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ANP exam 2
blood, immunity, respiratory
| Question | Answer |
|---|---|
| functions of blood | transport (gas exchange, nutrients, chemicals), immune system, homeostasis (pH, ions, blood temp) |
| blood tissue type | connective tissue (because of the plasma matrix |
| blood composition | plasma = matrix (97% water, 7% fibers), cellular elements suspended in the plasma |
| 3 major categories of proteins in plasma | albumin, globulin, fibrinogen |
| albumin | smallest & most abundant, produced in the liver |
| albumin functions | maintain osmotic pressure, buffer pH of blood, assist in transport (colloid osmotic prssure) |
| globulin | most variety and second most abundant. alpha and beta produced in liver, gamma (antibodies) produced by plasma cells |
| globulin functions | solute transport, clotting, immunity |
| fibrinogen | least abundant, produced by the liver |
| fibrinogen function | clotting |
| what are the cellular elements | erythrocytes (RBC), leukocytes (WBC), thrombocytes (platelets) |
| viscosity | resistance of fluid to flow; thickness of the fluid |
| osmolarity | total molarity of dissolved particles that can't pass through the vessel wall; governs reabsorption rate |
| what happens when you decrease viscosity? | decrease in RBCs or protein = increase flow |
| what happens when you increase osmolarity? | increase reabsorption = increase volume = increase blood pressure |
| what happens when you DEcrease osmolarity? | edema |
| hemopoiesis | production of blood, especially the formed elements |
| where do formed elements come from? | stem cells of the red bone marrow, hemopoietic tissues are responsible for this. all come from hemopoetic stem cell |
| what are the hemopoetic stem cells? | hemocytoblast AKA pluripotent stem cells |
| what do hemopoetic stem cells divide into? | lymphoid stem cells, myeloid stem cells |
| what do lymphoid stem cells produce? | lymphocytes (B and T) |
| what do myeloid stem cells produce? | all cell types other than lymphocytes |
| most abundant formed element | erythrocytes (RBC) |
| what does hematocrit or PCV measure? | the amount of RBC in the blood (should be 37-52%) |
| function of RBC | Oxygen from lungs to tissue, CO2 from tissues to lungs |
| describe the form of an erythrocyte | discoidal, biconcave. lose nucleus in early development. make ATP via anaerobic fermentation, cytoplasm is 33% hemoglobin and contains enzyme carbonic anhydrase. red pigment. outerglycolipids determine blood type. inner proteins (spectrin and actin) |
| what do spectrin and actin do? | give resilience and durability so cell can squeeze, stretch, and bend |
| how much hemoglobin should be in the blood? | 12-18g/dL of blood |
| what does hemoglobin do? | carries O2, transports CO2, buffers pH of blood. 4 protein chains called globin, each bound to a heme group. each heme group carries 1 oxygen molecule |
| how long does an erythrocyte live? | about 120 days |
| what are the steps of erythropoiesis? | hem. stem cell differentiates > erythropoietin from kidneys transforms cell into erythroblast > multiply and synth. hemoglobin > lose nucleus and become reticulocytes > leave bone marrow and enter circulation > ribosomes disintegrate and cells now mature |
| why do RBCs break down over time? | no organelles. also as spectrin ages, the cells break as they squeeze through places like the spleen |
| what is hemolysis? | rupture of RBCs |
| what happens to the cell membrane during hemolysis? | easily digested by the cell |
| what happens to the hemoglobin during hemolysis? | 1. macrophages separate heme from globin, iron removed from heme, heme into biliverdin into bilirubin, iron and bilirubin released in blood 2. bilirubin bind albumin 3. liver removes bilirubin > secretes in bile 4. convert into urobilinogen in s. intes |
| what is anemia | deficiency of RBCs or hemoglobin |
| what causes anemia? | inadequate synthesis (kidney failure=no erythropoietin; dietary deficiency=no iron) hemorrhagic anemia hemolytic anemia |
| consequences of anemia | hypoxia decrease blood osmolarity (edema) decrease blood viscosity (iron deficiency) |
| what is the least abundant formed element? | leukocytes |
| leukopenia | occurs when low numbers of WBCs |
| consequences of leukopenia | higher risk of infection |
| leukocytosis indicates | infection, allergy, disease, sometimes dehydration |
| differential count | the % of each type of WBC |
| leukocyte function | provide protection from infection and disease |
| leukocyte form | retain organelles. can be distinguished by their granules and nuclei |
| granulocytes | leukocytes that contain specific granules (neutrophils, eosinophils, basophils) |
| agranulocytes | lacks specific granules (lymphocytes, monocytes) |
| neutrophils | most abundant. 60-70%. 3-5 lobed nucleus. reddish/violet granules with lysozyme. aggressively antibacterial |
| first responder | neutrophils |
| eosinophil | 2-4% of WBCs. lobed nucleus. abundance of coarse, rosy/orange granules. antiparasitic: secretes chemicals that destroy parasites and phagocytize allergens, Ag-Ab complexes, and inflammatory chemicals |
| basophils | <0.5% of WBCs. pale nucleus hidden behind granules. abundance of coarse, dark violet granules. secrete: histamine and heparin |
| histamine | vasodilator |
| heparin | anticoagulant |
| lymphocytes | 25-33% of WBCs. smallest. round or ovoid nucleus that fills almost entire cell. B and T cells |
| monocytes | 3-8% of WBCs. largest. big horse shoe shaped nucleus. works in tissues as macrophages and are highly phagocytic |
| leukopoiesis | production of WBCs |
| myeloblasts | become granulocytes |
| monoblasts | become monocytes |
| lymphoblasts | become lymphocytes |