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Blood/Heart
Blood/Heart
83
Physiology
Undergraduate 3
10/25/2012

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Term
Universal recipient
Definition
Blood lacks A or B agglutinogens
Term
Plasmin
Definition
Enzymes that can digest fibrin and dissolve a clot
Term
Cascade reactions
Definition
Coagulation leads to conversion of fibrinogen to fibrin
Term
Interstitial Fluid
Definition
Fluid closest to (in composition) plasma
Term
Pernicious Anemia Etiology
Definition
Lack of intrinsic factor (IF); IF is required for the absorption of Vit B12 which is needed to produce mature RBCs
Term
Jaundice Etiology
Definition
1. Excessive amounts of bilirubin in the plasma
2. Destruction of hemoglobin
3. Extensive break down of RBCs
Term
Treatment for pernicious anemia
Definition
Injections of B12
Term
Effect of inability to absorb Vit K
Definition
1. low levels of prothrombin
2. low levels of Factor X
3. Prolonged bleeding
4. Low levels of thromboplastin
Term
Normal RBC count
Definition
F: 4.3 - 5.2 million/microliter
M: 5.1 - 5.8 million/ microliter
Term
Hemoglobin
Definition
95% of protein in RBC
Term
Effect of lacking a functional Factor VIII
Definition
Hemophilia A; results in lacking a functional intrinsic pathway
Term
Bilirubin
Definition
Produced by liver
Consists of heme molecules plus iron
Term
Site for erythropoiesis (in adult)
Definition
Red bone marrow
Term
Blood type determined by
Definition
Specific glycoproteins on cell membrane
Term
Platelets
Definition
Cytoplasmic fragments of large cells (megakaryocyte)
Stored in spleen and other vascular organs (in case of hemorrhage)
Term
Lymphocytes
Definition
WBC; spend most of their time in lymphoid tissue
Have relative long life spans
Are produced and stored in:
Lymphoid nodules, the spleen, lumph node organs, and the thymus
Term
Formed elements of whole blood
Definition
Makes up 45% of whole blood
Generally RBCs, includes WBCs and platelets
Term
Arterial Stick
Definition
Withdrawal of blood from an artery
Generally used for blood gas determination
Term
Lymphocyte response to an antigen
Definition
The antigen MUST bind to specific receptors on the lymphocyte surface
Term
Erythropoiesis
Definition
Process of RBC production
Term
Function of RBCs (blood)
Definition
Transport oxygen and carbon dioxide (gases)
Term
Neutrophils
Definition
Granular leukocyte; active in fighting bacterial infections; phagocytic; known as polymorphonuclear leukocytes, most numerous WBC in circulation
Term
Fibrinogen
Definition
Plasma protein essential for coagulation
Term
Intrinsic pathway
Definition
Activated by the activation of Factor VII exposed to a collagen
Term
Extrinsic pathway
Definition
Initiated by the release of tissue factor (Factor III) by damaged endothelium
Term
Plasma
Definition
Liquid portion of whole blood (55%)
Made mostly of water (92%)
Higher concentration of proteins than interstitial fluid
Term
Monocytes
Definition
Large phagocytic WBCs; spend most of their time outside the blood as fixed or free phagocytic cells, largest WBC
Term
Erythropoietin
Definition
Regulates RBC production
Term
Megakaryocyte
Definition
Forms platelet fragments, giant multinucleated cell in bone marrow
Term
Changes in blood due to altitude (Low >high)
Definition
1. drop in blood oxygen levels
2. release of erythropoietin
Term
Characteristic of whole blood
Definition
1. pH 7.35 - 7.45
2. temperature approx. 38 degrees C
3. deep red color d/t hemoglobin
4. MORE viscous than water
5. Average lifespan 120 days/ 4 months
Term
Stimulants for erythropoiesis
Definition
blood oxygen levels decrease and blood flow to the kidneys decreases
Term
Function of platelets
Definition
1. form a temporary clump in injured areas
2. initiate the clotting process
3. release chemicals that stimulate clotting (chemotaxis)
4. contract after clot formation
Term
Vitamin K
Definition
Essential for the formation of clots
Term
Venipuncture
Definition
Withdrawal of blood from a superficial vein for blood analysis
Term
Type A blood
Definition
Anti-A agglutinins on the RBC
Term
Whole blood
Definition
Composed of 55% plasma and 45% formed elements
Term
Basophils
Definition
Release histamines at the site of the injury
Term
Pus
Definition
Composed of:
1. dead neutrophils
2. tissue fluids
3. cellular debris
Term
Eosinophils
Definition
Granules stain orange -red , respond to parasitic infections and in allergic reactions
Term
Thrombus
Definition
Clot
Term
Embolus
Definition
A moving clot
Term
Fibrinolysis
Definition
A process that dissolves clots
Term
Hypovolemic
Definition
Low blood volume
Term
Hypervolemic
Definition
High blood volume
Term
Hemolytic Disease of Newborn
Definition
Results if:
Rh negative mother carries an Rh positive fetus (after the 1st Rh positive child)
Term
Sickle Cell Anemia
Definition
A gene for adult hemoglobin is abnormal
Term
Component of Hemoglobin
molecule
Definition
Four iron atoms
Heme pigment
Globin protein
Term
Vitamin B12 deficiency
Definition
Anemia caused by a nutritional deficiency or lack of intrinsic factor (pernicious anemia)
Term
Hematocrit
Definition
% fraction of formed elements relative to whole blood
Term
Removal of degraded hemoglobin
Definition
MOST is excreted by the intestines
Term
Physical barriers to infection
Definition
1. Epithelium (unbroken skin)
2. body hair
3. basement membranes
4. secretions
Term
Naturally Acquired ACTIVE Immunity
Definition
Results from exposure to an antigen in the environment
Term
Naturally Acquired PASSIVE Immunity
Definition
Results from antibodies that cross the placenta from the mother to the fetus (IgG)
Term
Suppressor T cells
Definition
Inhibit T and B cell activities
Term
Body Nonspecific Defenses
Definition
1. interferon
2. inflammation
3. skin
4. complement
Term
Allergy or allergies
Definition
Inappropriate or excessive immune responses
Term
Cytotoxic T cells
Definition
1. Lymphocytes that destroy foreign cells or virus-infected cells
2. Directly responsible for cellular immunity
Term
Allergic Response
Definition
Activated (triggered) when mast cells release histamine and heparin
Term
Passive immunization
Definition
Body receives antibodies produced by other humans or an animal
Term
Helper T cells
Definition
1. Enhance nonspecific defenses
2. Enhance production of memory & cytotoxic T cells
3. Attract & stimulate NK cells
4. Trigger B-cell division, plasma cell maturation, & antibody production
Help regulate the immune response
Term
Naturally Acquired passive Immunity
Definition
Immunity that results from antibodies passed from the placenta to the fetus
Term
IgG
Definition
Defends against bacterial cell, viruses, & toxins
Activates complement, Crosses placenta; MOST abundant Ig
Primarily found in saliva and tears
Term
IgA
Definition
Primarily found in glandular secretions- saliva and tears
Term
IgM
Definition
Formed by 5 subunits; first antibodies to be produced in response to infection.
Term
IgD
Definition
Found on B cell surface; may activate antibody production
Term
IgE
Definition
Attach to and sensitize mast cells and basophils
Term
Most Ig in circulation
Definition
IgG, IgA, IgM
Term
Steps in cell-mediated immune response
Definition
1. Antigen engulfed and presented by a macrophage
2. T cells w/ specific receptors recognize antigen
3. Several cycles of mitosis occur
4. T cells differentiate into cytotoxic Tcells or memory T cells
5.Cytotoxic T cells migrate to the infection
6. Cytotoxic T cells release perforin and/or lymphotoxin
Term
T-cells formed by
Definition
Thymus stem cells
Term
Innate Immunity
Definition
Genetically determined & present at birth
Term
Immunoglobulins
Definition
Plasma protein essential in body defense
Term
Binding of antigen to an antibody
Definition
Results in:
1. agglutination or precipitation
2. complement activation and opsonization
3. neutralization of the antigen
Term
Secondary response of humoral immunity
Definition
1. produces more effective antibodies
2. Depends on memory B cells
3. Results in higher antibody titers
4. Results in much quicker rise in antibody titers
Term
Antigen-presenting cells role in immunity
Definition
1. display antigen fragments
2. process antigens
3. Produce antibodies
Term
Hormones of the immune system
Definition
1, interleukin
2. thymosins
3. natriuretic factor
4. interferons
Term
Phagocytes
Definition
First line of cellular defense against pathogens
Term
Specific Immunity
Definition
Provides defense of the body against a particular pathogen
Term
Effects of activating the complement system
Definition
1.opsonization
2. Destruction of target cell plasma membranes
3. Chemotaxis
4. stimulation of inflammation
Term
NK cells (Natural Killer)
Definition
Perform immunological surveillance
Term
Primary humoral response
Definition
1,. Antibody levels DO NOT peak until 1 - 2 weeks after initial exposure
2. Ig M are the first Ig to appear
3. B cells undergo several round sof mitosis prior to producing plasma cells and memory cells
4. B cells may differentiate into plasma cells immediately
Term
Inflammatory response
Definition
Triggered when mast cells release histamine and heparin
Term
Plasma cells
Definition
Responsible for the production of circulating immunoglobulins
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