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Circulatory-BLOOD
blood
96
Biology
Graduate
11/04/2009

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Term
Circulatory role of Transport
Definition
-takes oxy to cells
-removes CO2
-picks up nutrients +delivers
-carries hormones
transports stem cells to place where they mature
Term
Ciculatory System role in Protection
Definition
inflamattion
white blood cells destroy invaders
-antibodies neutralize toxins
-platelets secrete factors that initiate clotting and minimize blood loss
Term
Ciculatory Role of Regulation
Definition

blood capillaries stabilize fluid distribudion

-buffering
regulate body temperature

Term
Formed Elements
Definition
RBCS
platelets
WBCs
lymphocytes
monocytes
agranulocytes
Term
Blood Plasma
Definition
matrix of blood
Consists of about half of the volume of blood
Term
Blood Serum
Definition
identical to plasma except for it lacks the clotting protein fibrinogen
Term
Hematocrit
Definition
shows the concentration of precentage of erythrocytes
Term
Precentages of Blood Components
Definition
45% RBC
1% leukocytes and platelets
55% plasma
Term
Albumin
Definition
smallet and most abundant plasma protein
transport
contributes to osmolarity and viscocity
Term
Globulins
Definition
plasma protein
alpha,beta, gamma
transport, clotting and immunity
Term
Fibrinogen
Definition
plasma protein
precursor to fibrin
forms framework of a blood clot
Term
liver production of plasma proteins
Definition
all except gamma globulin (comes from B lymphocytes)
Term
Ceruloplasmin
Definition
transports copper
plasma protein
Term
transferrin
Definition
transports iron
plasma protein
Term
haptoglobulin
Definition
transports hemoglobin released by dead erythrocytes
Term
Nitrogenous Waste
Definition
toxic end prods of metablosm
most abundant is urea
excreted by kidneys
Term
Blood Viscosity
Definition
resistance of fluid to flow
4.5-5.5x more viscous than water
plasma is 2 x more viscous than water alone
Term
Blood Osmolarity
Definition
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
Term
Colloid Osmotic Pressure
Definition
COP
contribution of protein to blood osmotic pressure
inc or dec in protein synthesis can cause changes in blood osmotic pressure
Term
Hypoproteinemia
Definition
deficient plasma protein
(usually from poor diets)
tissues become endematous and fuild accumulates in the abdominal cavity, condition called ascites
Term
Kwashiorkor
Definition
arms leg lack muscle
skin is shiny and tight with edema
swollen abdomen
Term
Hemopoiesis
Definition
production of blood
400 billion platelets, 200 billion RBC and 10 billion WBC each day
Term
Hemopoietic Tissue
Definition
cells that produce blood cells
infancy stem cells migtate to bone marrow, liver spleen and thymus
after birth liver stops producing blood cells
Term
Lymphoid Hemopoiesis
Definition
WBC formation from lymph tissue (tonsil, thymus, nodes, spleen and peyers patch
Term
Myleoid Hemopoiesis
Definition
blood formation from pluripotent stem cells in bone marrow
produces 7 types of blood cells *RBCs, WBCs, and platelets*
Term
RBC Function
Definition
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
Term
hemoglobin
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
Term
Hematocrit
Definition
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
Term
Negative Feedback Loops in erythrocytes
Definition
dec RBC causes hypoxemia (oxy deficiency)
inc EPO synthesis
-EPO raises production of RBC from bone marrow
Term
Erythropoiesis Regulators
Definition
low o2
inc excercise
loss of long tissue
Term
Erythropoietin
Definition
EPO
synthesized by pertibular capillary
inc RBCs
Term
Iron in Blood
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
Term
Erythrocyte Production
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
Term
Erythrocyte Death
Definition
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
Term
Polycythemia
Definition
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
Term
Anemia
Definition
low erythropoiesis of low Hemoglobin syntheis
Term
pernicious anemia
Definition
lack of intrinisc factor or low B12
Term
aplastic anemia
Definition
total destruction of myeloid tissue
Term
Hemorrhagic anemia
Definition
from blood loss
Term
Hemolytic Anemia
Definition
RBC distruction by drugs toxins, parasites or sickle-cell
Term
Concenquences of Anemia
Definition
shortness of breath from hypoxia (oxy depervation)
low blood osmolarity (tissue edema)
low blood viscosity (inc heart rate and dec blood pressure
Term
Treatment of Anemia
Definition
EPO injection
iron supplemenetation
intrinsic factor injection
testosterone
Term
Sickle Cell
Definition
point mutation (E6V) in beta-globin chain
-if its resesive then your fucked
-heterozygous causes malaria resistence
-sickle cells form blockages from aggergation
Term
malaria
Definition
from mosquito injecting parasites into blood
treatment includes
chloroquine (quinine)
artemisia (artemisinin)
Term
ABO Blood Typing
Definition
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
Term
Transfusion Reaction
Definition
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
Term
Agglutinogens
Definition
 antigens on surface of RBC
Term
Agglutinins
Definition
antibodies on the surface of the RBC
Term
Antigens
Definition
polysachs and glycolipids that are unique
Term
Antibodies
Definition
bind antigens and mark them for distruction
Term
rH Group
Definition
Rh+ type has D antigens
85% frequency
Rh- combined with it would be bad
anti-d antibodies are typically not present
Term
Hemolytic Diseas of Newborn
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

Term
Leukocytes
Definition
WBC
large nucleus
protects against infectious agents
blood born until recrutied by tissue
Term
Granulocytes
Definition
have granules
neutrophils,eosinophils, basophils
Term
Neutrophils
Definition
granulocyte
most abundant
early response to infection
fine granules (3-5 lobed nuclei)
phagocytosis of bacteria
release antimicrobial chemicals
Term
Eosinophils
Definition
granulocyte
allergy and parasite recognition
large rosy-orange color (bilobed nucleus)
phagocytosize antigen-antibody complexes, and allergens
release enzymes to destroy parasites
Term
Basophils
Definition
granulocyte
allergy, histamine and heparin release
lark dark purple ganuels (often obscures nucleus)
histamine (vasodilator)
heparin (anticoagulant)
release other agents
Term
Lymphocytes
Definition
agranulocytes (lack granules)
blue cytoplasm, round dark nucleus
destroy cells (cancer,virus)
present antigens for activation of immune
secrete antibodies
provide immune memory
Term
Monocytes
Definition
agranulocytes
viral and inflammation
largest WBC
oval horse-shoe nucleus
diffentiate into macrophages
present antigens as well
Term
Leukopoiesis
Definition
production of WBC
begins with pluipotent stem cells
myeloblasts, monoblast, and lymphoblasts
Term
Myeloblasts
Definition
form neutrophils, eosinophils, and basophils
Term
Monoblasts
Definition
form monocytes
Term
Lymphoblasts
Definition
form B and T lymphoctyes in the thymus
Term
Leukopenia
Definition
low WBC
caused by positions, infectious disease and radiation
inc risk of infection
Term
Leukocytosis
Definition
high WBC count
cuased by immune respone to infection, allergy or disease
Term
Leukemia
Definition
cancer of hemopoitic tissue
myeloid and lymphoid tissue causes uncontrolled WBC production
normal cell % is distrubed and clotting is impaired
Treatment:
Term
Platelets
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
Term
Thrombopoiesis
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
Term
Vascular Spasm
Definition
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
Term
Hemostasis
Definition
process of vessel healing/repair
Term
Platelet Plug Formation
Definition
endothelium is smooth and coated with prostacyclin
platelets stick to damaged vessel
recruit others and form a plug in the hole
Term
Platelet Degranulation
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
Term
Clopidogel
Definition
plavix
acts to block ADP from making clots
Term
Aspirin
Definition
blocks formation of thromboxane A2
thru COX-1
Term
Coagulation
Definition
clottng, most effective defense
-converts plasma protein fibrinogen to insoluable fibrin and forms meshwork of clot
procoagulants activate more and more clotting factors
Term
Extrinsic Coagulation Pathway
Definition
tissue factors trigger clotting cascade
initiated by tissue thromboplastin
cascade of factor VII, V, and X
fewer steps than intrinsic
Term
Intrinsic Pathway of Coagulation
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
Term
Factor X Pathway of Coagulation
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
Term
Clot Dissolution
Definition
Prekalikrein with factor VII convert to Kalikrein which changed plasminogen to plasmin which causes fibrin to form fibrin degradation products
Term
Platelet Derived Growth Factors
Definition
stimulate fibroblast and smooth muscle to mutiply for repair damage
Term
Fibrinolysis
Definition
dissolving a clot
facto 7 speeds up kalikrein enzyme
iV injection of tPA (streptokinase) will do this too
Term
Tissue Plasminogen Activator
Definition
tPA
helps convert plasminogen to plasmin
Term
Prostacyclin
Definition
prevents platelet adherence
platelet repulsion
Term
Thrombin Dilution
Definition
causes rapid blod flow
shock can cause clotting
Term
Heparin Anticoagulant
Definition
interferes with the formation of prothrombin activator
Term
Antithromin
Definition
deactivates thrombin before it acts on fibrinogen
Term
Embolism
Definition
clot moves and travels to a vessel
Term
Thrombosis
Definition
clotting in an unbroken vessel
often legs or arsm
pulmonary embolisms travel to lungs
Term
Hemophilia
Definition
lact clotting factors
Hemo-A lack factor VIII
Hemo-B miss factor IX
Hemo-C miss XI
Term
Thrombocytopenia
Definition
low platelet count
bone marrow destruction
Term
Coumarin/Coumadin
Definition
warfarin
vitamin K blockers
(cant make clotting factors)
Term
Hirudin
Definition
thrombin inhibitor
Term
Calcium Chelation
Definition
EDTA and Sodium citrate
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