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Blood

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functions of blood/ cardiovascular system   TRANSPORT (O2, CO2, nutrients, wastes, hormones, and cells) PROTECTION (inflammation, limits spread of infection, destroys harmful cells, neutralizes toxins, clotting) REGULATION (fluid balance, stabilizes pH of ECF, and temperature control)  
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blood composed of....   PLASMA (serum & fibers), containing FORMED ELEMENTS: erythrocytes (red blood cells), leukocytes (white blood cells), platelets  
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hematocrit   centrifuge blood to separate components  
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proportions of formed elements & plasma in blood   erythrocytes settle to bottom (densest): 45%; buffy coat= platelets & white blood cells: 1%; plasma= 55%  
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3 major categories of plasma proteins are.... & roles of blood proteins   fibrinogen, albumin, globulin; roles in clotting, defense, transport of solutes  
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fibrinogen   precursor of fibrin threads that help form BLOOD CLOTS formed by liver  
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albumin   smallest and most abundant contributes to viscosity and osmolarity, influences blood pressure, flow and fluid balance formed by liver  
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globulin   antibodies: provide immune system functions formed by lymphocytes  
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viscosity   thickness, resistance of a fluid to flow, resulting from cohesion of its particles; blood 4.5- 5.5x thicker than water  
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blood osmolarity   total molarity of those dissolved particles that cannot pass through the blood vessel wall; too HIGH --> blood absorbs too much water from other ECF; too LOW --> too much water retention in tissues: edema  
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Hypoproteinemia   deficiency of plasma proteins: dilute blood, not enough blood solutes; liver or kidney disease severe burns extreme starvation  
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Kwashiorkor   A form of severe malnutrition protein deficiency affects movements of bodily fluids swollen abdomen from fluid accumulation in abdominal cavity  
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Hemopoiesis   = production of blood  
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Hemopoietic tissue   1. yolk sac; liver, spleen, thymus; red bone marrow (by childhood, produce all formed elements): pluripotent stem cells= in red bone marrow, can make all blood cells  
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Erythrocytes main function   carry OXYGEN from lungs --> cell tissues; carry CARBON DIOXIDE from cell tissues --> lungs  
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erythrocytes composed of....   33% hemoglobin (in cytoplasm), cytoskeleton proteins (membrane durability & resilience), carbonic anhydrase (produces CARBONIC ACID from water & CO2, gas transport & pH balance)  
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hemoglobin structure   4 protein chains – globins & 4 heme groups  
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globins   4 protein chains: 2 alpha, 2 beta chains; 5% CO2 in blood bound to globin; exceptions: Fetal (gamma) Hb replaces beta; Delta Hb replaces beta in small % of adult Hb molecules  
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heme   nonprotein; binds O2 to ferrous ion (Fe2+) @ its center  
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iron metabolism summary   ingest iron --> picked up from diet by blood --> transferred to liver--> binds to transferrin --> stores some of iron; LIVER gets out all iron for blood  
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erythrocyte production   pluripotent stem cell -->erythrocyte colony-forming unit --> erythroblast --> reticulocyte --> erythrocyte (mature cell)  
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erythrocyte homeostasis: negative feedback   stimulus for increasing erythropoeisis= low O2 (hypoxia/hypoxemia): high altitude increase in exercise loss of lung tissue in emphysema loss of blood  
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Erythrocytes Death, & Disposal   Worn RBCs lyse in spleen (spleen DETECTS worn out cells); Macrophages digest cell debris; hemoglobin degraded --> heme (--> biliverdin & iron), globin  
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erythrocyte disorder: Polycythemia   EXCESS of RBCs; may caused by cancer, dehydration, high altitude, or physical conditioning; results: ↑blood volume, ↑pressure, ↑viscosity  
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erythrocyte disorder: Anemia causes   DEFICIENCY of RBC; from inadequate erythropoiesis or hemoglobin synthesis, hemorrhagic anemias from bleeding, hemolytic anemias: RBC destruction  
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erythrocyte disorder: Anemia consequences   tissue hypoxia and necrosis ↓ blood osmolarity, producing tissue edema ↓viscosity  
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erythrocyte disorder: specific anemias   Iron deficiency anemia, Pernicious anemia (B12 deficiency), Hypoplastic/aplastic anemia  
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sickle-cell disorder   Cells sickle under ↓O2 conditions, Sickled cells agglutinate (cytoskeleton changes shape)  
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Leukocytes=..... functions.....   WHITE BLOOD CELLS: Least abundant formed element; Protect against pathogens, Spend time in blood and connective tissue  
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granules   =lysosome called nonspecific (azurophilic) granules in all WBC; granulocytes have specific granules w/ enzymes/ chemicals employed in defense against pathogens  
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types of granulocytes   neutrophils, Eosinophils, basophils  
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neutrophils   Most Abundant Phagocytic, destroy bacteria  
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eosinophils   Respond to Parasitic worms and allergens  
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basophils   Release - Histamine (vasodilator, inflammation) Heparin (anit-coagulent)  
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agranulocytes include.....   lymphocytes and monocytes  
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lymphocytes   destroy cells beyond repair (cancer, foreign, virally infected), secrete antibodies --> immune memory, "present" antigens to activate other immune cells  
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monocytes   increased # in viral infections and inflammation; = MACROPHAGES after leaving blood; phagocytize pathogens and debris “present” antigens to activate other immune cells  
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leukocyte disorders: leukopenia   low WBC count ; causes: radiation, poisons, infectious disease consequences: elevated risk of infection  
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leukocyte disorders: Leukocytosis   high WBC count; causes: infection, allergy differential WBC count – identifies what percentage of the total WBC count consist of each type of leukocyte  
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leukocyte disorders: Leukemia   cancer of hemopoietic tissue: high level of WBC, but stem cells wear out, level drops; myeloid leukemia – ↑granulocyte production lymphoid leukemia - ↑lymphocyte or monocyte production  
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platelets   SMALL fragments of megakaryocyte cells complex internal structure amoeboid movement and phagocytosis  
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platelet functions   Limit blood loss (secrete vasoconstrictors- constrict blood vessels, Participate in hemostasis), Combat infection (phagocytize and destroy bacteria, attract neutrophils and monocytes)  
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hemostasis; mechanisms   the stopping of bleeding: vascular spasm, platelet plug formation, blood clotting (coagulation)  
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Hemostasis: blood clotting   Conversion of FIBRINOGEN into FIBRIN (via enzyme THROMBIN); activate one procoagulant (series of enzymes) and it will activate the next to form a reaction cascade  
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Hemostasis: extrinsic pathway   factors released by DAMAGED TISSUES begin cascade  
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Hemostasis: intrinsic pathway   factors found IN BLOOD (platelet degranulation) begin cascade  
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