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What are the three components of the cardiovascular system?
Heart pump, blood vessels conducting system, blood as fluid medium
What is blood classified as?
Specialized fluid connective tissue
What are the main transport functions of blood?
Gases nutrients hormones wastes immune components
What gases does blood transport?
Oxygen and carbon dioxide
How does blood regulate pH?
Absorbs and neutralizes acids
How does blood regulate ions?
Adds or subtracts ions via diffusion with interstitial fluid
How does blood prevent fluid loss?
Clotting
How does blood defend the body?
WBCs fight infection and remove debris
How does blood regulate body temperature?
Heat loss via skin and heat retention via shunting
What are the two components of whole blood?
Plasma and formed elements
What is plasma?
Fluid matrix of blood
What are formed elements?
Cells and cell fragments in blood
What are the three formed elements?
RBCs WBCs platelets
What is hemopoiesis?
Production of formed elements
What are the two stem cell lines?
Myeloid and lymphoid
What is fractionation?
Separation of whole blood by centrifuge
What is normal blood temperature?
38°C
What is normal blood pH?
7.35–7.45
What percent of blood is plasma?
50–60%
What percent of plasma is water?
More than 90%
What are the three classes of plasma proteins?
Albumins globulins fibrinogen
What do albumins transport?
Fatty acids thyroid hormones steroid hormones
What is the function of fibrinogen?
Forms fibrin for clotting
What are globulins?
Antibodies and transport proteins
What is serum?
Plasma without clotting proteins
Where are plasma proteins produced?
Liver plasma cells endocrine organs
What percent of formed elements are RBCs?
99.9%
What is hematocrit?
Percentage of RBCs in whole blood
Normal male RBC count?
4.5–6.3 million
Normal female RBC count?
4–5.5 million
Normal male hematocrit?
40–54%
Normal female hematocrit?
37–47%
Why do males have higher RBC counts?
Androgens stimulate RBC production
What is RBC shape?
Biconcave disc
Why is RBC shape important?
High surface area flexibility smooth flow
RBC lifespan?
120 days
What organelles do RBCs lack?
Nucleus mitochondria ribosomes
What is hemoglobin?
Protein that transports O2 and CO2
Normal male hemoglobin level?
14–18 g/dL
Normal female hemoglobin level?
12–16 g/dL
What is hemoglobin structure?
4 globin subunits with heme and iron
What is oxyhemoglobin?
Hemoglobin bound to oxygen
What is deoxyhemoglobin?
Hemoglobin without oxygen
What is fetal hemoglobin?
Stronger hemoglobin in fetus that takes oxygen from mother
What is carbaminohemoglobin?
Hemoglobin bound to carbon dioxide
What is anemia?
Low hematocrit or hemoglobin
Where are old RBCs destroyed?
Liver spleen bone marrow macrophages
What is hemoglobinuria?
Hemoglobin in urine
What is hematuria?
Whole RBCs in urine
What is transferrin?
Iron transport protein
What is ferritin?
Iron storage protein
What is bilirubin?
Breakdown product of biliverdin
What causes jaundice?
Bilirubin buildup
What is erythropoiesis?
RBC production in red bone marrow
What hormone stimulates RBC production?
Erythropoietin
Where is EPO produced?
Kidneys
What vitamins are needed for RBC production?
B12 B6 folic acid iron amino acids
What is pernicious anemia?
B12 deficiency anemia
What are antigens?
Cell surface proteins for immune recognition
What determines blood type?
Presence of A B Rh antigens
What are agglutinogens?
Antigens on RBCs
Type A plasma antibodies?
Anti-B
Type B plasma antibodies?
Anti-A
Type AB plasma antibodies?
None
Type O plasma antibodies?
Anti-A and Anti-B
Universal donor?
Type O
Universal recipient?
Type AB
What is the Rh factor?
D antigen
What causes hemolytic disease of the newborn?
Rh incompatibility
What prevents Rh disease?
RhoGam
What is a transfusion reaction?
Agglutination and hemolysis from incompatible blood
What are leukocytes?
White blood cells
Normal WBC count?
6000–9000 per microliter
What is margination?
WBCs sticking to vessel walls
What is diapedesis?
WBCs squeezing through vessel walls
What is chemotaxis?
Chemical attraction of WBCs
What are the five WBC types?
Neutrophils eosinophils basophils monocytes lymphocytes
Neutrophil function?
First responders phagocytosis bacteria
Eosinophil function?
Parasite defense allergy control
Basophil function?
Release histamine and heparin
Monocyte function?
Become macrophages phagocytosis
Lymphocyte function?
Specific immunity
Three types of lymphocytes?
T cells B cells NK cells
T cell function?
Cell mediated immunity
B cell function?
Antibody production
NK cell function?
Destroy abnormal cells
What is leukopenia?
Low WBC count
What is leukocytosis?
High WBC count
What is leukemia?
Cancer with extremely high WBCs
What are platelets?
Cell fragments for clotting
Normal platelet count?
150000–500000 per microliter
Platelet lifespan?
9–12 days
What is thrombocytopenia?
Low platelets
What is thrombocytosis?
High platelets
What is hemostasis?
Cessation of bleeding
Three phases of hemostasis?
Vascular platelet coagulation
What happens in vascular phase?
Vasospasm
What happens in platelet phase?
Platelet plug formation
What happens in coagulation phase?
Fibrin clot formation
What converts fibrinogen to fibrin?
Thrombin