a type of connective tissue, a complex mixture of cells, chemicals, and fluid
Blood
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Three functions of blood
transports substances throughout the body, helps to maintain a stable interstitial fluid environment, and distribute heat
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What are the four main components of blood?
red blood cells, white blood cells, platelets, and plasma
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a mixture of water, amino acids, proteins, carbohydrates, lipids, vitamins, hormones, electrolytes, and cellular wastes
Plasma
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A blood hematocrit (HCT) is normally __% cells (mainly RBCs) and __% plasma.
45% cells, 55% plasma
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What is the blood volume of an average-sized adult?
About 5.3 quarts (5 liters)
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biconcave disks that contain one-third oxygen-carrying hemoglobin by volume
Red blood cells (erthrocytes)
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When oxygen combines with hemoglobin, bright red ______ results.
oxyhemoglobin
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Deoxygenated blood (deoxyhemoglobin) is ____.
darker
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___ ____ ___ discards their nuclei during development and so cannot reproduce or produce proteins
Red blood cells
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Red blood cells produce ATP through _____ alone and can not use the oxygen they carry since they have no mitochondria
glycolysis
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"The number of red blood cells is a measure of the blood's ____ ____ _____"
oxygen-carrying capacity
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In the embryo and fetus, red blood cell production (erythropoiesis) occurs in ____, ____, and ____; after birth, it occurs in the ___ ___ ___.
yolk sac, liver, and spleen; red bone marrow
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What is the average life span of a red blood cell?
120 days
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Red blood cells form from
hematopoietic stem cells (hemocytoblasts)
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The total number of red blood cells remains relatively constant due to a ______ _____ ____
negative feedback mechanism
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The negative feedback mechanism that keeps the total number of red blood cells constant uses the hormone ______
erythropoietin
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Erythropoietin is released from the kidneys and liver in response to the detection of ___ _____ ____
low oxygen levels
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Excessive increase in red blood cells is called _____ which causes viscous, slow moving blood.
polycythemia
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_____ and ___ ___ are needed for DNA synthesis, so they are necessary for the reproduction of all body cells, especially in hematopoietic tissue.
B12 and folic acid
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____ is needed for hemoglobin synthesis; most comes from recycling old red blood cells.
iron
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A deficiency in red blood cells or quantity of hemoglobin results in ____
anemia
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With ___, red blood cells become increasingly fragile and are damaged by passing through narrow capillaries.
age
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______ in the liver and spleen phagocytize damaged red blood cells.
Macrophages
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Hemoglobin from the decomposed red blood cells is converted into ____ and ____
heme and globin
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Heme is decomposed into ___ which is stored or converted into _____ and then _____ which are excreted in bile.
iron, biliverdin, bilirubin
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_____ is broken down into amino acids and reused.
Globin
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___ ____ ___ help defend the body against disease.
White blood cells (leukocytes)
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White blood cells are formed from hemocytoblasts in ____ ____ ___
red bone marrow
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What are the two categories of hormones that stimulate white blood cell production?
interleukins and colony-stimulating factors (CSFs)
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White blood cells can leave the bloodstream to ____ ____
fight infection
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The life span of a white blood cell is about __ ___
12 hours
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The four ways the white blood cell types are distinguished:
size, granular appearance of the cytoplasm, shape of the nucleus, and staining characteristics
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The types of white blood cells are _____ and _____
granulocytes and agranulocytes
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The granulocytes include _____, _____ and ______
neutrophils, eosinophils, and basophils
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The agranulocytes include _____ and _____
monocytes and lymphocytes
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_____ have purple-stained fine cytoplasmic granules and a multi-lobed nucleus; they comprise 54-62% of leukocytes.
Neutrophils
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_____ have coarse granules that stain deep red, a bilobed nucleus, and make up only 1-3% of circulating leukocytes.
Eosinophils
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_____ have fewer granules that stain blue; they account for fewer than 1% of leukocytes.
Basophils
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_____ are the largest blood cells, have variably-shaped nuclei, and make up 3-9% of circulating leukocytes.
Monocytes
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_____ are long-lived, have a large, round nucleus, and account for 25-33% of circulating leukocytes.
lymphocytes
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_____ can squeeze between cells lining walls of blood vessels by diapedesis and attack bacteria and debris.
leukocytes
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_____ and _____ are phagocytic, with monocytes (become macrophages) engulfing the larger particles. Both of these contain many lysosomes that help breakdown organic molecules.
Neutrophils and monocytes
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moderate inflammation and allergic reactions, as well as defend against parasitic infections
Eosinophils
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_____ migrate to damaged tissues and release histamine to promote inflammation and heparin to inhibit blood clotting.
Basophils
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promotes inflammation
Histamine
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Inhibits blood clotting
Heparin
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_____ are the major players in specific immune reactions; B cells produce antibodies.
lymphocytes
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Normally a cubic millimeter of blood contains ____ to ____ white blood cells.
3,500 to 10,500
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_____ occurs after an infection when excess numbers of leukocytes are present.
Leukocytosis
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too few white blood cells, occurs from a variety of conditions, including AIDS.
leukopenia
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A _____________ can help pinpoint the nature of an illness, indicating whether it is caused by bacteria or viruses. It lists the percentages of the types of leukocytes in a blood sample.
differential white blood cell count (DIFF)
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_____ help repair damaged blood vessels by adhering to their broken edges.
Platelets
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Blood ____ or ____ are fragments of megakaryocytes, developed from hematopoietic stem cells in response to thrombopoietin.
platelets or thrombocytes
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Normal platelet counts vary from ______ to _____ platelets per mm3.
150,000 to 350,000
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"The clear, straw-colored fluid portion of the blood. It's mostly water (92%) but contains a variety of substances."
plasma
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____ functions to transport nutrients and gases, regulate fluid and electrolyte balance, and maintain a favorable pH.
Plasma
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The ____ ____ are the most abundant dissolved substances in the plasma.
plasma proteins
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Plasma proteins are not used for energy and fall into three groups:
albumins, globulins, and fibrinogen
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_____ help maintain the colloid osmotic pressure of the blood and account for 60% of the plasma proteins.
albumins
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____ comprising 36% of the plasma proteins, are designated as alpha, beta, and gamma.
globulins
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____ and ___ globulins function in transporting lipids and fat-soluble vitamins.
Alpha and beta globulins
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A type of antibody
gamma globulins
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(4%) plays a primary role in blood coagulation.
Fibrinogen
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The most important blood gases are ____ and ___ ___
oxygen and carbon dioxide.
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The four types of plasma nutrients include
amino acids, monosaccharides, nucleotides, and lipids from the digestive tract.
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Since lipids are not soluble in the water of the plasma, they are surrounded by protein molecules for transport through the bloodstream as _____.
lipoproteins
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_____ ____ ____ generally include amino acids, urea, and uric acid, creatine and creatinine.
Nonprotein nitrogenous substances
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____ and ___ ___ are the by-products of protein and nucleic acid catabolism
urea and uric acid
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____ ___ come from the breakdown of proteins.
Amino acids
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_____ comes from creatine (creatine phosphate in muscles)
Creatinine
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Plasma _____ are absorbed by the intestine or are by-products of cellular metabolism.
electrolytes
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Eight types of plasma electrolytes
sodium, potassium, calcium, magnesium, chloride, bicarbonate, phosphate, and sulfate ions
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Some of these ions are important in maintaining ___ ___ and __ of the plasma.
osmotic pressure and pH
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the stoppage of bleeding
Hemostasis
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Following injury to a vessel, three steps occur in hemostasis:
blood vessel spasm, platelet plug formation, and blood coagulation
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Cutting a blood vessel causes the muscle in its walls to contract in a reflex, or engage in
vasospasm
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Platelets release ____ during the blood vessel spasm constricting smooth muscles in the blood vessel walls.
serotonin
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______ stick to the exposed edges of damaged blood vessels, forming a net with spiny processes protruding from their membranes.
platelets
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A ____ ____ is most effective on a small vessel.
platelet plug
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Blood _____ is the most effective means of hemostasis.
coagulation
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Blood coagulation is very complex and uses many ____ ____ as well as calcium.
clotting factors
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Damaged tissues release a chemical called ______ _____, which activates the first in a series of factors leading to the production of prothrombin activator
tissue thromboplastin
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________ ______ converts prothrombin in the plasma into thrombin. This in turn, catalyzes a reaction that converts fibrinogen into fibrin.
Prothrombin activator
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The major event in blood clot formation is the conversion of soluble ____ into net like insoluble ____ causing the blood cells to catch.
fibrinogen, fibrin
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plasma minus the clotting factors
serum
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The amount of prothrombin activator formed is proportional to the amount of
tissue damage
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Once a blood clot forms, it promotes still more clotting through a ____ ____ ____
positive feedback system
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After a clot forms, ______ is converted to ____ that digests the fibrin.
plasminogen, plasmin
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After fibrin is digested, ______ then enter the area and begin repair by forming fibrous connective tissue to seal the break.
fibroblasts
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A clot that forms abnormally in a vessel is a_____; if it dislodges, it is an _____.
thrombus, embolus
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Clumping of red blood cells following transfusion is called ______.
agglutination
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Agglutination is due to the interaction of proteins on the surfaces of red blood cells (____) with certain _____ carried in the plasma
antigens, antibodies
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Only a few of the antigens on red blood cells produce transfusion reactions; these include the ____ ____ and __ ___
ABO group and Rh group
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___ _ ____has A antigens on red blood cells and anti-B antibodies in the plasma.
Type A blood
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___ __ ___ has B antigens on red blood cells and anti-A antibodies in the plasma.
Type B blood
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___ __ ___ has both A and B antigens, but no antibodies in the plasma; universal recipient
Type AB blood
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____ _ ____ has neither antigen, but both types of antibodies in the plasma; universal donor.
Type O blood
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The __ ____ ____ was named after the rhesus monkey.
Rh blood group
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If the Rh factor surface protein is present on red blood cells, the blood is __ ____; if it is absent, the blood is __ ____.