Unit 2 Lecture 9 Flashcards
What makes up the total body mass in males?
40% solids
60% fluids
What type of fluids are found in the body?
Intracellular fluid (ICF) and extracellular fluid (ECF)
What makes up extracellular fluid (ECF)?
80% interstitial fluid
20% plasma (blood)
How does nutrients and oxygen diffuse into cells?
Blood -> interstitial fluid -> cell
How does waste travel in the body?
In opposite directions of nutrients
Define hematology
the study of blood and blood disorders
What is the composition of blood?
- Plasma
2. Formed elements
What is plasma?
- Water
- Plasma Proteins
- Other substances
What is “formed elements”?
cells and cell fragments found in blood
Where are plasma proteins made and found?
Made: liver
Found: bloodstream
What are the 3 main plasma proteins found in blood?
- Albumins
- Globulins
- Fibrinogen
Function of albumins protein
maintains blood osmotic pressure
What does blood osmotic pressure do?
Brings liquids into cell
What is a globulin (immunoglobulin)?
an antibody that attacks foreign antigens
What is the function of globulin?
Forms antigen-antibody complexes
What is the function for fibrinogen?
Promotes clotting
What is the difference between blood plasma and blood serum?
Blood serum doesn’t have fibrinogen and other clotting factors
What cells make up “formed elements”
- Red blood cells (erythrocytes)
- White blood cells (leukocytes)
- Platlets (thrombocytes)
What are the 2 types of white blood cells?
- granular leukocytes
- agranular leukocytes
Name 3 types of granular leukocytes
- Neutrophilis
- Eosinophils
- Basophils
Name 2 types of agranular leukocytes
- lymphocytes
2. monocytes
What is the difference betweem -blast and -cyte?
- blast = immature cell
- cyte = mature cell
What hormone stimulates production of RBC’s
Erythropoietin (EPO)
What is another term for platlet?
Thrombocyte
what is the major function of platlets
promotes blood clotting
What is hematocrit?
The ratio of the volume of RBC to the total volume of blood
What is the average hematocrit for females and males?
females: 42%
males: 46%
What is anemia?
Not enough RBCs for proper O2 transportation
What is polycythemia?
Excess RBCs (over 65%) -> dehydration, blood doping in athletes
Of the 3 blood plasma proteins, which is found the most and the least in the body?
most: Albumins 54%
least: fibrinogen 7%
Of the formed elements in blood, is RBC, WBC, or platlets found more?
red blood cells
What type of white blood cell is found the most in blood?
Neutrophils 60-70%
Characteristics of RBCs
- shaped like discs
- 8 micrometers
- NO nucleus
- changes shape easily
- filled w/ HEMOGLOBIN
What is the function of hemoglobin (hb)?
It carries O2
Hemoglobin characteristics
- 4 large protein chains
- Heme group
What is a heme group?
a porphyrin “ring” that surrounds a single iron molecule in each protein chain
What can each iron in the protein chains of hemoglobin bind to?
O2
*4 irons -> 4 O2 total
Where does the O2 bind to hemoglobin?
In capillaries of the lungs
What circulation system sends hemoglobin O2 to the rest of the body?
Systemic circulation
What else does hemoglobin send to the body?
CO2
How does CO2 bind to hemoglobin?
binds to amino acids in -globin part of hemoglobin (NOT HEME)
What is erythropoiesis?
Red blood cell formation
Where does erythropoiesis occur?
red bone marrow
How are red blood cells (erythrocyte) made?
hemopoietic stem cell-> myeloid stem cells -> proerythroblasts -> erythroblast -> reticulocytes -> gets hemoglobin and kicks out nucleus -> erythrocyte
What 3 HORMONES stimulate the creation of blood?
- Erythropoietin (EPO)
- Thrombopoietin (TPO)
- Cytokines
What does erythropoietin stimulate?
Stimulates erythropoiesis (creation of red blood cells)
Where is erythropoietin produced?
KIDNEYS
What does thrombopoietin do?
Stimulates platelet formation
Where is the thrombopoietin hormone produced?
LIVER
What is cytokines?
local hormones in bone marrow
What does cytokines stimulate?
WBC production
What stimulates cytokines to produce WBC?
colony-stimulating factors (CSF) and interleukins
Where is cytokines produced?
BONE MARROW?
What is erythropoietin (EPO) effective in treating?
desceased RBC production of end-stage kidney disease
What does thrombopoietin (TPO) help prevent?
Platelet depletion during chemothrerapy
How long do RBC live?
120 days
How are worn out RBCs removed from body?
macrophages in spleen and liver
During recycling of RBCs, what happens to the “HEME” portion of hemoglobin
split into iron (Fe3+) and biliverdin (green pigment)
Where is iron (Fe3+) stored in the body?
liver, muscle, or spleen
How does blood travel to bone marrow?
transported in blood attached to transferrin protein
What is biliverdin converted to in macrophages in the spleen, liver, or red bone marrow?
Bilirubin
What does the liver secrete bilirubin as?
Bile
What is bile secreted in the intestine used for?
digestion
What does Bilirubin turn into in the large intestine?
Urobilinogen
What happens to urobilinogen?
it is reabsorbed, coverted into robilin and excreted via the KIDNEY and URINE
What is the main difference between WBC and RBD
WBC have a nucleus but no hemoglobin
RBC have hemoglobin but no nucleus
Define leukocytosis?
condition with high white blood cell count
Define leukopenia
Condition with low white blood cell count
Where is WBC found in circulation?
2% in blood
- rest in lymphatic fluid, skin, lungs, lymph nodes and spleen
How do WBC travel through vessels?
they roll, stick to wall, and squeeze out between cells
What helps WBC stick to endothelium wall?
selectins
What on WBC helps them move through the vessel wall?
integrins
What is phagocytosis?
“cell eating” of bacteria
What cell performs phagocytosis?
monocytes
What type of WBC performs phagocytosis the least?
Eosinophils
What are the 3 processes of phagocytosis?
- Chemotaxis
- Adherence and Ingestion
- Destruction
What happens during chemotaxis?
- phagocytic cell goes to site of infection
- chemicals released by infected cell/ pathogen attract the phagocyte
What happens during adherence and ingestion
- phagocyte gets attached to pathogen / infected cell membrane
- ingestion starts by enveloping pseudopodia -> a phagosome
What happens during destruction
- phagosome fuses with a lysosome -> phagolyosome
- lysozymes (a destructive chemical from the lysosome) destroys the membrane
- dead cell removed by exocytosis
How does a bone marrow transplant happen?
- destroy sick bone marrow with radiation and chemo
- put sample of donor marrow into patients vein for re-seeding of bone marrow
- success depends on patient donor compatibility
What is bone marrow transplants used for?
leukemia, sickle-cell, breast, ovarian or testicular cancer, lymphoma, or aplastic anemia