| Term 
 | Definition 
 
        | Has the ability to change viscosity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Has the ability to settle out. Blood is a suspension. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cytoplasm and nucleoplasm. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interstitial fluid; fluids contained in major organs. |  | 
        |  | 
        
        | Term 
 
        | Cardiovascular System Overview: |  | Definition 
 
        | Heart -> arteries -> arterioles ->capillaries ->venules -> veins -> heart. |  | 
        |  | 
        
        | Term 
 
        | Blood is considered what kind of tissue? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Blood has two main parts: |  | Definition 
 
        | A Matrix which is plasma. And fibers which are usually collagen and elastin fibers that are only evident when we clot.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Is made up of formed elements suspended in plasma. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diagnostic tool to measure the percentage of RBCs in whole blood. |  | 
        |  | 
        
        | Term 
 
        | Blood's physical characteristics: |  | Definition 
 
        | Can be bright red or dark red, sticky,
 salty,
 metallic taste from iron,
 more dense than water,
 5x more viscous than water.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 7.35-7.45 slightly alkaline  |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Total volume in women in men:
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | 3 Main functions of blood |  | Definition 
 
        | Distribution, regulation,
 protection
 |  | 
        |  | 
        
        | Term 
 
        | 4 aspects of distribution |  | Definition 
 
        | transports: -O2 from lungs into tissues,-wastes from cells .
 -Nutrients from digestive system to cells
 -antibodies and immune system components
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Maintains appropriate and uniform temperature, appropriate and stable pH (with buffers like HCO3-), and maintains appropriate fluid volume.  |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Prevents flood loss, Prevents infection
 |  | 
        |  | 
        
        | Term 
 
        | Blood plasma is ___ water |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Blood plasma is made up of 2 things: |  | Definition 
 
        | -Water and over 100+ solutes |  | 
        |  | 
        
        | Term 
 
        | What are the most abundant solutes? |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Most plasma proteins are produced by the: |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | These plasma proteins are not used as |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | The most common protein in blood is: |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Albumin makes up ___ of the circulating population. |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Carrier protein, -Buffer,
 -Contributes to osmotic pressure of blood.
 |  | 
        |  | 
        
        | Term 
 
        | Formed elements are generated |  | Definition 
 
        | by hematopoetic tissues outside of the blood stream such as red bone marrow. |  | 
        |  | 
        
        | Term 
 
        | Formed elements make up ~___% of blood volume. Plasma makes up the rest:
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Men have more ___ than women |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | RBC's 4 physical characteristics |  | Definition 
 
        | -bi-concave disk. -flexible
 -7.5 Microns
 -Mature cells are anucleuate.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Gas transport: transport O2 from lungs and 20% of CO2 back to the lungs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Gives high surface area for hemoglobin. |  | 
        |  | 
        
        | Term 
 
        | 97% of the weight of a RBC is |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Composes elastic cytoskeleton of RBC-> Flexibility in small diameter capullaries. |  | 
        |  | 
        
        | Term 
 
        | RBCs get their energy from: |  | Definition 
 
        | glycolysis-anerobic so it uses no transported O2 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Heme - contains iron Globin - protein part.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | subunits, Alpha 1, alpha 2, beta 1, beta 2. =quaternary structure.  |  | 
        |  | 
        
        | Term 
 
        | Each hemoglobin transports ___ O2 molecules. |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | In the lungs, O2 binds to heme/Fe. -3D shape and is bright red.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | O2 leaves Fe and diffuses into other tissues -Dark red & unique 3D shape.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Forms more readily when hemoglobin is reduced. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Formation of blood cells. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | in red bone marrow. -produces 1 oz blood a day. (100 billion new cells)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Progenitors of all formed elements. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Formation of RBCs. Takes 15 days |  | 
        |  | 
        
        | Term 
 | 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!
 |  | 
        |  | 
        
        | Term 
 
        | ____ RBCs are produced per second by healthy people. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | What is a glycoprotein hormone secreted from the ____ which helps erythropoiesis. -What levels monitor the secretion of this hormone?
 |  | Definition 
 
        | -erythropoietin (EPO) -Kidneys and liver
 -[O2]
 |  | 
        |  | 
        
        | Term 
 
        | EPO is a ____ feedback system |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Low O2 levels result from 4 things: |  | Definition 
 
        | -Insufficient RBC # (hemorrhage or excessive destruction)-Insufficient Hbn per RBC.
 -Reduced availability of O2 (altitude) -Increased demand for O2 (aerobic exercise) |  | 
        |  | 
        
        | Term 
 
        | Why do males have more RBCs? |  | Definition 
 
        | -Testosterone stimulates renal production of EPO. -Estrogen does not.
 |  | 
        |  | 
        
        | Term 
 
        | RBCs reuire adequate supplies of nutrients and structural materials such as: (4)
 |  | Definition 
 
        | -Vitamin B 12 and folic acid which affect DNA synthesis and haev a profound impact on dividing cells.-Fe
 -Amino Acids  |  | 
        |  | 
        
        | Term 
 
        | 65% of ___ is bound to hemoglobin |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Iron is bound to ____ and stored in ______ |  | Definition 
 
        | Iron is bound to ferritin and hemosiderin and stored in the liver, spleen, and bone marrow cells. |  | 
        |  | 
        
        | Term 
 
        | Fe is transported by blood in the transport protein |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Women lose more iron (1.7 mg) than men (.9 mg) a day. |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | -becoming fragile and rigid. Hbn beings to degrade and can become trapped inside of the spleen. -macrophages can phagocytize these dying RBCs.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -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.
 |  | 
        |  | 
        
        | Term 
 
        | Anemia-What is it?
 -What are the symptoms?  |  | Definition 
 
        | The reduced ability of blood to carry O2. -fatigue, shortness of braeth, chill
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Not enough RBCs -Decreased Hbn content in RBCs
 -Abnormally configured Hbn.
 |  | 
        |  | 
        
        | Term 
 
        | 3 Types of anemia that have insufficient numbers of RBCs. |  | Definition 
 
        | -Hemorrhagic anemia, hemolytic anemia,
 aplastic anemia.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Significant blood loss. Can be treated by blood replacement. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | RBCs lyse prematurely from hemoglobin anomalies, transfusion mismatch, or bacterial and parasitic infections. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inhibition or destruction of red bone marrow by bacterial toxins, drugs, radiation. -Treatment: Blood replacement
 |  | 
        |  | 
        
        | Term 
 
        | 2 ways decreased hemoglobin content in RBCs cause anemia: |  | Definition 
 
        | iron-deficiency anemia, pernicious anemia.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inadequate Fe consumption or absorption RBCs become pale and small (MICROCYTES)
 Treatment: Fe supplements and transfusions.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Vitamin B12 deficiency (or inadequate IF) -RBCs become large and pale, and sometimes keep their nucleus.
 Treatment: IM injectsions of B12.
 |  | 
        |  | 
        
        | Term 
 
        | 2 ways people can have abnormall configured hbn. |  | Definition 
 
        | thalassemias, sickle-cell anemia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -one globin chain is absent or deformed. -typical for people of north central Mediterranean descent. (Italians and Greeks).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -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
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abnormal excess of RBCs causing increased blood viscosity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Secondary to bone marrow cancer. Hematocrit and blood volume rise and can often impair circulation.  |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Result of low [O2] -High RBC count, response to living at high altitude.  |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Artificially induced polycythemia,removing and injecting RBCs
 -Injecting RPO.  |  | 
        |  | 
        
        | Term 
 
        | Leukocytes make up ___ of blood volume: |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Migration of WBCs into and out of the circulatory system. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | WBCs are ___ which means they can follow chemical concentration gradient to targets ( chemical signals) |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | WBC's main functions is the assist in |  | Definition 
 
        | inflammatory response and immune response. |  | 
        |  | 
        
        | Term 
 
        | Infections are indicated by |  | Definition 
 
        | WBC count over 11,000/mm cubed. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -neutrophils, basophils, eosinophils, spherical shape,
 lobed nucleis,
 granules,
 all are phagocytes to some degree.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -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.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | O2 is metabolized to produce potent bacteria killing compounds. -number of neutrophils increases in response to microbialinfection.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 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.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rarest WBC -with histaminesU or S shaped with 2-3 constrictions.
 -simular to mast cells found in other connective tissue.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | vasodilating inflammatory conpound that attracts other WBCs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | lymphocytes and monocytes -spherical nuclei or kidney shaped.
 -granules not obvious.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -2nd most numerous WBC (~35%) -Dark, spherical nucleus.-Most are outside of blood system.
 T and B lymphocytes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | active against viruses and tumors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Give rise to plasma cells which produce antibodies. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 3-7% WBCs, largest,
 pale blue cytoplasm,
 U or kidney shaped nucleus,
 Differentiate into macrophages in tissues.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antiviral & Anti-intracellular bacterial agents. -Activate other lymphocytes to mount immune response.
 -Increase in # in response to chronic infections.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -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.
 |  | 
        |  | 
        
        | Term 
 
        | Hemocytoblasts ->_____ & ______ stem cells |  | Definition 
 
        | lymphoid (evolve into lymphocytes) and meyloid (evolve into RBCs, WBCs, and platelets) stem cells. |  | 
        |  | 
        
        | Term 
 
        | Distinctive granules of granulocytes appear at the ___ stage. -Nuclei begin to transform at the ___ stage.
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Life span of normal granulocyte: |  | Definition 
 
        | .5-9 days b/c "die in combat"
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Abnormal WBC count -drug induced (glucocorticoids and anti-cancer agents)
 |  | 
        |  | 
        
        | Term 
 | 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.
 |  | 
        |  | 
        
        | Term 
 | 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.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anucleate, degenerate in ~ 10 days. -formation regulated from thrombopoetin released from liver.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -dispatch cytoplasmic extensions through sinusoid walls into capillaries -> extensions rupture, liberating platelets. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -vascular spasms -platelet plug formation -coagulation  |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Immediate vasoconstriction of vessel. -Endothelial cells & platelets release substances ..-Most effective with small diameter vessels
 -Provides time for platelet plug formation.
 |  | 
        |  | 
        
        | Term 
 | 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.
 |  | 
        |  | 
        
        | Term 
 
        | Platelet plug forms within |  | Definition 
 
        | a minute and reduces further bleeding. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a prostaglandin produced by vessel endothelium which limits the plug to a certain area. |  | 
        |  | 
        
        | Term 
 
        | Platelet plugs are loosely knit and are eventually reinforced by __ threads |  | Definition 
 | 
        |  | 
        
        | Term 
 | 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.
 |  | 
        |  | 
        
        | Term 
 
        | Final 3 cirital steps are: |  | Definition 
 
        | 1. Prothrombin activator formation (requires Ca2+) 2. Conversion of Prothrombin -> thrombin
 3. catalysis of fibrin mesh formation
 |  | 
        |  | 
        
        | Term 
 
        | Prothromin activator formation |  | 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.
 |  | 
        |  | 
        
        | Term 
 
        | -Conversion of prothrombin -> Thrombin |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Catalysis of fibrin mesh formation |  | 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.
 |  | 
        |  | 
        
        | Term 
 
        | Clot Retraction and Repair |  | Definition 
 
        | Platelets contain actin and myosin (retractile proteins) -Contraction squeezes serum from mass and consolidates clot.
 |  | 
        |  | 
        
        | Term 
 
        | Platelet-Derived Growth Factor (PDGF) |  | Definition 
 
        | -Released during degranulation simulates smooth muscle cells and fibroblasts to begin tissue repair. 
 |  | 
        |  |