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Circulatory role of Transport |
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Definition
-takes oxy to cells -removes CO2 -picks up nutrients +delivers -carries hormones transports stem cells to place where they mature |
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Ciculatory System role in Protection |
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inflamattion white blood cells destroy invaders -antibodies neutralize toxins -platelets secrete factors that initiate clotting and minimize blood loss |
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Ciculatory Role of Regulation |
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blood capillaries stabilize fluid distribudion
-buffering regulate body temperature |
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RBCS platelets WBCs lymphocytes monocytes agranulocytes |
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matrix of blood Consists of about half of the volume of blood |
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identical to plasma except for it lacks the clotting protein fibrinogen |
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shows the concentration of precentage of erythrocytes |
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Precentages of Blood Components |
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45% RBC 1% leukocytes and platelets 55% plasma |
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smallet and most abundant plasma protein transport contributes to osmolarity and viscocity |
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plasma protein alpha,beta, gamma transport, clotting and immunity |
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plasma protein precursor to fibrin forms framework of a blood clot |
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liver production of plasma proteins |
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Definition
all except gamma globulin (comes from B lymphocytes) |
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transports copper plasma protein |
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transports iron plasma protein |
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transports hemoglobin released by dead erythrocytes |
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toxic end prods of metablosm most abundant is urea excreted by kidneys |
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resistance of fluid to flow 4.5-5.5x more viscous than water plasma is 2 x more viscous than water alone |
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total molarity of dissolved particles (ions, proteins, nutrients) high osmolarity causes fluid absorption into blood and raises pressure low osmolarity causes fluids to remain in tissue and causes edema and drop in pressure
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COP contribution of protein to blood osmotic pressure inc or dec in protein synthesis can cause changes in blood osmotic pressure |
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deficient plasma protein (usually from poor diets) tissues become endematous and fuild accumulates in the abdominal cavity, condition called ascites |
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arms leg lack muscle skin is shiny and tight with edema swollen abdomen |
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production of blood 400 billion platelets, 200 billion RBC and 10 billion WBC each day |
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cells that produce blood cells infancy stem cells migtate to bone marrow, liver spleen and thymus after birth liver stops producing blood cells |
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WBC formation from lymph tissue (tonsil, thymus, nodes, spleen and peyers patch |
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blood formation from pluripotent stem cells in bone marrow produces 7 types of blood cells *RBCs, WBCs, and platelets* |
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gas transport (high surface/volume ratio) from loss of organells, and inc diffusion rate of substance 33% of cytoplasm is hemoglobin -this causes oxygen delivery to tissue and CO2 transport to lungs also have Carbonic anhydrase which makes HCO3 from CO2 and water this is a key role in pH |
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Definition
4 globins 2 alpha 2 beta heme group in each globin so 1 hemoglobin can carry 4 oxygen Fetal hemoglobin has gamma chains and binds oxy more tightly |
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packed cell volume % of whole blood volume composed of RBCs men 42-52% women 47-48% rbc and hemoglobin concentration is also less in women androgens stimulate RBC producion inv ratio of body fat |
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Negative Feedback Loops in erythrocytes |
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Definition
dec RBC causes hypoxemia (oxy deficiency) inc EPO synthesis -EPO raises production of RBC from bone marrow |
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Erythropoiesis Regulators |
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Definition
low o2 inc excercise loss of long tissue |
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Definition
EPO synthesized by pertibular capillary inc RBCs |
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Definition
stomach converts Fe3+ to Fe2+ gastroferritin binds Fe2+ transferrin binds this in the blood transferrin takes it to marrow or muscles some Fe is used for hemoglobin some bind to apoferritin for storage in liver as ferritin |
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Definition
Pluripotent stem cell becomes a ertyrhocyte colony-forming unit this has receptors for EPO EPO changes colony-forming unit to erthyroblast has nucleus which makes hemoglobin after this is done, it shrivvles and dicharged making a Reticuloyte(which as polyribosomes in it) reticuloyte becoems erythrocyte |
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lysed by sinusoids in spleen macrophages digest large debris Heme is converted to Bilivedin (green) lbiliverdin is converted to bilirubin and secreted by liver metabolized to urobilinogen by bacteria and pooped out |
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primary: bone marrow caner secondary: natural elevation of EPO -relative polycthemia: dehydration and decreased blood volume
all inc blood pressure, viscosity this can lead to embolism, stroke or heart failure |
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low erythropoiesis of low Hemoglobin syntheis |
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lack of intrinisc factor or low B12 |
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total destruction of myeloid tissue |
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RBC distruction by drugs toxins, parasites or sickle-cell |
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shortness of breath from hypoxia (oxy depervation) low blood osmolarity (tissue edema) low blood viscosity (inc heart rate and dec blood pressure |
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Definition
EPO injection iron supplemenetation intrinsic factor injection testosterone |
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point mutation (E6V) in beta-globin chain -if its resesive then your fucked -heterozygous causes malaria resistence -sickle cells form blockages from aggergation |
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from mosquito injecting parasites into blood treatment includes chloroquine (quinine) artemisia (artemisinin) |
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presence of A or B antigens on RBC attack all blood that doesnt have specific mark Type O has neither antigen O is the universal donor AB is the universal recipient |
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wrong blood type causes the RBC to be broken down and their free heme groups block kidney tubules which then the person dies from renal failure |
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antigens on surface of RBC |
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antibodies on the surface of the RBC |
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Definition
polysachs and glycolipids that are unique |
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bind antigens and mark them for distruction |
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Definition
Rh+ type has D antigens 85% frequency Rh- combined with it would be bad anti-d antibodies are typically not present |
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Hemolytic Diseas of Newborn |
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Definition
if mother formed antibodies and is pregnent with the 2nd Rh+ child
Rh antibodies will attack fetal blood (cause anemia) RhoGAM is given to them that binds fetal antigens in blood so they wond form Anti-D antibodies |
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WBC large nucleus protects against infectious agents blood born until recrutied by tissue |
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have granules neutrophils,eosinophils, basophils |
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granulocyte most abundant early response to infection fine granules (3-5 lobed nuclei) phagocytosis of bacteria release antimicrobial chemicals |
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granulocyte allergy and parasite recognition large rosy-orange color (bilobed nucleus) phagocytosize antigen-antibody complexes, and allergens release enzymes to destroy parasites |
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granulocyte allergy, histamine and heparin release lark dark purple ganuels (often obscures nucleus) histamine (vasodilator) heparin (anticoagulant) release other agents |
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agranulocytes (lack granules) blue cytoplasm, round dark nucleus destroy cells (cancer,virus) present antigens for activation of immune secrete antibodies provide immune memory |
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agranulocytes viral and inflammation largest WBC oval horse-shoe nucleus diffentiate into macrophages present antigens as well |
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production of WBC begins with pluipotent stem cells myeloblasts, monoblast, and lymphoblasts |
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Definition
form neutrophils, eosinophils, and basophils |
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form B and T lymphoctyes in the thymus |
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low WBC caused by positions, infectious disease and radiation inc risk of infection |
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high WBC count cuased by immune respone to infection, allergy or disease |
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cancer of hemopoitic tissue myeloid and lymphoid tissue causes uncontrolled WBC production normal cell % is distrubed and clotting is impaired Treatment: |
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Definition
fragments of Megakaryocte cytoplasm do have organells secretes vasoconstrictors and clotting factors initaes formation of clot-dissolving enzymes attract neutrophils and monocytes to inflammation phagocytize bacteria secrete growth factors |
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Definition
production of platelets stem cells become megakaryoblast megakaryoblasts do not divide, and mature in bone marrow mature megakaryocytes fragments enter blood stream as platelets some is stored in spleen |
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causes: pain receptor stimulation, smooth mucle injury triggers platelets to release serotonin which causes vasoconstriction Response: constriction of BV's allows time for other clotting pathways |
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Definition
process of vessel healing/repair |
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Definition
endothelium is smooth and coated with prostacyclin platelets stick to damaged vessel recruit others and form a plug in the hole |
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Definition
releases serotonin ADP (attracts and degranulates platelets) Thromboxane A2 (promotes aggergation and vasoconstriction) PDGF for vessel repair postive feedback until tight plug is formed |
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plavix acts to block ADP from making clots |
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Definition
blocks formation of thromboxane A2 thru COX-1 |
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Definition
clottng, most effective defense -converts plasma protein fibrinogen to insoluable fibrin and forms meshwork of clot procoagulants activate more and more clotting factors |
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Term
Extrinsic Coagulation Pathway |
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Definition
tissue factors trigger clotting cascade initiated by tissue thromboplastin cascade of factor VII, V, and X fewer steps than intrinsic |
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Term
Intrinsic Pathway of Coagulation |
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Definition
blood factors trigger clotting cascade (platelet degranulation) starts with factor XII cascade to factor Xi-IX to VII to X calcium is required for conversion of factor IX to Factor VIII |
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Factor X Pathway of Coagulation |
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Definition
both intrinsic and extrinsic result in this pathway -activate Factor X produces prothrombin activator prothrombin activator makes thrombin thrombin makes fibrinogen to fibrin thrombine also enhaves the formation of prothrombin activator |
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Term
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Definition
Prekalikrein with factor VII convert to Kalikrein which changed plasminogen to plasmin which causes fibrin to form fibrin degradation products |
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Platelet Derived Growth Factors |
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Definition
stimulate fibroblast and smooth muscle to mutiply for repair damage |
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Definition
dissolving a clot facto 7 speeds up kalikrein enzyme iV injection of tPA (streptokinase) will do this too |
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Tissue Plasminogen Activator |
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Definition
tPA helps convert plasminogen to plasmin |
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Definition
prevents platelet adherence platelet repulsion |
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causes rapid blod flow shock can cause clotting |
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interferes with the formation of prothrombin activator |
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deactivates thrombin before it acts on fibrinogen |
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Definition
clot moves and travels to a vessel |
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clotting in an unbroken vessel often legs or arsm pulmonary embolisms travel to lungs |
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lact clotting factors Hemo-A lack factor VIII Hemo-B miss factor IX Hemo-C miss XI |
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low platelet count bone marrow destruction |
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warfarin vitamin K blockers (cant make clotting factors) |
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