week 8- cardiovascular Flashcards

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1
Q

what are the 3 functions of blood

A

transportation
regulation
protection

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2
Q

what does the blood transport

A

function of blood is to deliver oxygen and nutrients to, and remove wastes from body tissues and cells. It transports;
-oxygen from the lungs to cells
-carbon dioxide from cells to the lungs for exhalation
-nutrients from the gastrointestinal tract to cells
-hormones from endocrine glands to target cells
-drugs from the site on absorption to target cells and tissues
-cellular wastes and byproducts products to the kidneys for excretion.

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3
Q

regulation of blood involves what

A

Blood helps maintain homeostasis of all body fluids. For example;
- proteins and chemicals in blood act as pH buffers (convert strong acids or bases into weak ones), therefore help to regulate the pH of body fluids and cells
- blood osmotic pressure helps regulate the water content of body cells, mainly though interactions of dissolved ions and proteins.
- Blood also helps adjust body temperature via a negative feedback loop

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4
Q

blood protection involves what

A

White blood cells protect against;
- external threats, such as bacterial pathogens
- internal threats, such as cells with mutated DNA that could become cancerous, or body cells infected with viruses.
-Blood can clot, which protects against excessive blood loss and initiates the healing process

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5
Q

what is the pH of blood

A

pH: 7.35 - 7.45

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6
Q

what tissue type is blood

A

connective tissue

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7
Q

what temp is blood

A

38 degrees

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8
Q

what is bloods viscosity in relation to water

A

5x thicker

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9
Q

what is the colour of blood

A

Colour: varies with its oxygen content. Bright red when oxygenated, dark red when deoxygenated

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10
Q

what is the volume of blood

A

Volume: about 8% of adult body weight.

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11
Q

Composition of blood

A

Whole blood has two components; blood plasma (liquid extracellular matrix) and formed elements (cells and cell fragments).

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12
Q

what are the components of blood plasma

A

91.5% water
7% proteins
1.5% other solute

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13
Q

what are the 3 main groups of plasma

A

Albumin, Globulins, Fibrinogen

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14
Q

Albumin (54-60%);

A
  • made by the liver
    -transport vehicle for fatty acids, calcium and steroid hormones
    -contributes to osmotic pressure of blood - helps draw water from the tissues, across the blood vessel walls, and into the blood stream.
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15
Q

Globulins (35-38%);

A

-immunoglobulins (antibodies) - made by plasma cells, bind to specific antigens and mark them for destruction by specialised white blood cells
-alpha and beta globulins - made by the liver, transport iron, lipids, and the fat-soluble vitamins A, D, E, and K to the cells, they also contribute to osmotic pressure.

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16
Q

Fibrinogen (4-7%)

A
  • made by the liver
  • essential for blood clotting - form clots and produce long, insoluble strands of fibrin.
17
Q

RBC/Erythrocytes characteristics

A
  • No nucleus - therefore cannot repair
  • No mitochondria - therefore they rely on anaerobic respiration of glucose
    -No endoplasmic reticulum - therefore they do not synthesise proteins
  • Have structural proteins - helps maintain their structure and enables them to change shape to fit in capillaries
    -Biconcave disks - plump at their periphery and very thin in the centre. this provides a greater surface area for gas exchange and enables them to fold up as they move through narrow blood vessels
18
Q

Haemoglobin

A

Haemoglobin is a large molecule made up of four globin proteins, each of which is bound to one molecule of the iron-containing pigment haem, which contains an ion of iron (Fe2+). Each iron ion in the haem can bind to one oxygen molecule; therefore, each haemoglobin molecule can transport four oxygen molecules

19
Q

vascular spasm

A

Damage to the blood vessel triggers contraction of the smooth muscle in the vessel wall. This local contraction narrows the vessel lumen at the site of injury resulting in a decrease in blood flow to the area

triggered by: endothelins

20
Q

platelet plug formation

A

begins when platelets bind to the exposed collagen at the site of blood vessel damage, and become activated. Activated platelets bind to other platelets and the endothelial lining forming a platelet plug.

21
Q

coagulation

A

Coagulation (blood clotting) is a complex cascade of enzymatic reactions resulting in the conversion of fibrinogen (a soluble protein) into fibrin (an insoluble protein). As the fibrin mesh gorws, plateletes and blood cells are trapped, forming a clot that seals off the damaged vessel.

22
Q

what are the 3 different clotting pathways

A

Extrinsic pathway Intrinsic pathway
Common pathway

23
Q

extrinsic pathways

A
  • triggered when clotting factors outside the blood vessel leak into blood
  • fewer steps (compared to intrinsic pathway)
  • begins within seconds
    -damaged cells releae tissue factor (TF)
    -activates Factor X which combines with factor V in the presence of calcium to form prothrombinase
24
Q

insintric pathways

A
  • triggered when clotting factors come into contact with substances inside the blood vessel
  • mors steps (compared to extrinsic pathway)
    -takes minutes to begin
    -begins with circulating proenzymes
    -platelets relases factors (e.g. PF-3)
    -activates Factor X which combines with factor V in the presence of calcium to form prothrombinase
25
Q

common pathways

A
  • where extrinsic and intrinsic pathways converge
  • prothrombinase (and calcium) converts prothrombin into thrombin
  • thrombin (and calcium) converts fibriogen into fibrin
  • fibrin forms the threads of the clot
26
Q

clot retraction

A

The contractile proteins within platelets within the clot, undergo contraction. This pulls the fibrin threads, bringing the edges of the clot more closer together; which

  • decreases the size of the damaged area
  • decreases the residual bleeding and stabilises the injury
  • permits healing.
27
Q

fibrinolysis

A

To restore normal blood flow as the vessel heals, the clot must eventually be removed. Fibrinolyisis is the slow process by which the clot is degraded;

  • thrombin and tissue plasminogen activator (t-PA) activate plasminogen
  • plasminogen produces plasmin
  • plasmin digests fibrin strands.
28
Q

Rhesus system

A

Rhesus (positive or negative) blood types are classified according to the presence or absence of the D surface antigen.

29
Q

ABO system

A

ABO blood types are classified according to the presence or absence of two antigens, A and B, on the RBC surface