which is able to combine with oxygen.
  • Have no nucleus, so there is more room for haemoglobin molecules.
  • Are shaped like biconcave discs- the biconcave centre increases the surface area for oxygen exchange and the thicker edges give a large volume that allows room for the haemoglobin molecules.
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15
Q

How is carbon dioxide carried in the blood (percentages)?

A

Approximately 7-8% is dissolved in the plasma and carried in solution.

Another 22% or so combines with the globin part of the haemoglobin molecule to form a compound called carbaminohaemoglobin.

The remainder, about 70%, is carried in the plasma as bicarbonate ions, HCO3-.

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16
Q

How is carbon dioxide transported in the blood?

A

As the blood is flowing through the capillaries between the body cells, carbon dioxide diffuses into the plasma due to the difference in carbon dioxide concentration. Some carbon dioxide dissolves in the plasma, some combines with haemoglobin, but most reacts with water to form carbonic acids (H2CO3). Carbonic acid then ionises into hydrogen ions and bicarbonate ions.

In the alveoli, the carbon dioxide dissolved in the plasma diffuses out of the blood into the air in the alveolus. The carbaminohaemoglobin breaks down, and the carbon dioxide molecules released also diffuse into the alveolus. Hydrogen ions and bicarbonate ions recombine to form carbonic acid, which then breaks down under enzyme action into water and carbon dioxide. This carbon dioxide also diffuses into the alveolus.

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17
Q

Explain how nutrients and wastes are transported in the blood.

A

Nutrients and wastes are dissolved and transported in the blood plasma.

Nutrients (the essential elements and molecules that are obtained from the food we eat) include:

  • Inorganic nutrients (transported as ions)- sodium ions, calcium ions, potassium ion, chloride ions and iodide ions.
  • Organic: glucose, vitamins, amino acids, fatty acids and glycerol.

Metabolic wastes are substances produced by the cells that cannot be used and that would be harmful if allowed to accumulate.
Organic wastes that are transported in solution in blood plasma- urea, creatinine and uric acid.

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18
Q

Blood clotting minimises blood loss from broken vessels and prevents the entry of micro-organisms. List the steps of blood clotting.

A

1- Vasoconstriction.
2- Platelet plug.
3- Coagulation.

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19
Q

Explain vasoconstriction.

A

The muscles in the walls of the small arteries that have been injured or broken constrict immediately to reduce blood flow and therefore, blood loss.

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20
Q

Explain the platelet plug.

A

Damage to internal walls of blood vessels create a rough surface to which platelets ‘stick’.

Sticking platelets attract others so a ‘plug’ is built at the injury site to prevent blood loss.

The platelets release substances that act as vasoconstrictors, which enhance and prolong the constriction of the damages vessels.

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21
Q

Explain coagulation.

A

For more serious injuries. Coagulation is the process of blood becoming gel-like, forming a blood clot.

This process involves a large number of clotting factors, that are present in blood plasma. The complex series of reactions results in the formation of threads and an insoluble protein called fibrin. The fibrin forms a mesh that traps blood cells, platelets, and plasma. This is the blood clot. The treads stick to the damaged blood vessel and hold the clot in position.

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22
Q

Explain clot retraction.

A

Clot retraction is the contraction of the fibrous threads of a blood clot. As this occurs, a fluid known as serum is squeezed out. The clot then dries, forming a scar over the wound that prevents the entry of infecting microorganisms.

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23
Q

What is the heart?

A

The pump that pushes blood around the body, located between the two lungs in the mediastinum, behind and slightly left of the sternum.

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24
Q

What is the name of the membrane which encloses the heart.

A

The pericardium is the membrane that encloses the heart. It holds the heart in place, but also allows the heart to move as it beats and prevents in from stretching.

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25
Q

What is the wall of the heart made up of?

A

Cardiac muscle.

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26
Q

What is the name of the wall that separates the left and right sides of the heart?

A

The septum.

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27
Q

Where does the blood come from that goes into each side of the heart?

A

The right side of the heart collects blood from the body and pumps it to the lungs.

The left side of the heart receives blood from the lungs and pumps it to the rest of the body.

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28
Q

List the four chambers of the heart.

A

The right atrium receives blood from the body and passes it to the right ventricle.

The right ventricle pumps blood to the lungs.

The left atrium receives blood from the lungs and passes it to the left ventricle.

The left ventricle pumps blood to the body.

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29
Q

What is the purpose of valves in the heart?

A

They ensure that blood can only flow in one direction, preventing the back flow of blood.

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30
Q

What are the atrioventricular valves?

A

Valves that ensure the blood flows through the heart in one direction only.

Location: Between the atria and the ventricles.

Structure: Flaps of thin tissue with the edges held by tendons (chordae tendineae), that attach to the heart on papillary muscles.

Function: When the ventricles contract, the blood catches behind the flaps and they billow out like a parachute, sealing off the opening between the atria and the ventricles. Blood must then leave the heart through the arteries and not flow back into the atria.

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31
Q

What are semilunar valves?

A

Vales preventing blood from flowing back into the ventricles.

Location: At the start of the aorta and pulmonary vein..

Structure: each valve has three cusps.

Function: When the blood flows into the artery, the cusps are pressed flat against the artery wall.

When the blood tries to flow back into the ventricle, the cusps fill out and seal off the artery, ensuring blood only flows in one direction.

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32
Q

What creates the ‘lub-dub’ sound of the heart?

A

It is the closing of the valves that gives the heartbeats their characteristic ‘lub-dub’ sound. The two sounds are due to the closing of the atrioventricular and then semilunar valve.

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33
Q

What is the name of the atrioventricular valve located between the right atrium and the right ventricle?

A

The tricuspid valve.

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34
Q

What is the name of the atrioventricular valve located between the left atrium and the left ventricle?

A

The mitral valve.

35
Q

What is the name of the semilunar valve located between the right ventricle and the pulmonary artery?

A

The pulmonary valve.

36
Q

What is the name of the semilunar valve located between the left ventricle and the aorta?

A

The aortic valve.

37
Q

What are arteries?

A

Blood vessels that carry blood away from the heart.

Structure: The wall of an artery contains smooth muscle and elastic fibres. Have thick, muscular, elastic walls. Have no valves.

Function: When the ventricles contract and push blood into the arteries, the arteries stretch to accommodate the extra blood. When the ventricles relax, the elastic artery walls recoil.

This recoil keeps the blood moving and maintains blood pressure.

The very large arteries that receive blood pumped by the ventricles divide into smaller arteries. These in turn divide into very small arteries known as arterioles.

38
Q

Define vasoconstriction:

A

The muscles of the artery wall contract, decreasing the diameter of blood vessels and restricting the flow of blood.

39
Q

Define vasodilation:

A

The muscles of the artery wall relax, increasing the diameter of the blood vessels and increasing blood flow.

40
Q

How are the cells of the body supplied with the energy they need during exercise?

A

As the body exercises, the muscle cells continually require energy. Cellular respiration in the muscle cells make this energy available but also produces large amounts of wastes, including CO2 and lactic acid. These wastes act as vasodilators, resulting in increased blood flow through the muscle tissues which ensures that the cells are adequately supplied with oxygen and nutrients for continued functioning.

41
Q

What are capillaries?

A

Microscopic blood vessels that link the arterioles and venues.

Structure: Their walls have only one layer of cells, allowing substances to pass early between the blood and the surrounding cells.

Function: They form a network to carry blood close to nearly every cell in the body. This enables cells to get their requirements from the blood and to pass their waste into the blood.

42
Q

What are veins?

A

Blood vessels that carry blood towards the heart.

Structure: The capillaries join into small veins (venules), which then join to make larger veins. Have thin, relatively inelastic walls with little muscle. Often have valves. Have a constant relatively low blood pressure.

43
Q

Where do veins culminate?

A
  1. The inferior and superior vena cava: bring blood from the body to the right atrium. Superior brings blood from above the heart and inferior brings blood from below.
  2. Pulmonary veins: bring blood from the lungs to the left atrium. There are four pulmonary veins, two in each lung.
44
Q

What are the two ways the blood flow to the cells can be changed to cater for the changes in cell requirements?

A
  1. By changing the output of blood from the heart.

2. By changing the diameter of the blood vessels supplying the tissues.

45
Q

What is the cardiac cycle?

A

The cycle of events that occurs in one complete heart beat.

46
Q

Define systole.

A

The period when the heart muscles contract.

47
Q

Define diastole.

A

The period of relaxation of the heart (between contractions), during which it fills with blood.

48
Q

Explain the cardiac cycle.

A
  1. For a short period of time both atria and ventricles are in diastole.
    - The atria fills with blood.
    - The ventricles also receive blood as the valves between them are open.
  2. Atria systol: forces the remaining blood into the ventricles.
  3. Atria relax and refill while the ventricles contract in ventricular systole.
  4. Ventricular systole forces blood into the arteries.
49
Q

Define heart rate.

A

The number of heartbeats per minute.

50
Q

Define stroke volume.

A

The volume of blood pumped from the left ventricle during one contraction.

51
Q

Define cardiac output.

A

The volume of blood pumped from one ventricle of the heart in one minute.

52
Q

What is cardiac output equal to?

A

Cardiac output (mL/ minute)= stroke volume (mL) x heart rate (beats/ minute).

53
Q

Define transfusion.

A

The transfer of blood, or of some of the components of blood, into the circulation of a person.

54
Q

Define ABO blood group system.

A

A method of classifying blood types according to the antigens on the surface of the red blood cells.

55
Q

Define Rh blood group system.

A

A method of classifying blood types according to the antigens on the surface of the red blood cells.

56
Q

Define antigens.

A

Any substance capable of causing the formation of antibodies when introduced to the tissue.

57
Q

Define antibodies.

A

A substance produced in response to a specific antigen; it combines with the antigen to neutralise it or destroy it.

58
Q

What are the two sugar antigens involved in the ABO classification?

A

Antigen A and antigen B. A person may have A, B, both, or neither. These correspond to the four blood groups of the ABO system:

  • Group A (antigen A).
  • Group B (antigen B).
  • Group AB (both antigens).
  • Group O (neither antigens).
59
Q

What is the name of the antibody that reacts against antigen A and the name of the antibody that reacts against antigen B?

A

Antigen A: anti-A.

Antigen B: anti-B.

60
Q

What are the antibodies that each blood group produces?

A
  • A group A person can only produce anti-B.
  • A group B person can only produce anti-A
  • A group AB person cannot produce either.
  • A group O person can produce both.
61
Q

What are the Rh antigens?

A

Proteins occurring on the surface of the red blood cells.

62
Q

List the Rh groups.

A

A person with Rh antigens is said to be Rh positive; a person without these antigens in Rh negative. An individual without the Rh antigens is able to produce an anti-Rh antibody that reacts against those antigens. Rh-positive individuals cannot produce an anti-Rh antibody.

63
Q

Why is it important to match the blood groups of the donor and the recipient during transfusions?

A

The mixing of blood types that are incompatible can cause the erythrocytes to clump together, or agglutinate.

Agglutinate: The clumping together of micro-organisms or of red blood cells.

If the receiver’s blood contains, or is able to make, antibodies against the antigens on the donor’s red cells, the foreign cells will clump together and disintegrate.

64
Q

What is a whole blood transfusion.

A

Is blood as it is taken from the donor but with a chemical added to prevent clotting. Used mainly in cases of severe blood loss.

65
Q

What does a red cell concentrate transfusion involve?

A

Produced by spinning blood at very high speed in a centrifuge. The heavier cells sink to the bottom, leaving the lighter plasma on top. The concentrate may or may not have platelets and leucocytes removed. Used for patients suffering from heart disease or severe anaemia.

66
Q

What does a platelet concentrate transfusion involve?

A

Given to patients who have abnormal platelets or a reduced number of platelets.

67
Q

What does a plasma transfusion involve?

A

Plasma may be given to patients requiring extra clotting factors for control of severe bleeding, or patients with liver disease.

68
Q

What does a cryoprecipitate transfusion involve?

A

Obtained by freezing the plasma and thawing it slowly. When the plasms is thawed, the cryoprecipitate remains solid. It contains many of the substances necessary for blood clotting. Used to treat some forms of haemophilia but is most often used for severe bleeding.

69
Q

What does an immunoglobin transfusion involve?

A

are a group of proteins that act as antibodies. They are extracted from the blood and used for patients who are deficient in antibodies. Particular immunoglobins from certain donors are used to treat patients who have no immunity to a particular disease. For example, tetanus immunoglobulin may be used to treat tetanus.

70
Q

What does an autologous transfusion involve?

A

When the own patient’s blood is used. The blood is collected from the patients prior to an operation that may require a transfusion. Often used for elective surgery and the blood is collected about four weeks before the operation. Autologous transfusions eliminate the risk of transmission of disease and most possible side effects of the usual transfusions.

71
Q

What is the lymphatic system?

A

A system of vessels that drains excess fluid from the tissues.

72
Q

What are the functions of the lymphatic system?

A

To collect some of the fluid that escapes the blood capillaries and return it to the circulatory system.

The lymphatic system is also an important part body’s internal defence against disease-causing organisms.

73
Q

What is the structure of the lymphatic system?

A

A network of lymph capillaries joined to larger lymph vessels.

Lymph nodes, which are located along the length of some lymph vessels.

74
Q

Why does fluid tend to leak out at the arterial end of a blood capillary?

A

Due to the high pressure in the vessel.

75
Q

What happens to the fluid that leaks from the capillaries?

A

Some, but not all, of this fluid returns to the capillary at the venous end. The excess fluid in the tissues is returned to the blood by the lymphatic system. Fluid returned to the blood in this way is known as lymph.

76
Q

What is lymph?

A

Colourless fluid that circulates through the lymphatic vessels before returning to the blood.

77
Q

Explain the structure of lymph vessels.

A
  • Blind-ended tubes in the spaces between the cells of most tissues.
  • Have smooth muscle, skeletal muscle, and valves.
  • Slightly larger and more permeable than blood capillaries.
  • Proteins and disease-causing organisms in the intercellular fluid can easily pass through the walls of the lymph capillaries into the lymph.
  • The network of lymph vessels joins to form two lymphatic ducts that empty the lymph into large veins in the upper chest.
78
Q

How is lymph moved through the lymphatic vessels?

A

Smooth muscle, skeletal muscle, and valves.

The smooth muscle layer of the vessels is able to contract to push the lymph along the vessel.

The skeletal muscles surrounding the vessels are also able to contract, providing additional force.

  • No central pump, so there is no force driving the direction of the flow of lymph. Therefore, the larger lymph vessels have valves that close when the pressure drops, preventing the backflow of lymph.
79
Q

What are lymph nodes?

A

An oval or bean-shaped structure found on the lymphatic vessels; it is involved in protection against infection. They occur at intervals along the lymphatic system.

80
Q

Structure of lymph nodes?

A

Each is surrounded by a capsule of connective tissue that extends into the node, forming a framework.

  • Within the framework are masses of lymphoid tissue, containing lymphocytes, macrophages, and plasma cells.
  • Spaces between the cells of the lymphoid tissue are criss-crossed by a network of fibres.
81
Q

How does lymph travel through the lymphatic system?

A

Lymph enters through vessels on the convex side of the node, filters through the spaces and passes out through vessels on the opposite side. The lymph passes through several nodes before entering the circulatory system.

82
Q

How does the lymphatic system defend against disease in the human body?

A

Lymph entering the lymph nodes contains cell debris, foreign particles and micro-organisms that have penetrated the body’s external defences. Some of these micro-organisms may be able to cause disease and must therefore be destroyed.

Larger particles, such as bacteria are trapped in the meshwork of fibres as lymph flows through the spaces in the nodes.

Macrophages destroy these particles. The macrophages ingest the particles by phagocytosis.

Projections from the macrophage surround the particle and take it into the cell, where it is destroyed by enzymes.

83
Q

Why do lymph nodes swell during infection?

A

When infections occur, the formation of lymphocytes increases, causing the lymph nodes to become swollen and sore. For example, an infected finger may result in swelling and tenderness in the armpit, where there are a large number of lymph nodes.