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fluid part of the blood straw-colored liquid consisting of H20 & dissolved solutes |
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type of plasma protein 60-80% of plasma proteins in blood Creates colloid osmotic pressure that draws H20 from interstitial fluid into capillaries to maintain blood volume & pressure |
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plasma protein carries lipids |
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plasma protein clotting factor in blood |
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made from fibrinogen Platelet plug becomes infiltrated by meshwork of fibrin |
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| fluid left when blood clots |
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RBC Lack nuclei & mitochondria Each RBC contains ~280 million hemoglobin molecules |
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precursor to RBC still contain nucleus |
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WBC Have nucleus, mitochondria, & amoeboid ability Can squeeze through capillary walls (diapedesis also known as extravasation) |
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| Diapedesis/ Extravasation |
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| ability to squeeze through capillary walls |
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help detoxify foreign substances & release heparin • Include eosinophils, basophils, & neutrophils |
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with NO (nitric oxide) Keep clots from forming & are vasodilators |
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with prostacyclin (PGI2--a prostaglandin) – Keep clots from forming & are vasodilators |
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| increases platelet bond by binding to both collagen & platelets |
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released into blood stream during platelet release reaction stimulate vasoconstriction, reducing blood flow to wound ADP & thromboxane A2 cause other platelets to become sticky & attach & undergo platelet release reaction |
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| digests fibrin, dissolving clot |
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prevents clotting ex. sodium citrate and EDTA |
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| seperation of blood into its components |
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are either destructive and/or phagocytic or produce antibodies • Include lymphocytes & monocytes |
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Are derived from stem cells in bone marrow – Which replace selves by cell division so are not depleted –can mature primarily in either the bone marrow or the thymus, with self-replacing colonies • After maturation they can migrate to the spleen or lymph nodes to continue to replicate |
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Are smallest of formed elements, lack nucleus • Are fragments of megakaryocytes; amoeboid • Constitute most of mass of blood clots • Release serotonin to vasoconstrict & reduce blood flow to clot area • Survive 5-9 days |
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platelets and white blood cells <1% of blood |
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formation of blood cells from stem cells in marrow (myeloid tissue) & lymphoid tissue |
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formation of RBCs stimulated by erythropoietin (EPO) from kidney |
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hormone from kidney stimulates red blood cell formation |
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formation of WBCs stimulated by variety of cytokines |
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| hormones that stimulate white blood cell formation |
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| cells enulf and eat unwanted cells |
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Develop from lymphocytes that seed thymus • Do not secrete antibodies • Attack infected host cells, cancer cells, & foreign cells – Thus they provide cell-mediated immunity |
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Mature in the bone marrow • Fight bacterial infections by secreting antibodies into blood & lymph – Thus provide humoral immunity |
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| cells tag unwanted cells for destruction |
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Is located below the thyroid gland • Grows during childhood, gradually regresses after puberty • Contains T cells that supply other tissues – T cells can be depleted, e.g. by AIDs or chemotherapy – These can only be replenished up to late childhood • After that, repopulation is accomplished by production in secondary lymphoid organs |
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| Platelet release reaction |
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Platelets stick to collagen & release ADP, serotonin, & thromboxane A2 |
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Plug & surroundings are infiltrated by web of fibrin, forming clot |
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| Platelet plug undergoes plug contraction to form more compact plug |
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clots damaged vessels & blood left in test tube • Initiated by exposure of blood to negatively charged surface of glass or blood vessel collagen – This activates factor XII (a protease) which initiates a series of clotting factors. Most clotting factors need Ca2+ to be activated. – Ca2+ & phospholipids convert prothrombin to thrombin |
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Factor XII (Hageman factor) |
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(a protease) which initiates a series of clotting factors causes activation of kallikrein |
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Ca+2 chelator prevents clotting |
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Ca+2 chelator prevents clotting |
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| which activates antithrombin III |
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| makes red blood cells when stimulated by erythropoietin from kidneys |
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| iron found in hemoglobin which holds one oxygen molecule |
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| necessary to create new cells and maintain cells |
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| important in blood formation |
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clumping together of RBC by anti-agents in blood only happens when two different blood types are mixed |
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Type O is “universal donor” because lacks A & B antigens Recipient’s antibodies won’t agglutinate donor’s Type O RBCs |
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Type AB is “universal recipient” because doesn’t make anti-A or anti-B antibodies – Won’t agglutinate donor’s RBCs |
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another antigen found on RBC Rh+ has Rho(D) antigens; Rh- does not |
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At birth, mother may be exposed to Rh+ blood of fetus – In later pregnancies mom may produce Rh antibodies • In Erythroblastosis fetalis, this happens & antibodies cross placenta causing hemolysis of fetal RBCs |
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transport cholesterol and lipids from intestine (dietary) to liver and tissues via blood ex. LDL, HDL |
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LDL (low density lipoprotein) |
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| transport cholesterol and lipids from liver to tissues. Too much is bad, because if you build up cholesterol and lipids in tissues, i.e. in arteries, this leads to “plaque” build-up and arteriosclerosis |
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HDL (high density lipoprotein) |
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transport excess cholesterol from tissues and delivers it to liver HDL = Healthy, excess cholesterol from tissues is “properly” disposed of or stored in the liver for future use |
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any substance (as a toxin or enzyme or protein) that stimulates the production of antibodies antigens present on RBC surface specify blood type |
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| converts fibrinogen to fibrin which polymerizes to form a mesh |
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Damage outside blood vessels releases tissue thromboplastin that triggers a clotting shortcut |
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| triggers a clotting shortcut |
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| converts plasminogen to plasmin |
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| block clotting by indirectly reducing the effects of Ca+2, which results in slower clotting times |
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tissue plasminogen activator TPA can be given to patients to activate plasmin |
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part of sympathetic nervous system goes from the spinal cord to the sympathetic chain ganglion |
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part of sympathetic nervous system go from sympathetic chain ganglion to major organs |
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| Sympathetic nervous system |
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mediates "fight, flight, & stress" reactions |
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| form the sympathetic chain ganglion |
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located in adrenal gland on top of kidney, appears to be a modified collateral ganglion – That release 85% epinephrine (Epi) & 15% norepinephrine (Norepi) into blood in response to preganglionic stimulation |
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released from adrenal medulla released into blood into response to preganglionic stimulation released during mass activation |
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Parasympathetic nervous system |
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mediates "rest & digest" reactions |
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located next to or inside the target organ synapse on postganglionic neuron |
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| Vagus nerve/cranial nerve X |
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Innervates heart, lungs, esophagus, stomach, pancreas, liver, small intestine, & upper half of the large intestine |
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Drugs that promote actions of the normal ligand |
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Drugs that inhibit actions of the normal ligand |
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| agonist for nicotinic receptors |
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| antagonist for nicitonic receptors |
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| agonist for muscarinic receptors |
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| antagonist for muscurinic receptors |
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types of receptors contraction/relaxation/contraction/relaxation |
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| nonselective agonist for alpha receptors |
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| non-selective antagonist for alpha receptors |
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non-selective agonist for beta receptors treats heart failure |
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beta 2 agonist used for asthma |
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| non-selective antagonist for beta receptors |
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antagonist for specific beta 1 receptors used to treat angina pectoralis |
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| sypmathetic synaptic endings near organs |
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| one organ is innervated by both the sympathetic and parasympathetic nervous system |
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| recieve blood from venous system |
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| layer of muscle that seperates sides of the heart |
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| first artery out of the left ventricle |
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| from right ventricle to lungs |
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| from lungs to left atrium |
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| AV (atrioventricular) valves |
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| allows blood to go from atrium to ventricle only one way |
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| blocks blood from flowing back into the ventricles |
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| =stroke volume X heart rate |
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depolarize at 100 bpm start the heart beat of the heart |
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| AV (atrioventricular) node |
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depolarizes at 60 bpm node for the ventricles delay the signal for .1 sec |
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HCN - hyperpolarization activated cyclic-nucleotide gated |
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Na+ voltage gated channels open when hyperpolarized causes spontaneous depolarization |
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| caused by a ca influx negating the k output |
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blood pumped per beat by ventricles avg. 65-70 mL |
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| EDV - end diastolic volume |
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volume of blood in ventricles at end of diastole determined by: end diastolic volume total peripheral resistance contractility |
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Frank-Starling Law of the Heart |
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| strength of ventricular contraction varies directly with EDV |
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| blood is moved toward heart by contraction of surrounding skeletal muscle |
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return of blood to heart via veins dependent on: blood volume and venous pressure vasocontraction skeletal muscle pump pressure drop during inhalation |
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| Isovolumetric contraction |
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Are abnormal sounds produced by abnormal patterns of blood flow in heart • Many caused by defective heart valves – Can be of congenital origin (congenital means present at birth, but not necessarily hereditary) • Heart valve defects are not always life threatening - we can tolerate some backward flow of blood |
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| causes thickened and calcified mitral valve |
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| thickening of mitral valve |
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TPR-total peripheral resistance |
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main sources: vessel diameter blood viscosity total vessel length |
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describes factors affecting blood flow Q=change in pressure(r4)(x)/nL(8) |
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| MAP-mean arterial pressure |
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| direct the blood to certain areas of capillaries |
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endothelial cells are tightly held together only permit exchange of small molecules found in: muscle, lungs, adipose |
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have wide pores in endothelial cells found in: kidneys, endocrine cells |
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have large gaps in endothelium found in: liver, spleen, bone marrow |
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| plaque build up at site of endothelial injury |
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| MI (myocardial infarction) |
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Creatine phosphokinase (CPK) |
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Lactate dehydrogenase (LDH) |
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| Carotid sinus baroreceptor |
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ANP-atrial natriuretic peptide |
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Primary/Essential hypertension |
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Colloid osmotic pressure – AKA Oncotic pressure |
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| Electrical defibrillation |
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1st degree (primary) AV block |
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2nd degree (secondary) AV block |
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3rd degree (complete) AV block |
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