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fluid part of the blood straw-colored liquid consisting of H20 & dissolved solutes
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type of plasma protein 60-80% of plasma proteins in blood Creates colloid osmotic pressure that draws H20 from interstitial fluid into capillaries to maintain blood volume & pressure
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plasma protein carries lipids
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plasma protein clotting factor in blood
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made from fibrinogen Platelet plug becomes infiltrated by meshwork of fibrin
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fluid left when blood clots
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RBC Lack nuclei & mitochondria Each RBC contains ~280 million hemoglobin molecules
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precursor to RBC still contain nucleus
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WBC Have nucleus, mitochondria, & amoeboid ability Can squeeze through capillary walls (diapedesis also known as extravasation)
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| Diapedesis/ Extravasation |
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ability to squeeze through capillary walls
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help detoxify foreign substances & release heparin • Include eosinophils, basophils, & neutrophils
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with NO (nitric oxide) Keep clots from forming & are vasodilators
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with prostacyclin (PGI2--a prostaglandin) – Keep clots from forming & are vasodilators
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increases platelet bond by binding to both collagen & platelets
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released into blood stream during platelet release reaction stimulate vasoconstriction, reducing blood flow to wound ADP & thromboxane A2 cause other platelets to become sticky & attach & undergo platelet release reaction
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digests fibrin, dissolving clot
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prevents clotting ex. sodium citrate and EDTA
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seperation of blood into its components
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are either destructive and/or phagocytic or produce antibodies • Include lymphocytes & monocytes
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Are derived from stem cells in bone marrow – Which replace selves by cell division so are not depleted –can mature primarily in either the bone marrow or the thymus, with self-replacing colonies • After maturation they can migrate to the spleen or lymph nodes to continue to replicate
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Are smallest of formed elements, lack nucleus • Are fragments of megakaryocytes; amoeboid • Constitute most of mass of blood clots • Release serotonin to vasoconstrict & reduce blood flow to clot area • Survive 5-9 days
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platelets and white blood cells <1% of blood
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formation of blood cells from stem cells in marrow (myeloid tissue) & lymphoid tissue
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formation of RBCs stimulated by erythropoietin (EPO) from kidney
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hormone from kidney stimulates red blood cell formation
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formation of WBCs stimulated by variety of cytokines
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hormones that stimulate white blood cell formation
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cells enulf and eat unwanted cells
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Develop from lymphocytes that seed thymus • Do not secrete antibodies • Attack infected host cells, cancer cells, & foreign cells – Thus they provide cell-mediated immunity
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Mature in the bone marrow • Fight bacterial infections by secreting antibodies into blood & lymph – Thus provide humoral immunity
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cells tag unwanted cells for destruction
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Is located below the thyroid gland • Grows during childhood, gradually regresses after puberty • Contains T cells that supply other tissues – T cells can be depleted, e.g. by AIDs or chemotherapy – These can only be replenished up to late childhood • After that, repopulation is accomplished by production in secondary lymphoid organs
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| Platelet release reaction |
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Platelets stick to collagen & release ADP, serotonin, & thromboxane A2
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Plug & surroundings are infiltrated by web of fibrin, forming clot
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Platelet plug undergoes plug contraction to form more compact plug
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clots damaged vessels & blood left in test tube • Initiated by exposure of blood to negatively charged surface of glass or blood vessel collagen – This activates factor XII (a protease) which initiates a series of clotting factors. Most clotting factors need Ca2+ to be activated. – Ca2+ & phospholipids convert prothrombin to thrombin
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Factor XII (Hageman factor) |
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(a protease) which initiates a series of clotting factors causes activation of kallikrein
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Ca+2 chelator prevents clotting
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Ca+2 chelator prevents clotting
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which activates antithrombin III
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makes red blood cells when stimulated by erythropoietin from kidneys
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iron found in hemoglobin which holds one oxygen molecule
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necessary to create new cells and maintain cells
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important in blood formation
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clumping together of RBC by anti-agents in blood only happens when two different blood types are mixed
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Type O is “universal donor” because lacks A & B antigens Recipient’s antibodies won’t agglutinate donor’s Type O RBCs
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Type AB is “universal recipient” because doesn’t make anti-A or anti-B antibodies – Won’t agglutinate donor’s RBCs
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another antigen found on RBC Rh+ has Rho(D) antigens; Rh- does not
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At birth, mother may be exposed to Rh+ blood of fetus – In later pregnancies mom may produce Rh antibodies • In Erythroblastosis fetalis, this happens & antibodies cross placenta causing hemolysis of fetal RBCs
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transport cholesterol and lipids from intestine (dietary) to liver and tissues via blood ex. LDL, HDL
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LDL (low density lipoprotein) |
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transport cholesterol and lipids from liver to tissues. Too much is bad, because if you build up cholesterol and lipids in tissues, i.e. in arteries, this leads to “plaque” build-up and arteriosclerosis
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HDL (high density lipoprotein) |
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transport excess cholesterol from tissues and delivers it to liver HDL = Healthy, excess cholesterol from tissues is “properly” disposed of or stored in the liver for future use
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any substance (as a toxin or enzyme or protein) that stimulates the production of antibodies antigens present on RBC surface specify blood type
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converts fibrinogen to fibrin which polymerizes to form a mesh
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Damage outside blood vessels releases tissue thromboplastin that triggers a clotting shortcut
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triggers a clotting shortcut
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converts plasminogen to plasmin
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block clotting by indirectly reducing the effects of Ca+2, which results in slower clotting times
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tissue plasminogen activator TPA can be given to patients to activate plasmin
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part of sympathetic nervous system goes from the spinal cord to the sympathetic chain ganglion
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part of sympathetic nervous system go from sympathetic chain ganglion to major organs
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| Sympathetic nervous system |
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mediates "fight, flight, & stress" reactions
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form the sympathetic chain ganglion
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located in adrenal gland on top of kidney, appears to be a modified collateral ganglion – That release 85% epinephrine (Epi) & 15% norepinephrine (Norepi) into blood in response to preganglionic stimulation
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released from adrenal medulla released into blood into response to preganglionic stimulation released during mass activation
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Parasympathetic nervous system |
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mediates "rest & digest" reactions
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located next to or inside the target organ synapse on postganglionic neuron
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| Vagus nerve/cranial nerve X |
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Innervates heart, lungs, esophagus, stomach, pancreas, liver, small intestine, & upper half of the large intestine
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Drugs that promote actions of the normal ligand
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Drugs that inhibit actions of the normal ligand
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agonist for nicotinic receptors
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antagonist for nicitonic receptors
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agonist for muscarinic receptors
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antagonist for muscurinic receptors
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types of receptors contraction/relaxation/contraction/relaxation
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nonselective agonist for alpha receptors
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non-selective antagonist for alpha receptors
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non-selective agonist for beta receptors treats heart failure
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beta 2 agonist used for asthma
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non-selective antagonist for beta receptors
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antagonist for specific beta 1 receptors used to treat angina pectoralis
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sypmathetic synaptic endings near organs
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one organ is innervated by both the sympathetic and parasympathetic nervous system
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recieve blood from venous system
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layer of muscle that seperates sides of the heart
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first artery out of the left ventricle
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from right ventricle to lungs
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from lungs to left atrium
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| AV (atrioventricular) valves |
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allows blood to go from atrium to ventricle only one way
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blocks blood from flowing back into the ventricles
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=stroke volume X heart rate
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depolarize at 100 bpm start the heart beat of the heart
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| AV (atrioventricular) node |
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depolarizes at 60 bpm node for the ventricles delay the signal for .1 sec
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HCN - hyperpolarization activated cyclic-nucleotide gated |
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Na+ voltage gated channels open when hyperpolarized causes spontaneous depolarization
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caused by a ca influx negating the k output
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blood pumped per beat by ventricles avg. 65-70 mL
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| EDV - end diastolic volume |
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volume of blood in ventricles at end of diastole determined by: end diastolic volume total peripheral resistance contractility
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Frank-Starling Law of the Heart |
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strength of ventricular contraction varies directly with EDV
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blood is moved toward heart by contraction of surrounding skeletal muscle
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return of blood to heart via veins dependent on: blood volume and venous pressure vasocontraction skeletal muscle pump pressure drop during inhalation
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| Isovolumetric contraction |
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Are abnormal sounds produced by abnormal patterns of blood flow in heart • Many caused by defective heart valves – Can be of congenital origin (congenital means present at birth, but not necessarily hereditary) • Heart valve defects are not always life threatening - we can tolerate some backward flow of blood
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causes thickened and calcified mitral valve
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thickening of mitral valve
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TPR-total peripheral resistance |
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main sources: vessel diameter blood viscosity total vessel length
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describes factors affecting blood flow Q=change in pressure(r4)(x)/nL(8)
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| MAP-mean arterial pressure |
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direct the blood to certain areas of capillaries
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endothelial cells are tightly held together only permit exchange of small molecules found in: muscle, lungs, adipose
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have wide pores in endothelial cells found in: kidneys, endocrine cells
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have large gaps in endothelium found in: liver, spleen, bone marrow
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plaque build up at site of endothelial injury
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| MI (myocardial infarction) |
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Creatine phosphokinase (CPK) |
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Lactate dehydrogenase (LDH) |
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| Carotid sinus baroreceptor |
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ANP-atrial natriuretic peptide |
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Primary/Essential hypertension |
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Colloid osmotic pressure – AKA Oncotic pressure |
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| Electrical defibrillation |
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1st degree (primary) AV block |
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2nd degree (secondary) AV block |
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3rd degree (complete) AV block |
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