UNIT 2 - CIRCULATORY SYSTEM I Flashcards
General functions of a circulatory system (3)
- Deliver nutrients and oxygen to cells
- Remove waste materials
- Distribute hormones
3 major systems of circulatory system
Blood, blood vessels, heart
Blood
Fluid portion of circulatory system pumped by the heart throughout the body through blood vessels (arteries, veins, capillaries). Humans have approximately 6L of blood and makes up 7-8% of body weight
Principle functions of blood (3):
- Transportation: O2, CO2, nutrients, hormones, wastes
- Regulatory: pH, temperature, osmotic (water/salt) balance
- Protection & defense: Phagocytosis, antibodies, clotting
2 major components of blood
55% Fluid (plasma) and 45% cellular
Plasma components (6)
- Water
- Ions (blood electrolytes); Na, K, Ca, Mg, Cl, Bicarbonate
- Plasma proteins; albumin, fibrinogen, immunoglobulin (antibodies)
- Nutrients; glucose, fatty acids, vitamins
- Respiratory gases; O2, CO2
- Hormones
Plasma functions (5)
- Carry cells of blood in circulation
- Transport nutrients to tissues and carry away waste materials
- Maintain acid-base balance of blood
- Effect intracellular communication through transport of hormones
- Defense functions through clotting and transport antibodies
Albumin
Most abundant plasma protein manufactured by the liver and serve as binding proteins and transport fatty acids/steroid hormones
Fibrinogen
Produced by the liver essential for blood clotting
Globulin
3 subgroups (alpha, beta, gamma globulin). Alpha and beta transport iron, lipids, fat soluble vitamins and gamma globulin involved in immunity/antibodies
Hemoglobin
Large molecule made up of proteins and irons consisting of 4 folded chains of protein called globin bound to reg pigment called Heme
Cellular components (3)
- Erythrocyte (RBC)
- Leukocyte (WBC)
- Platelets
RBC (erythrocyte)
Transports O2 and some CO2, and aids in blood clotting. Makes up the largest portion of cellular component
RBC structure
A-nucleate, bi-concave disc packed with 280 million hemoglobin per cell and capable of transporting 4 oxygen molecules
How long does a RBC last
120 days
RBC production stimulus
Low oxygen supply stimulates the production of more erythrocyte(negative feedback loop)
Erythropoietin
Hormone from the kidney that stimulates red bone marrow to produce erythrocytes
Hemopoiesis
Production of blood cells and platelets which occurs in bone marrow
Pluripotent stem cell
An immature stem cell capable of giving rise to several different cell types found in bone marrow. Can differentiate into lymphoid stem cell or myeloid stem cell
Lymphoid stem cell
Makes up 15% of cells in healthy bone marrow and matures into B cells or T cells (lymphocytes; WBC)
Myeloid stem cell
Matures into all blood cells except lymphoid cells, RBC, platelets, monocytes, neutrophils, eosinophils, basophils
WBC (leukocyte)
Defense via phagocytosis and immunity. Less numerous than RBC and makes up 1% of total blood volume and consists of two basic types; granulocytes, agranulocytes
How long do WBC live
Typically only a few days. However, lymphocytes live for months or years
Granulocyte
Neutrophil, eosinophils, basophils
Agranulocyte
Lymphocytes, monocytes
Neutrophils
Kill bacteria, fungi, foreign debris
Lymphocyte
Fight virus and make antibodies
Monocyte
Clean up damaged cells
Eosinophils
Kill parasites, cancer cells and involved in allergic response
Basophils
Involved in allergic response
Leukocyte proportion count (6)
- Neutrophils 60-70%
- Lymphocytes 20-25%
- Monocytes 3-8%
- Eosinophils 2-4%
- Basophils 0.5-1%
= Never Let Monkeys Eat Bananas
Why is leukocyte count important
Each leukocyte has a definite purpose and seeing changes in specific types can help diagnose a problem
Leucocytosis
When the WBC count is greater than 10,000/ul which indicates an infectious process or cancer
Leucopenia
When the WBC count is less than 5,000/ul which indicates a severe disease (AIDS, bone marrow failure, severe malnutrition, chemotherapy)
Acute bacterial infections
Increase neutrophils
Chronic infections
Increase monocytes
Antigen/antibody or viral infections
Increases lymphocytes and monocytes
Allergic reactions
Increase eosinophils and basophils
Parasitic infestation
Increase eosinophils
Hemoglobin test
Blood is hemolysed (RBCs are broken up) and the intensity of the red color of the resultant fluid is compared to standard
Normal range of hemoglobin test
12-19g/100mL of blood
Centrifugation
A method to separate different components of blood
Hematocrit determination
Measures volume of RBC relative to total volume of blood (Volume of red blood cells (mm)/total sample volume (mm))
Normal values for hematocrit determination male and female:
- Males: 40-54% (average 47%) due to higher levels of testosterone that stimulate RBC formation
- Females 38-46% (average 42%) due to lower levels of testosterone and menstrual blood loss
Anemia
Lower than normal values of RBC
Polycythemia
Higher than normal levels of RBC
Platelet
Forms blood clotting to limit blood loss
Megakaryocyte
Hematopoietic cells responsible for production of platelets
Thrombocytosis
Condition in which there are too many platelets
How viscous is blood compared to water
Blood is about 4-5 times more viscous than water
Cause of blood viscosity (2)
- Number of erythrocytes
- Amount of albumins
Hemostasis
Reduction and stoppage of blood loss from a damaged blood vessel
3 mechanisms of hemostasis:
- Vascular spasm (constriction of blood vessel)
- Platelet plug formation
- Activation of blood clotting (coagulation)
Vascular spasm (3)
- First response of a damaged artery
- Smooth muscle contraction in walls of blood vessel reduces blood flow prevents excessive blood loss until long term mechanisms take effect
- Effective for up to 30 minutes to a few hours
Platelet plug formation (2)
- Platelets stick to collagen fibers on damaged vessel walls
- Platelets activate and swell, extend projections and become sticky and release chemicals to cause other vascular spasms and make other platelets sticky
Blood consistency inside and outside body
Liquidy inside blood vessel but thick and gel like (blood clot) when removed from body
Serum
A clear yellowish fluid that remains after blood has clotted
2 types of clotting pathways:
- Extrinsic pathway
- Intrinsic pathway
Extrinsic pathway (2)
- Inury to epithelial tissue (skin tissue), blood leaves the vessel = fast clot formation
- Injury to the skin exposes tissue factor (thromboplastin) to the blood which converts plasma protein factor X into prothrombinase with help of Ca2+
- Activated by tissue factor
Intrinsic pathway (4)
- Damage inside blood vessel and no blood leaves the blood vessel but exposes the connective tissue of blood vessel = slow clot formation (several min)
- Platelets break down releasing Platelet Factor 3 (PF3) in blood
- PF3 activates Factor XII a plasma protein
- Factor XII converts Factor X into prothrombinase with help of Ca2+
- Activated by blood factor
Prothrombin
Inactive enzyme in plasma. Serves as precursor for thrombin for blood clotting
Prothrombinase
Enzyme that converts prothrombin into thrombin
Thrombin
Main enzyme of blood clotting that converts fibrinogen into fibrin
Fibrinogen
Soluble clotting protein in plasma
Fibrin
Insoluble thread like protein that forms a net across wound and trap platelets and RBC to stop bleeding and creating environment for repair
Clot retraction
Shrinking of blood clot and edges of blood vessel walls slowly brought closer together for repair
Disorders of Hemostasis (3)
- Thrombus
- Embolus
- Haemophilia
Thrombus
Blood clot in an unbroken blood vessel formed from platelets adhering to sites of inflammation
Embolus
Any piece of cell debris carried by blood flow (eg. Air bubble, fat droplet, endothelium)
Haemophilia
Genetic deficiency of the production of clotting factor (cant form clots properly)
Anticoagulant
Chemical inhibitors of blood clotting (preventing blood clot)
Types of anticoagulants (5)
- Antithrombin
- Heparin
- Warfarin
- Activated protein C (APC)
- Prostacyclin
Antithrombin
Inactivates thrombin
Heparin
Inactivates thrombin
Warfarin
Interferes with action of vitamin K
Aspirin
Inhibits vasoconstriction and platelet aggression
What type of mechanism is blood clotting
Positive feedback. Stimulus is being intensified since once thrombin is formed, it stimulates the production of more thrombin and activates more platelets
Why doesn’t clotting spread (3)
- Clotting factors rapidly diluted in fast flowing blood
- Inhibition of activated clotting factors
- Once the clot is formed, the thrombin is bound to the fibrin it forms and inactivated by anti-thrombin and heparin
Thrombolytic agents
Substances that help dissolve blood clots once they form by activating plasminogen into plasmin
Plasmin
Enzyme that degrades fibrin
Plasminogen
Inactive form of plasmin that is incorporated into clots as it forms
Vitamin K (3)
- Required for synthesis of 4 clotting factors
- Produced by large intestine bacteria and absorbed through lining of intestine
- Stimulates liver to produce prothrombin more meaning more thrombin resulting in faster clot formation
Affects of vitamin K deficiency
Bruising and prolonged bleeding
Capillaries
Smallest blood vessel
Arteries
Carry blood away from the heart
Veins
Carry blood towards the heart