Module 2: The Cardiovascular System: Blood

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1

Blood

connective tissue made of cellular elements (formed elements) and an extracellular matrix (plasma).

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2

What is an erythrocyte?

red blood cell

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3

What is a leukocyte?

white blood cell

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4

The 3 functions of blood

Transportation

Defense

Homeostasis

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5

What does blood transport?

Blood transports oxygen, carbon dioxide, nutrients, hormones, and metabolic waste products

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6

How does blood protect?

Prevents blood loss (clots), prevents infection (antibodies, WBC's)

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7

How does blood perform homeostasis?

Regulation of pH in the body and fluid balance in cells

Distributing heat

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8

Is blood temperature higher than body temperature?

Yes, Blood is 1º C higher than body temp

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9

What is a centrifuge?

Machine used to separate blood by spinning it

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10

Whole blood

plasma and formed elements

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11

hematocrit

percentage of blood volume occupied by erythrocytes (RBCs)

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12

Composition of blood

55% plasma, 45% RBCs, <1 WBC and platelets

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13

Normal range of hematocrit in adults?

Adult Males: 42-52%

Adult Females: 37-47%

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14

What is condition called when an individual has low hematocrit?

Anemia

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15

What is condition called when an individual has high hematocrit?

Polycythemia

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16

Bright scarlet red blood indicates...?

Well oxygenated blood

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17

Dark red blood indicates...?

Poorly oxygenated blood

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18

Blood is:

  • Slightly acidic

    OR

  • Slightly alkaline

Slightly alkaline

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19

What is the pH of blood?

Blood is slightly alkaline, with a pH of 7.35-7.45

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20

Volume of blood in adults

Adult males: 5-6 liters

Adult females: 4-5 liters

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21

Viscosity of blood

5x thicker than water

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22

what does blood plasma look like when centrifuged?

yellow liquid portion of blood

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23

What does blood plasma consist of?

It contains mostly water but also contains many dissolved materials

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24

What percent of blood plasma is water?

92%

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25

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26

Where are plasma proteins produced?

in the liver

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27

What are the 3 types of plasma proteins?

albumins, globulins, fibrinogen

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28

Albumins

Transports fatty acids and steroid hormones within the blood

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29

Why do lipids need assistance for transport in the blood?

Lipids are hydrophobic

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30

The most abundant plasma protein

albumin (54%)

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31

What are the 3 groups of globulins?

alpha, beta, gamma

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32

What do alpha and beta globulins do?

Transport iron, lipids, and vitamins A, D, E, K; maintain proper [H2O] in blood

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33

What does the gamma globulin do?

Helps antibody formation and attacks invaders

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34

Fibrinogen

essential for blood clotting

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35

Fibrin

a long, thread-like fiber created by the combination of thrombin and fibrinogen used to forms a blood clots

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36

What do erythrocytes do?

transport oxygen and carbon dioxide

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37

Most abundant cell in the body?

erythrocytes (RBCs)

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38

Do erythrocytes have a nucleus?

No, they are anucleate

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39

What is the shape of an erythrocyte?

biconcave disc

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40

Where do erythrocytes form?

red bone marrow

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41

Hemoglobin

oxygen-carrying compound in erythrocytes

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42

What is globin?

four polypeptides, two "alpha" chains and two "beta" chains

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43

Heme

red, iron-containing pigment to which oxygen binds in hemoglobin

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44

How many oxygens can a heme bind to?

Up to 4 oxygens

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45

Oxyhemoglobin

hemoglobin bound to oxygen (bright red)

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46

deoxyhemoglobin

hemoglobin without oxygen (dark red)

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47

What is percent saturation("percent sat")?

The percent of hemoglobin oxygen sites occupied by oxygens

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48

Hypoxia/Hypoxemia

too little oxygen in the blood

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49

What is the lifespan of an erythrocyte?

120 days

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50

Life cycle of erythrocytes

-form in red bone marrow

-circulate in the bloodstream for up to 120 days

-aged erythrocytes are phagocytized in the liver, spleen, and bone marrow by macrophages

-most parts of old erythrocytes are broken down and reused to make new ones:

  • the heme --> bilirubin-> bile-> stercobilin/urobilin

  • iron-> stored in liver( must attach to hemosiderin or ferritin) or recycled(transported by transferrin)

  • globin-> amino acids-> back to bone marrow

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51

Jaundice

excess of bilirubin, inability of the liver to excrete products of heme breakdown

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52

hemoglobinuria

excess hemoglobin in urine, from excess breakdown of RBCs

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53

What are the five different types of leukocytes?

Granular leukocytes: neutrophil, basophil, eosinophil

Agranular leukocytes: monocyte, and lymphocyte

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54

Are there more erythrocytes of leukocytes?

erythrocytes

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55

Whats another name for neutrophils?

polymorphonuclear leukocytes (PMNs)

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56

Neutrophils

Most abundant leukocyte, phagocytic, rapid responders to the site of infection

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57

Eosinophils

phagocytic, respond to infections by multicellular parasites

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basophils

least numerous, migrate to injury sites where they release histamine and heparin

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lymphocyte

T cells, B cells, and natural killer cells.

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60

monocyte

enters the tissues and becomes macrophages and phagocytize any pathogens

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61

What do platelets do?

  • release chemicals required for blood clotting

  • formation of temporary patch in damaged blood vessel

  • Active contraction after clot formation

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62

Thrombocytopenia

insufficient amount of platelets

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63

What can thrombocytopenia lead to?

Excessive bleeding and inability to clot

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64

Hemopoiesis (Hematopoiesis)

production of the formed elements of blood

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65

What are the different sites of hemopoiesis?

red bone marrow

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66

Hemocytoblast

stem cells that give rise to all the formed elements of the blood

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67

Where are hemocytoblasts located?

red bone marrow

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68

How do hemocytoblasts give rise to all different formed elements

By cytokinesis, they divide over and over and form many daughter cells

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69

A daughter cell can become which two stem cells?

Lymphoid stem cell or myeloid stem cell

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70

Lymphoid stem cell

give rise to lymphocytes

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Myeloid stem cells

give rise to all other blood cells

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72

Thrombosis

Myeloid Stem Cell-> megakaryocytes-> platelets

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73

leukopoiesis

msc-> basophils, neutrophils, eosinophils, monocytes

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74

Erythropoiesis

msc-> proerythroblasts-> erythroblast-> reticulocytes-> erythrocytes

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75

Erythropoietin(EPO)

peptide hormone that controls the production of erythrocytes

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76

When EPO is in bone marrow, what is produced?

Red Blood cells

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77

What stimulated the production of EPO in kidneys and periphery?

Hypoxia

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78

Cytokines

promote the development of leukocytes

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79

What stimulates the production of platelets?

Thrombopoietin

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80

Hyopxia

Oxygen deprivation

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81

Hemostasis

clotting of blood to heal damaged blood vessels

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82

What are the 3 phases of hemostasis?

vascular spasm, platelet plug, coagulation

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83

How long does a vascular spasm last?

30 minutes

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84

Vascular Spasm

contraction of the smooth muscle in the wall of a damaged blood vessel to prevent blood loss, blood vessel becomes sticky

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85

platelet plug formation

platelets stick together to form a temporary seal to cover the break in the vessel wall

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86

platelet adhesion

the attachment of platelets to exposed surfaces

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87

platelet aggregation

The attachment of platelets to one another

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88

Coagulation

process of blood clotting

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89

What are the two pathways of coagulation?

intrinsic and extrinsic

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90

intrinsic coagulation

Damage to the inside of the vessel

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91

When does the coagulation phase begin?

30 seconds after injury

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92

Fibrinolysis

gradual degradation of a blood clot

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93

Clot retraction

the stabilization of blood clots

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94

Antithrombin

prevents thrombokinase

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95

Heparin

accelerates the activation of antithrombin

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96

T cells and B cells are responsible for the body's specific immune response.

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