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Blood

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Question
Answer
Definition of blood   Liquid connective tissue made of blood plasma.  
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Functions of blood.   Transportation (gasses, nutrients, hormones, waste), Protection(clotting, disease), Regulation (pH, T, Osmotic pressure-BP)  
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Components of blood.   1)Blood plasma (55%total,91.5%H2O)2)Formed elements (45%total, cell fragments=platelets + cells=99%RBC, 1% WBC)  
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% of total blood volume occupied by RBC. Average %. Term for low.   Hematocrit. 42-47. Anemia.  
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Process of making blood cell. Primary location during life.   Hemopoiesis. Red bone marrow (of spongy bone).  
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As you age what change occurs to bone marrow?   Red bone marrow becomes inactive and is replaced by yellow marrow, decreasing rate of blood cell formation.  
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Other name for RBCs.   Erythrocytes (erythro=red)  
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RBCs contain what oxygen-carrying protein?   Hemoglobin  
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Why many new RBCs enter the circulation every second? Why?   2 million/sec because RBCs are destroyed at an equally high rate.  
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Each RBC contains how many O2 carrying molecules?   280 million hemoglobin molecules/RBC (bonus: 33% of total RBC weight)  
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Shape of RBC. Why?   Biconcave disk. O2 binds to concave sides?  
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What else does hemoglobin carry?   CO2 to lungs for exhalation.  
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What is RBC missing that other cells have? What does this mean?   Without a nucleus, it can not reproduce.  
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Life span of RBC. What happens to old ones?   After about 120 days, RBC are recycled (by miacrophages)in the liver and spleen, with no waste products.  
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Process of making any blood cell? Production of RBCs.   Hemopoiesis. Erythropoiesis  
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Precursor cell of RBC. Where found? Name of cell near end of development? Where found? How long till RBC?   Proerythroblast (w/nucleus) in red bone marrow divides several times, then ejects its nucleus (now indented)and called reticulocyte. This cell moves to bloodstream and in 1 to 2 days, mature (lose the last organelles) into RBC.  
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"retic count"   Count of reticulocytes as part of total RBC count.  
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Name for WBCs. How different than RBC?   Leukocytes have a nucleus and no hemoglobin.  
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Group of WBCs that stain. Types + coloration.   Granular leukocytes 1)Basophils (blue-purple w/basic dyes.>w/cancer,leukemia, hypothyroidism) 2)Eosinophils (red-orange w/eosin/acidic dye.>w/parasite infection, allergies)3)Neutrophil (bands when young.1st to infection.>w. bacterial. Phagocytosis)  
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Group of WBCs that don't stain. Types.   Agranular leukocytes (teacher says no vessicles-book says too small) = dead neutrophils/pus. 1)Monocyte (>w/chronic disease + fungus. Days to reach inf. site. Phagocytosis) 2)Lymphocyte (B and T cells only deal with viruses)  
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Name of monocyte outside blood vessel.   Macrophage.  
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Cell fragments made from stem cells in red bone marrow. Why not cell? Shape? Formation. Function. Lifespan. Recycled by.   Platelets. No nucleus. Disc shaped. Hormone thrombopoietin + stem cell = megakaryocytes (splinter into 2000-3000 platelets). Promote clotting. Also form platelet plugs. 5-9days. Liver and Spleen.  
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Body stopping bleeding.   Hemostasis.  
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Just name 3 mechanisms that reduce blood loss.   Vascular spasm, platelet plug formation, and blood clotting.  
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What first happens when arteries are damaged?   Vascular spasm= smooth muscle constricts and can do so for minutes to hours.  
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What do platelets do to help damaged vessels?   Platelets aggregate and stick to each other to from a platelet plug.  
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What are the 3 stages (fixed sequence) to blood clotting?   1)Formation of prothrombinase (enzyme) + prothrombin (plasma protein of liver)= 2)Thrombin (enzyme) converts fibrinogen (plasma protein of liver) = 3)Fibrin (forms threads that trap formed elements and make clot)  
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2 initial pathways of blood clotting (speed, mode)   Extrinsic (w/in seconds. Tissue factor (TF) leaked into bloodstream from cells outside blood vessel, initiates the formation of prothrombinase). Intrinsic (Slower- minutes. Damage w/in or to vessel. Activators in blood make prothrombinase).  
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Final pathway of blood clotting.   Formation of prothrombinase marks the beginning of the common pathway. Now on to thrombin and fibrin.  
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Tightening of clot.   Clot retraction = Fibrin threads tighten. Some serum (blood plasma-clotting proteins)may escape, formed elements caught. Damaged vessel edges come together. Fibroblasts then come and form connective tissue = scar.  
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Vitamin for blood clotting.   Vitamin K makes 4 of the 13 clotting factors. Bacteria in large intestine break Vit K down so body can use it.  
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Breakdown of unneeded fibrin threads (clot).   Fibrinolysis  
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Inhibitor of platelet adhesion and release. Produced by what?   Prostacyclin produced by WBCs.  
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Substance that delays, suppresses, or prevents blood clotting. Name and describe 3.   Anticoagulant. 1)Heparin (w/antithrombin, blocks thrombin. made by basophils) 2)Antithrombin (blocks several clotting factors) 3)Activated Protein C/ APC (inactivates clotting factors not blocked by antithrombin)  
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What may cause clotting within the cardiovascular system? Term.   Intravascular clotting may be from infection, trauma, or fat deposits w/in vessels.  
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Stationary blood clot w/in vessel. Moving blood clot (or other debris).   Thrombus (clotting in vessel = thrombosis). Embolus (lodged = Embolism).  
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Cause and S/S of DVT.   Deep vein thrombosis = thick blood due to dehydration of pills (BP pills) + sitting for long time = pain in legs. = swollen, red, hot. Sitting doesn't worsen. Painful w/movement  
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Just names of 2 blood groupings.   ABO system/blood group, Rh system/blood group  
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Blood group based on 2 antigens. Details.   ABO system/blood group. Person type named for antigens on RBC (A,B,AB,O).Antibodies in blood do NOT interact with antigens."Donated" blood will be destroyed by antibodies that can bind.  
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"Universal donor" and "universal recipient"   O (antibodies of recipient won't destroy donor RBCs with no antigens). AB (recipient has no antibodies to destroy donor RBCs)  
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Has Rh antigen on RBC. Doesn't. Role in transfusion.   Rh+, Rh-. If Rh- gets Rh+, immune system makes anti-Rh antibodies (all good). If Rh+ given again, RBCs will be destroyed (possible death). Rh+ from first baby. Anti-Rh antibody can cross placenta of 2nd Rh+ (possible miscarriage).  
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Problem with babies. Drug cure.   Rh+ from first baby. Anti-Rh antibody can cross placenta of 2nd Rh+ (possible miscarriage). Anti-Rh antibody RhoGAM given to Rh- mom (after birth, miscarriage, or abortion). Bind to fetal Rh antigens before mom's immune system can make her own antigen.  
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