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Blood
| The Cardiovascular System consists of | heart, blood vessels, blood |
| the heart is also know as | the pump |
| blood vessels are know as the ________ system | conducting |
| blood is known as what | fluid medium |
| blood is a ____________ fluid of ____________ tissue | specialized , connective |
| blood contains _____ suspended in a fluid _________ | cells, matrix |
| what is blood primary functions | provides cells with nutrients & oxygen remove waste products transport cells that defend tissues from infection and disease |
| 5 important functions of blood | transport, regulation, restriction, defense, stabilization |
| Blood transports | dissolved substances |
| blood regulates | pH and ions |
| blood restricts | fluids losses at injury sites |
| blood defends against | toxins and pathogens |
| blood stabilize | body temperature |
| Blood is: | a specialized fluid connective tissue that contains cells suspended in a fluid matrix. (Martini 653) |
| the heart circulates the | fluid and a series of conducting hoses (the blood vessels) that carry it throughout the body |
| Normal temperature of blood is | 100.4 degrees/ 38 Celsius |
| Blood has a | high viscosity |
| Blood is slightly | alkaline pH (7.35- 7.45) |
| blood average alkaline pH level is | 7.4 |
| Blood volume is how much of body weight | 7% |
| male adult has how many liters of blood | 5-6 |
| female adult has how many liters of blood | 4-5 |
| normal blood volume is | 5 liters |
| whole blood consists of | plasma and formed elements |
| what percentage of blood is plasma | 55% |
| What percentage of blood is formed elements | 45% |
| Plasma is made up of | water, dissolved plasma proteins, other solutes |
| formed elements is made up of | all cells and solids |
| what percentage of plasma is water | 92% |
| ___% of formed elements are red blood cells | 99.9% |
| blood alkaline pH level is beyween | 7.35-745 |
| Identify the composition of the formed elements in blood. | Red blood cells, white blood cells, and platelets |
| Why is venipuncture a common technique for obtaining a blood sample? | superficial veins are easy to locate, the walls of veins are thinner than those of arteries, and blood pressure in veins is relatively low, so the puncture wound seals quickly. |
| what dissolved proteins are mostly found in plasma | albumins, globulins, and fibrinogen |
| albumins, globulins, and fibrinogen make up what percent of plasma proteins | 99% |
| albumins is __% of plasma proteins | 60 |
| globulins is __% of plasma proteins | 35 |
| fibrinogen is __% of plasma proteins | 4 |
| Albumins | Transports substances such as fatty acids, thyroid hormones, and some steroid hormones |
| Globulins | Comprised of antibodies and transport globulins |
| Fibrinogen | Molecules that form clots and produce long, insoluble strands of fibrin |
| Other Plasma Proteins is __% of plasma proteins | 1 |
| Other Plasma Proteins | Changing quantities of specialized plasma proteins |
| what are Three Types of Formed Elements | red blood cells/erythrocytes, white blood cells, platelets |
| red blood cells are also known as | erythrocytes |
| white blood cells are also known as | leukocytes |
| The liver synthesizes and releases more than __% of plasma proteins | 90 |
| what can be used to increase blood volume temporarily, over a period of hours | Plasma expanders |
| Isotonic electrolyte solutions such as normal (physiological) saline can be used as | Plasma expanders |
| What would be the effects of a decrease in the amount of plasma proteins in the blood? | lower plasma osmotic pressure, reduce the ability to fight infection, and decrease the transport and binding of some ions, hormones, and other molecules. |
| Which specific plasma protein would you expect to be elevated during a viral infection? | immunoglobulins (antibodies) in the blood to be elevated. |
| immunoglobulins are also known as | antibodies |
| give whole blood its deep red color because | they contain the red pigment hemoglobin |
| hemoglobin | binds and transports oxygen and carbon dioxide. |
| The heaviest of the formed elements | RBC |
| Small and highly specialized discs | RBC |
| Thin in middle and thicker at edge | RBC |
| Three Important Effects of RBC Shape on Function | High surface-to-volume ratio, disc form stacks & bend and flex |
| RBC have a high surface-to-volume ratio because they | Quickly absorbs and releases oxygen |
| Discs form stacks called | rouleaux |
| discs from stacks because it | Smooth the flow through narrow blood vessels |
| Discs bend and flex entering small capillaries because | 7.8-µm RBC passes through 4-µm capillary |
| A single drop of whole blood contains approximately ____ million RBC | 260 |
| The blood of an average adult has | 25 trillion RBCs |
| The percentage of a blood sample that consists of formed elements (most of which are red blood cells) is known as the | hematocrit |
| The red pigment that gives whole blood its color | hemoglobin |
| Protein molecule in RBCs that binds and transports respiratory gases | hemoglobin |
| Normal hemoglobin of an adult male | 14-18 g/dL whole blood |
| Normal hemoglobin of an adult female | 12-14 g/dL whole blood |
| Whole blood contains about ______ red blood cells for each white blood cell. | 1000 |
| hematocrit increases during dehydration due to | reduction in plasma volume |
| hematocrit decreases as a result of | internal bleeding or problems with RBC formation |
| RBC is a _________ disc with a thin central region and a thicker outer margin | biconcave |
| RBC lifespan | 120 days |
| RBC do not preform ________ to themselves | repairs |
| Each heme contains __ iron ion | 1 |
| Hemoglobin Structure Contains four ribbon-like protein chains called | globins |
| Iron ions Associate easily with | oxygen |
| iron ions dissociate easily from | oxygen |
| 2.5 million RBCs are destroyed who often | every second |
| blood that contains RBCs filled with ____________ is bright red | oxyhemoglobin, HbO2 |
| A hemoglobin molecule whose iron is not bound to oxygen is called | deoxyhemoglobin |
| Blood containing RBCs filled with ______________ is dark red—almost burgundy. | deoxyhemoglobin |
| Low oxygen levels | hypoxia |
| Low oxygen levels (hypoxia) induce the production of a protein called | erythropoietin |
| ____________ is responsible for the increased production of RBCs in the bone marrow | Erythropoietin |
| About ___% oxygen carried by the blood is bound to Hb molecules inside RBCs. | 98.5 |
| Each RBC contains about ____ million Hb molecules. | 280 |
| ____ Hb molecule contains _____ heme units | 1, 4 |
| What are 2 of the best known inherited hemoglobin disorders? | thalassemia and sickle cell anemia |
| Hemopoiesis is | The production of blood |
| Tissues that produce blood cells are called | hemopoietic tissues |
| ematocrit is low or the Hb content of the RBCs is reduced, a condition known as | Anemia |
| Anemia interferes with | oxygen delivery to peripheral tissues |
| An RBC is exposed to severe | mechanical stresses |
| A single round trip from the heart, through the peripheral tissues, and back to the heart usually takes | less than one minute |
| wear and tear and no repair mechanisms, a typical RBC has a short life span after it travels about 700 miles in | 120 days |
| when damage is detected by _______ of the spleen, liver, and red bone marrow, which engulf the RBC | phagocytes |
| Lymphatic tissue produce only | Lymphocytes |
| All blood cells can trace their beginnings to | stem cells |
| ____________ of the spleen, liver, and red bone marrow play a role in recycling red blood cell components. | Macrophages |
| When abnormally large numbers of RBCs break down in the bloodstream, urine may turn red or brown. This condition is called | hemoglobinuria |
| The presence of intact RBCs in urine | hematuria |
| hematuria occurs only after | kidney damage or damage to vessels along the urinary tract |
| An orange-yellow pigment released into the bloodstream binds to albumin and is transported to the liver for excretion in bile. | bilirubin (bil-i-ROO-bin) |
| yellow skin and eyes is called | jaundice |
| Red bone marrow is also known as | myeloid tissue |
| Red bone marrow is located | in portions of the vertebrae, sternum, ribs, skull, scapulae, pelvis, and proximal limb bones |
| four days of differentiation, the erythroblast, now called a normoblast, sheds its nucleus and becomes a | reticulocyte |
| For erythropoiesis to proceed normally, the red bone marrow needs adequate supplies of | amino acids, iron, and vitamins |
| Describe hemoglobin | protein composed of four globular subunits, each bound to a heme molecule, which gives red blood cells the ability to transport oxygen in the blood. |
| How would the hematocrit change after an individual suffered a significant blood loss? | the amount of formed elements mostly red blood cells as a percentage of the total blood—would be reduced. |
| if there is a blockage in renal arteries that restricts blood flow to the kidneys. What effect will this have on his hematocrit? | hematocrit will increase, because reduced blood flow to the kidneys triggers the release of erythropoietin, which stimulates an increase in erythropoiesis |
| In what way would a disease that causes damage to the liver affect the level of bilirubin in the blood? | Bilirubin would accumulate in the blood, producing jaundice, because diseases that damage the liver, such as hepatitis or cirrhosis, impair the liver’s ability to excrete bilirubin in the bile. |
| White Blood Cells (WBCs) Also called | leukocytes |
| White Blood Cells (WBCs) do not have | hemoglobin |
| White Blood Cells (WBCs) have | Have nuclei and other organelles |
| WBC Defend against | pathogens |
| WBC remove | toxins and waste |
| WBC attack | abnormal cells |
| Unlike red blood cells, white blood cells lack | hemoglobin |
| Most of the WBCs in the body at any moment are in | connective tissue proper or in organs of the lymphatic system |
| WBC use the bloodsteam to travel | from one organ to another |
| WBC use the blood stream for ________ ___________ to areas of infection or injury. | rapid transportation |
| WBC can detect chemical signs of | damage to surrounding tissues |
| When WBC detects problems they ______ ____ ___________ and enter the damaged area | leave the bloodstream |
| Circulating WBCs have four characteristics: | 1. All Can Migrate Out of the Bloodstream. 2.All Are Capable of Amoeboid Movement 3. All Are Attracted to Specific Chemical Stimuli 4. Neutrophils, Eosinophils, and Monocytes Are Capable of Phagocytosis |
| When WBCs in the bloodstream are activated, they contact and adhere to the vessel walls in a process called | margination |
| a gliding motion made possible by the flow of cytoplasm into slender cellular processes extended in the direction of movement | Amoeboid movement or amoeba |
| Attracted to Specific Chemical Stimuli. | positive chemotaxis |
| Types of WBCs | Neutrophils, Eosinophils, Basophils, Monocytes, Lymphocytes |
| Neutrophils are ____% - ____% of circulating WBC | 50-70 |
| This WBC is very active, first to arrive at injury site and attack bacteria | Neutrophil |
| This WBC engulfs and digests pathogens | Neutrophil |
| This WBC forms pus | Neutrophil |
| This WBC short life span (30 minutes – 10 hours) | Neutrophil |
| This WBC is less than 4% of circulating WBC | Eosinophils |
| This WBC attacks large parasites | Eosinophils |
| This WBC excretes toxic compounds | Eosinophils |
| This WBC Sensitive to allergens | Eosinophils |
| This WBC Controls inflammation with enzymes that counteract inflammatory effects of neutrophils and mast cells | Eosinophils |
| This WBC is 1% of circulating WBC | Basophils |
| This WBC accumulate in damaged tissue | Basophils |
| This WBC releases histamine which dilates blood vessels | Basophils |
| This WBC releases heparin which prevents blood clotting | Basophils |
| This WBC 2-8% of circulating WBC | Monocytes |
| This WBC large and spherical | Monocytes |
| This WBC enter peripheral tissues and become macrophages | Monocytes |
| This WBC engulfs large particles and pathogens | Monocytes |
| This WBC secretes substances that attract immune system cells and fibroblasts to injured area | Monocytes |
| This WBC is 20-40% of circulating WBC | Lymphocytes |
| This WBC larger than RBCs | Lymphocytes |
| This WBC migrate in and out of blood | Lymphocytes |
| This WBC mostly in connective tissues and lymphoid organs | Lymphocytes |
| This WBC are part of the body’s specific defense system | Lymphocytes |
| Three Classes of Lymphocytes | T cells, B cells , Natural killer (NK) cells |
| Cell-mediated immunity | T cells |
| Attack foreign cells directly | T cells |
| Humoral immunity | B cells |
| Differentiate into plasma cells | B cells |
| Synthesize antibodies | B cells |
| Detect and destroy abnormal tissue cells (cancers) | Natural killer (NK) cells |
| Leukopenia | Abnormally low WBC count |
| Leukocytosis | Abnormally high WBC count |
| Leukemia | Extremely high WBC count |
| NEUtrophils are the most | NUmerous of the white blood cells |
| A MONnocyte is the _______ ___that engulfs debris and pathogens | MONster cell |
| Tip to remember the types of WBC: Never Let Monkey Eat Bananas | neutrophils, lymphocytes, monocytes, eosinophils, and basophils |
| Which type of white blood cell would you find in the greatest numbers in an infected cut? | An infected cut, will have a large number of neutrophils, these phagocytic WBCs are the 1st to arrive at the site of an injury. |
| Which type of cell would you find in elevated numbers in a person who is producing large amounts of circulating antibodies to combat a virus? | during a viral infection elevated numbers of lymphocytes, B lymphocytes produce circulating antibodies. |
| How do basophils respond to an injury? | releasing chemicals, including histamine and heparin. Histamine dilates blood vessels and heparin prevents blood clotting. release other chemicals that attract eosinophils and other basophils to the area. |
| Platelets in nonmammalian vertebrates are nucleated cells called | thrombocytes |
| Cell fragments involved in human clotting system | platelets |
| Circulate for 9-12 days | platelets |
| Are removed by the spleen | platelets |
| 2/3 are reserved for emergencies | platelets |
| Platelet Counts | 150,000 to 500,000 per microliter |
| Thrombocytopenia | Abnormally low platelet count |
| Thrombocytosis | Abnormally high platelet count |
| Three Functions of Platelets | Release important clotting chemicals Temporarily patch damaged vessel walls Reduce size of a break in vessel wall |
| Platelet production | thrombocytopoiesis |
| hemostasis | (haima, blood + stasis, halt), the stopping of bleeding |
| Explain the difference between platelets and thrombocytes. | Platelets are nonnucleated cell fragments in mammalian blood, whereas thrombocytes are nucleated platelets in nonmammalian vertebrate blood. |
| Hemostasis consists of three phases | Vascular phase (backwards a-z is now z-a) Platelet phase (V,P,C) Coagulation phase |
| During the vascular phase a cut of Hemostasis | triggers vascular spasm that lasts 30 minutes |
| 1st Step of the Vascular Phase | Endothelial cells contract and expose the basement membrane to the bloodstream |
| 2nd Step of the Vascular Phase | Endothelial cells release chemical factors and local hormones Stimulates smooth muscle contraction and cell division |
| 3rd Step of the Vascular Phase | Endothelial plasma membranes become “sticky” Seals off blood flow |
| attachment of platelets to sticky endothelial surfaces, to the basement membrane, and to exposed collagen fibers marks the start of the | platelet phase of hemostasis |
| Begins within 15 seconds after injury | platelet phase |
| Platelet adhesion (attachment) TO: | sticky endothelial surfaces, basement membranes, exposed collagen fibers |
| Platelet aggregation (stick together) | Forms platelet plug that closes small breaks |
| Activated platelets release | clotting compounds |
| The Coagulation Phase of Hemostasis | Begins 30 seconds or more after the injury |
| Blood clotting (coagulation) has | Cascade reactions |
| Clotting Factors Also called | procoagulants |
| Normal blood clotting depends on the presence of | clotting factors |
| important clotting factors include | Ca2+ and 11 different proteins |
| Three Coagulation Pathways | Intrinsic pathway Common pathway Extrinsic pathway (ICE) |
| a compound released by basophils and mast cells, is a cofactor that accelerates the activation of antithrombin-III. | Heparin |
| affect almost every aspect of the clotting process | Calcium ions and vitamin K |
| As the repairs proceed, the clot gradually dissolves in a process called | fibrinolysis |
| A sample of red bone marrow has unusually few megakaryocytes. What body process would you expect to be impaired as a result? | blood’s ability to clot properly, because fewer megakaryocytes would produce fewer platelets. |
| Vitamin K is fat soluble, and some dietary fat is required for its absorption. How could a diet of fruit juice and water have an effect on blood clotting? | do not contain fats needed for vitamin K absorption, leading to a vitamin K deficiency. This would lead to a decreased production of several clotting factors—most notably, prothrombin. As a result, clotting time would increase. |
| Unless chemically treated, whole blood will coagulate in a test tube. This clotting process begins when Factor XII becomes activated. Which clotting pathway is involved in this process? | The activation of Factor XII initiates the intrinsic pathway. |
| Substances that can trigger a protective defense mechanism called an immune response | Antigens |
| plasma membranes contain ________ ________ substances that your immune system recognizes as “normal.” | Surface Antigens |
| blood type is determined by | the presence or absence of specific surface antigens in RBC plasma membranes. |
| Substances that can trigger a protective defense mechanism called an immune response | Antigens |
| Normal cells are ignored and while they attack foreign cells | surface antigens |
| Genetically determined by the presence or absence of RBC surface antigens A, B, Rh (or D) | blood types |
| Four Basic Blood Types | A, B, AB, O |
| Antigens on the surface of RBCs | Agglutinogens |
| Plasma antibodies attack and agglutinate (clump) foreign antigens | Agglutinogens |
| Screened by the immune system | Agglutinogens |
| Antibodies for type A | type B |
| Antibodies for type B | Type A |
| Antibodies for type O | Both A and B |
| Antibodies for type A&B | neither A nor B |
| The Rh Factor is also called D antigen | D antigen |
| Only _________ Rh- blood has anti-Rh antibodies | sensitized |
| Testing for Transfusion Compatibility | Performed on donor and recipient blood for compatibility |
| Without cross-match | type O- is universal donor |
| The two primary functions of blood | provide food and air remove waste transport |
| The two main components of blood | plasma and formed elements |
| What makes up the highest percentage of plasma? | Water 92% pf plasma is water |
| The four types of blood | A, B, AB, O |
| Three of the five types of WBCs | neutrophils, lymphocytes, monocytes, eosinophils, and basophils (never let monkeys eat bananas) |
| The three steps of hemostasis | Vascular phase (backwards a-z is now z-a) Platelet phase (V,P,C) Coagulation phase |