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Has the ability to change viscosity. |
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Has the ability to settle out. Blood is a suspension. |
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Cytoplasm and nucleoplasm. |
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Interstitial fluid; fluids contained in major organs. |
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Cardiovascular System Overview: |
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Heart -> arteries -> arterioles ->capillaries ->venules -> veins -> heart. |
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Blood is considered what kind of tissue? |
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Blood has two main parts: |
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A Matrix which is plasma. And fibers which are usually collagen and elastin fibers that are only evident when we clot. |
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Is made up of formed elements suspended in plasma. |
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Diagnostic tool to measure the percentage of RBCs in whole blood. |
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Blood's physical characteristics: |
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Can be bright red or dark red, sticky, salty, metallic taste from iron, more dense than water, 5x more viscous than water. |
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7.35-7.45 slightly alkaline |
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Total volume in women in men: |
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3 Main functions of blood |
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Distribution, regulation, protection |
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4 aspects of distribution |
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Definition
transports: -O2 from lungs into tissues, -wastes from cells . -Nutrients from digestive system to cells -antibodies and immune system components |
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-Maintains appropriate and uniform temperature, appropriate and stable pH (with buffers like HCO3-), and maintains appropriate fluid volume. |
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Prevents flood loss, Prevents infection |
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Blood plasma is ___ water |
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Blood plasma is made up of 2 things: |
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-Water and over 100+ solutes |
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What are the most abundant solutes? |
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Most plasma proteins are produced by the: |
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These plasma proteins are not used as |
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The most common protein in blood is: |
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Albumin makes up ___ of the circulating population. |
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-Carrier protein, -Buffer, -Contributes to osmotic pressure of blood. |
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Formed elements are generated |
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Definition
by hematopoetic tissues outside of the blood stream such as red bone marrow. |
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Formed elements make up ~___% of blood volume. Plasma makes up the rest: |
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Definition
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Men have more ___ than women |
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RBC's 4 physical characteristics |
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Definition
-bi-concave disk. -flexible -7.5 Microns -Mature cells are anucleuate. |
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Gas transport: transport O2 from lungs and 20% of CO2 back to the lungs. |
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Gives high surface area for hemoglobin. |
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97% of the weight of a RBC is |
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Composes elastic cytoskeleton of RBC-> Flexibility in small diameter capullaries. |
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RBCs get their energy from: |
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Definition
glycolysis-anerobic so it uses no transported O2 |
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Heme - contains iron Globin - protein part. |
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Definition
subunits, Alpha 1, alpha 2, beta 1, beta 2. =quaternary structure. |
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Each hemoglobin transports ___ O2 molecules. |
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Definition
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In the lungs, O2 binds to heme/Fe. -3D shape and is bright red. |
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O2 leaves Fe and diffuses into other tissues -Dark red & unique 3D shape. |
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Forms more readily when hemoglobin is reduced. |
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Formation of blood cells. |
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in red bone marrow. -produces 1 oz blood a day. (100 billion new cells) |
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Progenitors of all formed elements. |
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Formation of RBCs. Takes 15 days |
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Term
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Definition
-hemoblast ->proerythroblast, (has many ribosomes) -early erythroblast ->late errythroblast ->normoblast (here is where organelles and nuclei are rejected) -reticulocytes (1-2% of RBC) - degrade reamining organelles and turn into...! !erythrocytes! |
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____ RBCs are produced per second by healthy people. |
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Definition
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What is a glycoprotein hormone secreted from the ____ which helps erythropoiesis. -What levels monitor the secretion of this hormone? |
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Definition
-erythropoietin (EPO) -Kidneys and liver -[O2] |
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EPO is a ____ feedback system |
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Definition
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Low O2 levels result from 4 things: |
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Definition
-Insufficient RBC # (hemorrhage or excessive destruction) -Insufficient Hbn per RBC. -Reduced availability of O2 (altitude) -Increased demand for O2 (aerobic exercise) |
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Why do males have more RBCs? |
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Definition
-Testosterone stimulates renal production of EPO. -Estrogen does not. |
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RBCs reuire adequate supplies of nutrients and structural materials such as: (4) |
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Definition
-Vitamin B 12 and folic acid which affect DNA synthesis and haev a profound impact on dividing cells. -Fe -Amino Acids |
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65% of ___ is bound to hemoglobin |
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Definition
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Definition
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Iron is bound to ____ and stored in ______ |
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Definition
Iron is bound to ferritin and hemosiderin and stored in the liver, spleen, and bone marrow cells. |
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Fe is transported by blood in the transport protein |
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Definition
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Women lose more iron (1.7 mg) than men (.9 mg) a day. |
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Definition
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-becoming fragile and rigid. Hbn beings to degrade and can become trapped inside of the spleen. -macrophages can phagocytize these dying RBCs. |
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-heme is cleaved from globin. -Fe in heme is bound to ferritin and hemosiderin and stored in these protein complexes. -Heme remainder is made into bilirubin (yellow) which is bound to albumin in the blood. -Bilirubin is transported to the liver where it is secreted in bile. -In the intestine, bilirubin is metabolized into feces (stercobilin) -Globin is decomposed into its amino acids. |
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Anemia -What is it? -What are the symptoms? |
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Definition
The reduced ability of blood to carry O2. -fatigue, shortness of braeth, chill |
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Definition
-Not enough RBCs -Decreased Hbn content in RBCs -Abnormally configured Hbn. |
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3 Types of anemia that have insufficient numbers of RBCs. |
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Definition
-Hemorrhagic anemia, hemolytic anemia, aplastic anemia. |
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Definition
Significant blood loss. Can be treated by blood replacement. |
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RBCs lyse prematurely from hemoglobin anomalies, transfusion mismatch, or bacterial and parasitic infections. |
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Inhibition or destruction of red bone marrow by bacterial toxins, drugs, radiation. -Treatment: Blood replacement |
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2 ways decreased hemoglobin content in RBCs cause anemia: |
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Definition
iron-deficiency anemia, pernicious anemia. |
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Inadequate Fe consumption or absorption RBCs become pale and small (MICROCYTES) Treatment: Fe supplements and transfusions. |
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Vitamin B12 deficiency (or inadequate IF) -RBCs become large and pale, and sometimes keep their nucleus. Treatment: IM injectsions of B12. |
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2 ways people can have abnormall configured hbn. |
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Definition
thalassemias, sickle-cell anemia |
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-one globin chain is absent or deformed. -typical for people of north central Mediterranean descent. (Italians and Greeks). |
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-Most common among black peoples. -In low [O2] conditions, beta chains link abnormally, causing a shape change in hemoglobin and a shape change in the RBCs. -these deformed RBCs rupture easily and clog pathways. -painful -Heterozygos people can surgive malaria |
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Definition
Abnormal excess of RBCs causing increased blood viscosity. |
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-Secondary to bone marrow cancer. Hematocrit and blood volume rise and can often impair circulation. |
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Definition
-Result of low [O2] -High RBC count, response to living at high altitude. |
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-Artificially induced polycythemia, removing and injecting RBCs -Injecting RPO. |
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Leukocytes make up ___ of blood volume: |
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Definition
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Definition
Migration of WBCs into and out of the circulatory system. |
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Definition
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WBCs are ___ which means they can follow chemical concentration gradient to targets ( chemical signals) |
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Definition
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WBC's main functions is the assist in |
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inflammatory response and immune response. |
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Infections are indicated by |
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WBC count over 11,000/mm cubed. |
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-neutrophils, basophils, eosinophils, spherical shape, lobed nucleis, granules, all are phagocytes to some degree. |
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-Most numerous leukocytes. -lilac stain - neutral. -3-6 lobes for nuclei, attracted to inflammed tissues and are active phagocytes there. -especially attracted to bacteria and some fungi. |
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O2 is metabolized to produce potent bacteria killing compounds. -number of neutrophils increases in response to microbialinfection. |
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21-24% WBCs -red/pink granules -These granules lack enzymes to digest bacteria. -Telephone receiver/dumb bell nuclei -Helps with worms and associated with allergic reactions. |
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Definition
Rarest WBC -with histamines U or S shaped with 2-3 constrictions. -simular to mast cells found in other connective tissue. |
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vasodilating inflammatory conpound that attracts other WBCs. |
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Definition
lymphocytes and monocytes -spherical nuclei or kidney shaped. -granules not obvious. |
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-2nd most numerous WBC (~35%) -Dark, spherical nucleus. -Most are outside of blood system. T and B lymphocytes |
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active against viruses and tumors |
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Give rise to plasma cells which produce antibodies. |
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3-7% WBCs, largest, pale blue cytoplasm, U or kidney shaped nucleus, Differentiate into macrophages in tissues. |
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Definition
Antiviral & Anti-intracellular bacterial agents. -Activate other lymphocytes to mount immune response. -Increase in # in response to chronic infections. |
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-Process is stimulated by glycoprotein hormones or cytokines. -There are 2 types of cytokines: interleukins and colony-stimulating factors (CSFs) -prompt WBC precursors to divide and mature. -Enhance functional potency of mature WBCs, -Produced by macrophages and T lymphocytes. |
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Hemocytoblasts ->_____ & ______ stem cells |
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Definition
lymphoid (evolve into lymphocytes) and meyloid (evolve into RBCs, WBCs, and platelets) stem cells. |
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Distinctive granules of granulocytes appear at the ___ stage. -Nuclei begin to transform at the ___ stage. |
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Definition
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Life span of normal granulocyte: |
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Definition
.5-9 days b/c "die in combat" |
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-Abnormal WBC count -drug induced (glucocorticoids and anti-cancer agents) |
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Definition
-cancerous condition which overproduction of WBC occurs. -Impairs marrow function and crowds out other cells types. -Can lead to anemia and bleeding disorder. -Treatment: irradiation, antileukemic drugs, and bone marrow transplants. |
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Definition
"kissing disease" -highly contageous viral disease -Epstein-Barr virus -> increased number of agranulocytes, many atypical. -fatigue, chronic sore throat, low fever, Treatment - rest for a few weeks. |
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Definition
Anucleate, degenerate in ~ 10 days. -formation regulated from thrombopoetin released from liver. |
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Definition
-dispatch cytoplasmic extensions through sinusoid walls into capillaries -> extensions rupture, liberating platelets. |
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Definition
-vascular spasms -platelet plug formation -coagulation |
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Definition
-Immediate vasoconstriction of vessel. -Endothelial cells & platelets release substances .. -Most effective with small diameter vessels -Provides time for platelet plug formation. |
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Definition
-Platelets form temporary seal in vessel wall. -When endothelium is injured and collagen fibers are exposed, platelets swell and form spiked appendages, become sticky, and adhere to collagen. -When platelets attach, their granules lyse and it initiates a positive feedback mechanism. It releases other contents (degranulation) -Serotonin is realeased to enhance vascular spasms. -ADP is released to attract other platelets and induce content release. -Thromboxane A2 is a short-lived prostaglandin derivative which stimuloates vascular spasm and platelet attractions. |
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Platelet plug forms within |
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Definition
a minute and reduces further bleeding. |
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Definition
a prostaglandin produced by vessel endothelium which limits the plug to a certain area. |
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Platelet plugs are loosely knit and are eventually reinforced by __ threads |
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Definition
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Definition
Transforms blood from a liquid to a gel. -clotting factors (Procoagulants) enhance clotting -Most are plasma proteins that inactively circulate until mobilized. -Anticoagulants are factors that inhibit clotting. |
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Term
Final 3 cirital steps are: |
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Definition
1. Prothrombin activator formation (requires Ca2+) 2. Conversion of Prothrombin -> thrombin 3. catalysis of fibrin mesh formation |
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Prothromin activator formation |
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Definition
1. Prothrombin activator formation (requires Ca2+) -Intrinsic pathway - slower, all ingredients are in the blood. -Extrinsic pathway - faster, Tissue factor is released by injured cells which shortcuts several steps. -Both pathways cascade towards convergence at factor X. -Factor X complexes with Ca2_, TF(Tissue factor) and factor V make prothrombin activator. -clot forms after this. |
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-Conversion of prothrombin -> Thrombin |
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Definition
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Catalysis of fibrin mesh formation |
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Definition
-Thrombin catalysis the polymerization of fibrinogen to fibrin. -Thrombin with Ca2+ activates factor VIII (Fibrin stabilizing factor) -Fibrin sticks polatelets together, forming a web. |
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Clot Retraction and Repair |
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Definition
Platelets contain actin and myosin (retractile proteins) -Contraction squeezes serum from mass and consolidates clot. |
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Platelet-Derived Growth Factor (PDGF) |
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Definition
-Released during degranulation simulates smooth muscle cells and fibroblasts to begin tissue repair.
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