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Blood Ch. 12
Blood Ch. 12
50
Anatomy
Undergraduate 3
11/09/2011

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Term
Whole blood =
Definition
Formed elements (cells) + Liquid portion
Term
Blood quantity in body (percent of body weight and How many liters?)
Definition
8% of body weight and 5 L of whole blood is avg. adult
Term
A centrifuged vile of blood is made of what?
Definition
Top layer: PLASMA (Water, proteins, lipids, etc.) 55%

Middle layer: BUFFY COAT (WBCs & platelets) <1%

Bottom layer: HEMOCRIT (RBCs)45%
Term
What makes up PLASMA?
Definition
Water, proteins, electrolytes, nutrients, gases, wastes
Term
What makes up FORMED ELEMENTS? (45% of blood composition)
Definition
1) RBCS 95%
2) WBCs 0.1%!!
3) Platelets 5%
Term
What are the 5 types of WBCs? 
Definition
1) Neutrophils 54-62% 2) Lymphocytes 25-33% 3) Monocytes 3-9% 4) Eosinophils 1-3% 5) Basophils <1%
Term
What's the name of the stem cells that produce differentiated blood cells?
Definition
Hemocytoblasts
Term
Official term for RBCs?
Definition
Erythrocytes
Term
Characteristics of erythrocytes?
Definition
Small, biconcave discs
Contains protein hemoglobin, which carries oxygen
Removed by spleen or liver
Lack mitochondria and nucleus
4 to 6 million in avg male
Term
Erythropoiesis (formation of RBCs occurs where? In fetuses? After birth?)
Definition
In embryo, occurs in yolk sac, spleen, & liver (later destroyed there!)

After birth, in red bone marrow

Lifespan = 120 days aka 4 months
Term
What is the word for increase in circulating WBCs? (due to an acute infection)
Definition
Leukocytosis
Term
What matures a RBC?
Definition
when a reticulocyte enters the blood stream and the reticulum degenerates, it's mature.
Term
When are RBC's made? What triggers erythropoiesis in other words?
Definition
Oxygen deficiency, so EPO, Erythropoietin hormone is secreted by the KIDNEYS. Negative feedback system
Term
What two dietary factors are necessary for DNA synthesis (and thus, hemapoietic tissue)?
Definition
Vitamin B12 and Folic Acid
Term
What dietary factor is necessary for hemoglobin synthesis?
Definition
Iron

*Anemia is a depletion of hemoglobin in RBCs
Term
RBC destruction...macrophages phagocytize damaged RBCs WHERE?
Definition
In spleen and liver!
Term
Hemoglobin is broken down when RBCs are destroyed. What are the three products?
Definition
Biliverdin and bilirubin
Iron combines with transferrin, a glycoprotein
Term
Biliverdin
Definition
causes greenish color in bruises; product of hemoglobin breakdown
Term
Bilirubin
Definition
yellow breakdown product; product of hemoglobin breakdown
Term
WBC, aka leukoctyes, are classified 2 ways. How?
Definition
1) Granulocytes (leukocytes with granular cytoplasm) 2) Agranulocytes (leukocytes without granules)
Term
What are the 3 types of granulocytes? Describe each and what each does.
Definition
1) Neutrophils - phagocytize bacteria. Most abundant leukocyte.Has a weird multiknobbed nucleus

2)Eosinophils - Defend against parasites. Stain deep red/orange & bi-lobed nucleus. For moderate allergic reactions.

3) Basophils - Release histamine & heparin at damaged tissue sites. Have blue stained, big granules. Least common l.cytes
Term
What are the 2 types of Agranulocytes? Describe each and what each does.
Definition
1) Monocytes - phagocytize dead cells & bacteria. Largest of l.cytes and kidney-shaped nucleus. Whole cell stains light blue or purple.

2) Lymphocytes - These are T cells and B cells. T cells attack tumors and microorganisms. B cells produce antibodies (the good guys vs. antigens). Slightly larger than RBCs. Large nucleus with little cytoplasm.
Term
What's the name for WBC formation?
Definition
Leukopoiesis!
Term
What 2 things stimulate leukopoiesis?
Definition
Interleukins & Colony-stimulating factors (CSFs)
Term
What are the 2 pathways of leukopoiesis?
Definition
1) Myeloid: Forms granuloctyes and Monocytes

2) Lymphoid: forms lymphocytes
Term
What's Diapedesis?
Definition
WBCs can squeeze through holes in the capillary walls, so they can exit the blood stream into connective tissue
Term
What is Chemotaxis?
Definition
When damaged cells release chemicals that attract WBCs
Term
What's the name for decrease in circulating WBCs? (due to AIDS or anemia)
Definition
Leukopenia!
Term
How many WBCs on avg per microliter?
Definition
4,500 - 10,000
Term
What's the official name for platelets?
Definition
Thrombocytes!!
Term
What's the hormone that causes platelets, ahem, thrombocytes, to develop?
Definition
Thrombopoietin
Term
What's the deal with thrombocytes (aka platelets)? - What do they do?
Definition
They release serotonin which causes vasoconstriction (narrowing of blood vessels)
Term
Plasma. It's made of ___%of water. What does it do?
Definition
92%. And it transports nutrients, gases, vitamins, regulates fluid balance, maintains blood pH
Term
3 main types of plasma proteins? *Hint: AGF
Definition
Albumins
Globulins
Fibrinogen
Term
ALBUMINS. Most abundant plasma protein at 60%... Where are they synthesized? What do they do?
Definition

Liver!

 

Help maintain osmotic balance. Bind/transport molecules

Term
GLOBULINS. 36% of plasma proteins... Where are they synthesized?
Definition
Liver synthesizes alpha and beta globs!

Lymphatic tissues synthesize gamma globs!
Term
GLOBULINS. Alpha and beta do what?

Gamme globs do what?
Definition
A and B transport lipids

Gammas are immunogobulins (aka antibodies)
Term
FIBRINOGEN. 4% of plasma protein. Synthesized where? Does what?
Definition

Liver!

 

Blood coagulation. Converted to Fibrin with is active, insoluble form.

Term
Hemostasis, or the stoppage of bleeding, is because we wanna minimized blood loss. What are the 3 types?
Definition
1) Blood vessel spasm
2) Platelet plug formation
3) Blood coagulation
Term
What happens during Blood vessel spasm?
Definition
Cutting a blood vessel wall results in the smooth muscle contracting, blood loss lessens immediately, Lasts only a few minutes.
Term
What happens during Platelet Plug formation?
Definition
platelets adhere to each other and to collagen to form a plug over a small injury site.
Term
What happens during Blood Coagulation (aka clotting)?
Definition
Extrinsic: triggered by biochemicals from broken blood vessels

Intrinsic: triggered by blood contact with foreign particles w/o tissue damage.

Both pathways convert fibrinogen to fibrin.
Term
Extrinsic clotting.
Definition
USES POSITIVE FEEDBACK. that's special. presence of calcium converts the ever-present prothrombin from plasma into thrombin. And Fibrin sticks to holes.
Term
Intrinsic clotting.
Definition
Starts by activating Hageman factor. Requires calcium just like extrinsic clotting, for prothrombin--> thrombin and fibrinogen --> fibrin.
Term
What's a thrombus?
Definition
an abnormally forming clot
Term
What's an embolus?
Definition
a piece that breaks off from the blood clot, and blocks blood flow. eee
Term
Prevention of (unnecessary coagulation)
Definition
endothelium prevents them from spontaneously happening.

Alpha globulin inactivates extra thrombin.

Heparin & warfarin prevent abnormal clotting
Term
What's the deal with antigens and antibodies? What are they?
Definition
Antigens are carried on RBCs surface.

Antibodies are plasma proteins against SPECIFIC antigens.
Term
ABO blood groups...
Definition
Antigen A and Antigen B.

A person who as antigen A only, cannot accept B blood because...their blood produces anti-B antibodies.
Term
Where is EPO, erythropoietein, secreted from?
Definition
Liver.
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