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What contains extracellular fluid?
Lumen
Primary types of extracellular fluids (3)
Interstitial fluid
Blood plasma
Lymph
Interstitial fluid
Extracellular fluid that surrounds all cells except blood cells
Blood plasma
Extracellular fluid that surrounds blood cells
Lymph
Extracellular fluid found within lymph vessels that form a component of the lymphatic system
Blood is composed of (2)
Cells (red and white)
Plasma
Which has a higher viscosity - blood or water?
Blood
How much blood does an adult human have?
4-6 liters
Blood pH range
7.35-7.45
Temperature of blood
38 degrees C
Why is blood temperature slightly higher than body temperature?
It is always moving and producing heat
Is hemoglobin extra- or intracellular?
Intracellular
Plasma composition breakdown (%)
90% water
8% protein
2% other solutes
Proteins found in plasma (3)
Albumin, fibrinogen, and globulins
Other solutes found in plasma (4)
Gases, ions, nutrients, and hormones
Formed elements
Red blood cells, white blood cells and platelets
Red blood cells also known as
Erythrocytes
Do red blood cells have a nucleus?
No, they lose it once they reach maturity - become anuclear
Losing the nucleus of the red blood cell decreases what?
Lifespan of the cell - 120 days until broken down by the spleen
Where are red blood cells produced?
Red bone marrow of adults (ribs and sternum)
How many red blood cells per mm3 of blood?
4.3-5.8 million
Where are large quantities of hemoglobin located?
Red blood cells
Hemoglobin composition
Heme and 4 protein chains (globin chains)
Heme component is responsible for what?
Pigmented; characteristic red color of blood
What does a heme contain?
Iron
How do oxygen molecules bind to the hemoglobin?
Iron inside of the heme bind to oxygen and transport the gas throughout the body
What happens to the iron and heme when red blood cells are broken down?
Iron - recycled for reuse
Heme - converted into bilirubin
Bilirubin
Component of bile (synthesized in liver, stored in gallbladder, aid digestion)
Iron is always attached to what? Why?
A carrier protein; free iron is toxic
How much of CO2 is transported throughout the blood?
20% - rest use alternative methods
Hematocrit
The percentage of blood volume that is red blood cells
Normal hematrocrit value
40%
Which is larger - red or white blood cells?
White blood cells
Function of white blood cells
Fight off infection
Lifespan of white blood cells
Live for many years
How many white blood cells per mm3 of blood?
5000-10,000 - dramatically increase during periods of infection
Two classes of white blood cells
Granulocytes
Agranulocytes
Types of granulocytes (3)
B.E.N.
Basophils
Eosinophils
Neutrophils
Neutrophils function
As phagocytes - key immune cells
How much do neutrophils account for all WBC
60%
Eosinophils function
Destroy parasites and control inflammation by turning off inflammatory mediators
Eosinophils complexes
Phagocytize antigen-antibody (phagocytosis)
How much do eosinophils account for all WBC
2.4%
What does basophils produce and their functions? (2)
Histamine → give symptoms of allergy → stimulate inflammation
Heparin → decrease blood clotting
How much do basophils account for all WBC?
0-1%
Types of agranulocytes (2)
Lymphocytes
Monocytes
How much do lymphocytes account for all WBC?
20-25%
Lymphocytes function
Responsible for adaptive immunity → very specific immune responses
Types of lymphocytes (2)
T lymphocytes
B lymphocytes

T lymphocytes function
Responsible for the activation of the immune response and the killing of infected host cells
B lymphocytes function
Develop into plasma cells that produce and secrete immunoglobulins (antibodies)
What are monocytes called when matured?
Macrophages
Where are macrophages present?
In tissue → NOT found in the blood
What cells are professional phagocytes?
Monocytes
How much do monocytes account for all WBC?
4-8%
Key players in the formation of blood clots
Platelets
How are platelets produced?
From the fragmentation of megakaryocytes
Lifespan of platelets
5-10 days - has nothing to keep it living like a nucleus
How many platelets per mm3 of blood?
250,000-500,000
Hematopoiesis
The generation of all formed elements present in the blood
Hemocytoblasts
Hematopoietic stem cells located in the red bone marrow
Where is red bone marrow located in adults?
In the axial skeleton, proximal ends of the humerus and femur, and the pectoral and pelvic girdle
Process from hemocytoblasts to RBCs
Hemocytoblasts → reticulocytes → red blood cells
Lymphatic system function
Bodily defense against infection
What is the lymphatic system composed of?
Lymph
Lymphatic organs and tissues
Lymphatic vessels and capillaries
Lymph is formed from what?
Interstitial fluid → similar to the consistency of plasma
How much of interstitial fluid reenters the blood?
90%
How much of interstitial fluid enters into the lymphatic system?
10%
What does it mean that lymphatic capillaries are blind ended?
The vessels end in a closed or one-way configuration
Process of how interstitial fluid enters the lymphatic system? (3)
Enters lymphatic capillaries
Drain into collecting tubules (thin walled and contain valves)
Lymph flows unidirectionally (away from the tissues)
Circulation of lymph is facilitated by (4)
Skeletal muscle movement
Valves in the vessels to prevent backflow
Pressure changes during breathing
Smooth muscle contractions in the walls of the lymphatic vessels
Where are lymph nodes located?
At various spots along the length of the collecting vessels
Lymph function
Filters the lymph that passes by, removing any microorganisms (bacteria, parasites, fungi), viruses or debris that might be present
Lymphatic vessels lead into either (2)
Right lymphatic duct
Thoracic lymphatic duct
Right lymphatic duct (2)
Dumps lymph into the right subclavian vein; Entry point for lymph that is coming anywhere EXCEPT the lower half of body
Thoracic duct (3)
Dumps lymph into the left subclavian vein; Duct begins as the cisterna chyli (abdomen); Entry point for lymph from the lower half of the body
Two classes of lymphatic organs
Primary
Secondary
Primary lymphatic organs and tissues (2)
Red bone marrow
Thymus
What takes place in red bone marrow in adults?
B lymphocyte proliferation and maturation
What originates in bone marrow of developing fetus?
T and B lymphocytes
What takes place in the thymus of adults?
T lymphocyte proliferation and maturation
Secondary lymphatic organs and tissues (3)
Spleen
Tonsils
Lymph nodes
Site of T and B lymphocyte proliferation
Spleen
Spleen function
Filters blood and destroys old RBCs, bacteria and toxins
Types of tonsils (3)
Palatine tonsils
Pharyngeal tonsils
Lingual tonsils
What type of tonsils are commonly removed?
Palatine tonsils
Where are palatine tonsils located?
2 located in the oropharynx
Term for when pharyngeal tonsils are enlarged
Adenoids
Where is the pharyngeal tonsil located?
1 located in the nasopharynx
Where are lingual tonsils located?
2 located at the base of the tongue
Types of lymph nodes and their locations (4)
Axillary - under arms
Cervical - neck
Inguinal - groin area
Pelvic - abdominal area
What happens when lymph nodes activate?
T and B lymphocytes proliferate mitotically within the lymph node