Blood components and Body fluids
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Questions and Answers

Which of the following best describes the relationship between plasma and interstitial fluid (IF)?

  • Plasma has a lower protein concentration than IF because proteins are too large to cross capillary walls effectively.
  • Plasma and IF have vastly different solute compositions due to the selective transport mechanisms of the capillary endothelium.
  • Plasma and IF are completely isolated from each other, with no exchange of solutes or water.
  • Plasma and IF are chemically similar due to continuous exchange across capillary walls, with plasma containing more proteins. (correct)

Which of the following is NOT considered a component of transcellular fluid?

  • Mucus in the respiratory tract
  • Synovial fluid in joints
  • Fluid within blood vessels (correct)
  • Cerebrospinal fluid (CSF)

Individual cells maintain a stable intracellular fluid (ICF) environment despite being surrounded by interstitial fluid (IF). How do cells primarily achieve this?

  • By isolating the cell from the IF with an impermeable membrane.
  • By freely exchanging all solutes with the IF to maintain equilibrium.
  • By relying on the kidneys to regulate the composition of both ICF and IF.
  • By selectively controlling the movement of materials across the cell membrane. (correct)

If a patient has a condition causing a significant loss of plasma proteins, which of the following would most likely occur as a direct consequence?

<p>Decreased osmotic pressure in the plasma, leading to fluid accumulation in the interstitial space. (C)</p> Signup and view all the answers

Which of the following accurately describes the distribution of sodium (Na+) and potassium (K+) ions in the intracellular fluid (ICF) and extracellular fluid (ECF)?

<p>High Na+ in ECF, high K+ in ICF (D)</p> Signup and view all the answers

What is the primary role of erythrocytes in blood?

<p>Facilitating the transport of oxygen and carbon dioxide. (D)</p> Signup and view all the answers

Which component of blood is primarily responsible for initiating the process of hemostasis?

<p>Platelets (B)</p> Signup and view all the answers

What determines the different layers observed when blood is separated via density?

<p>The varying densities of blood components like plasma, white blood cells, and red blood cells. (B)</p> Signup and view all the answers

How do plasma proteins contribute to the overall function of blood?

<p>By stabilizing osmotic balance within the bloodstream. (B)</p> Signup and view all the answers

If a patient has a severe infection, which component of the blood would you expect to see elevated in a typical blood test?

<p>Leukocytes (A)</p> Signup and view all the answers

Which of the following components of blood primarily contributes to maintaining osmotic balance?

<p>Plasma proteins (A)</p> Signup and view all the answers

A hematocrit test measures the percentage of which blood component?

<p>Erythrocytes (C)</p> Signup and view all the answers

Why does adipose tissue have the lowest water content compared to other tissues?

<p>Adipose tissue is primarily composed of fat cells, which contain less water. (B)</p> Signup and view all the answers

What is the primary function of blood as a 'built-in delivery service'?

<p>To transport solutes, water, and heat throughout the body (C)</p> Signup and view all the answers

Which of the following factors contributes to the difference in body water content between adult males and adult females?

<p>Males generally have higher muscle mass. (D)</p> Signup and view all the answers

In the context of body fluids, what does 'interstitium' refer to?

<p>The gaps between cells containing interstitial fluid (D)</p> Signup and view all the answers

Why is plasma described as more complex compared to other body fluids like cerebrospinal fluid (CSF) or mucus?

<p>Plasma performs multiple functions simultaneously, involving various proteins and components. (C)</p> Signup and view all the answers

Why do infants have a higher percentage of body water compared to adults?

<p>Infants have less calcified skeletons and lower body fat %. (A)</p> Signup and view all the answers

What is the primary role of transferrin in erythrocyte production?

<p>Transporting raw materials for hemoglobin synthesis from the gut to the red marrow. (A)</p> Signup and view all the answers

Why do erythrocytes have a limited lifespan and need constant replacement?

<p>They lack a nucleus and cannot repair themselves. (B)</p> Signup and view all the answers

Which of the following is NOT a typical fate of the components of aged or damaged erythrocytes?

<p>The entire heme group is directly excreted in urine. (B)</p> Signup and view all the answers

What is the role of erythropoietin (EPO) in the production of red blood cells?

<p>It stimulates hemopoietic stem cells in the bone marrow to produce new erythrocytes. (A)</p> Signup and view all the answers

How does polycythemia affect blood flow and cardiovascular function?

<p>It thickens the blood, increasing blood pressure and straining the heart and blood vessels. (D)</p> Signup and view all the answers

In sickle-cell anemia, under what conditions do hemoglobins adhere to one another?

<p>When they have no attached oxygen. (D)</p> Signup and view all the answers

Which of the following mechanisms is NOT a cause of anemia?

<p>Increased production of erythrocytes to compensate for blood loss. (C)</p> Signup and view all the answers

Given that bilirubin is a breakdown product of heme, what organ(s) would likely be involved in processing and/or excreting bilirubin from the body?

<p>Liver and intestines (B)</p> Signup and view all the answers

What is the primary function of erythrocytes in the human body?

<p>Transporting oxygen and carbon dioxide between the lungs and tissues. (B)</p> Signup and view all the answers

How does the iron (Fe) component within heme groups contribute to the function of hemoglobin?

<p>It loosely binds to oxygen molecules, facilitating their reversible transport. (B)</p> Signup and view all the answers

Where does erythropoiesis, the production of erythrocytes, primarily occur?

<p>In the red bone marrow. (C)</p> Signup and view all the answers

Which event during erythropoiesis directly enables the erythrocyte to efficiently transport gases?

<p>The ejection of the nucleus from the cell. (B)</p> Signup and view all the answers

How does a deficiency in properly functioning erythrocytes typically manifest and affect the body?

<p>It limits the rate of oxygen delivery, impacting energy-using tissues. (C)</p> Signup and view all the answers

What is the role of hemocytoblasts in relation to erythrocytes and other formed elements?

<p>They serve as the parent stem cell for all formed elements, including erythrocytes. (B)</p> Signup and view all the answers

If a patient's blood is maroon colored, what can be inferred about the erythrocytes in their circulatory system?

<p>The erythrocytes have released oxygen into interstitial fluid. (C)</p> Signup and view all the answers

Which of the following is the primary function of erythrocytes that directly relates to their unique biconcave disc shape?

<p>Increasing the cell's surface area to facilitate gas exchange. (B)</p> Signup and view all the answers

Considering the structure of hemoglobin, how many oxygen molecules can one complete hemoglobin molecule (containing four heme groups) carry?

<p>Four (D)</p> Signup and view all the answers

What is the most likely consequence of significantly reduced albumin levels in the blood plasma?

<p>Edema in the ventral body cavity due to osmotic imbalance. (D)</p> Signup and view all the answers

How do alpha globulins contribute to blood clotting?

<p>By triggering the coagulation cascade. (B)</p> Signup and view all the answers

A patient is experiencing impaired transport of lipids and some pH imbalance. A deficiency in which plasma protein is most likely contributing to these conditions?

<p>Globulins (A)</p> Signup and view all the answers

What is the role of hemopoietic stem cells in the context of the formed elements of blood?

<p>They are the precursors from which nearly all formed elements are derived. (C)</p> Signup and view all the answers

How do the transport of O2 & CO2, fuel & building materials and communication by hormones relate to blood function?

<p>These combined functions, transport, fuel and communication by hormones, are all done via plasma. (A)</p> Signup and view all the answers

A patient presents with symptoms including frequent infections, impaired blood clotting, and difficulty transporting iron. Which broad category of plasma proteins is most likely deficient?

<p>Globulins (A)</p> Signup and view all the answers

Why is it important that erythrocytes can stack?

<p>Stacking helps erythrocytes pass through capillaries. (B)</p> Signup and view all the answers

Flashcards

Blood

Actively propelled, free-flowing body fluid that transports solutes, water, and heat.

Plasma

Fluid component of blood containing plasma proteins, erythrocytes, leukocytes, and platelets.

Plasma Proteins

Stabilize osmotic balance within blood.

Erythrocytes

Facilitate transport of oxygen and carbon dioxide.

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Leukocytes

Fight infections in the body.

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Platelets

Perform hemostasis (blood clotting).

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Intracellular Fluid

Fluid inside cells.

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Extracellular Fluid

Fluid outside of cells; includes interstitial fluid.

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Total Body Water (TBW)

Total body water is approximately 40 liters in an average adult.

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Main Fluid Compartments

The two main fluid compartments are intracellular (inside cells) and extracellular (outside cells).

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Plasma vs. Interstitial Fluid

Plasma (3L) is the liquid part of blood found in the heart and blood vessels, while interstitial fluid (12L) surrounds cells.

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Transcellular Fluid (TF)

Lymph, CSF, and synovial fluid are examples of transcellular fluid, which are specialized fluids in specific body compartments.

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Fluid Composition

Plasma and interstitial fluid are chemically similar but plasma has higher protein content. Intracellular fluid is chemically very different.

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Sickle Cells

Red blood cells that become stiff and sickle-shaped due to long chains forming and pressing on the plasma membrane.

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Blood's Function

The transport medium for solutes, water and heat in the body.

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"Buffy Coat"

White blood cells and platelets.

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Hemostasis

The process by which platelets and fibrinogen stop bleeding.

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Red Blood Cells

Facilitate transport of oxygen and carbon dioxide through the blood.

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Water (in blood)

Dissolves materials, transports, and distributes thermal energy.

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Plasma electrolytes

Maintain osmotic pressure in the blood.

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Globulins

Transport lipids and calcium; act as a buffer for blood pH.

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Immunoglobulins

Antibodies that fight infection.

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Fibrinogen

Coagulants for blood clotting.

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Kwashiorkor

Lack of dietary protein leads to reduced plasma protein and fluid accumulation in the ventral body cavity.

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Formed elements

Formed elements of blood including whole or incomplete cells generated in bone marrow from hemopoietic stem cells.

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Erythrocyte Adaptations

Small size, biconcave disc shape, flexibility, and lack of a nucleus allow easy passage through capillaries and stacking.

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Erythrocytes (RBCs)

Red blood cells; transport O2 and CO2.

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Hemoglobin

Protein in RBCs that carries gases (O2 and CO2).

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Heme group's role

Each hemoglobin contains 4 heme groups that hold one O2 each.

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Iron (Fe) and Oxygen

Iron (Fe) loosely binds to oxygen for transport.

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Where Erythrocytes are produced

Red bone marrow.

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Hemocytoblast

Parent stem cell for all formed elements of blood.

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Erythropoietin (EPO)

Hormone that stimulates RBC production.

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Anemia

Condition of having too few properly-working erythrocytes.

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Polycythemia

Excessive production of red blood cells, leading to thickened blood.

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Transferrin

Plasma protein that transports raw materials (such as iron) for hemoglobin from the gut to the red marrow.

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Spleen, Liver, and Red Marrow

Breakdown and recycling of old erythrocytes occurs in these organs.

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Lipids, etc.

Macrophages break down erythrocyte membranes into these components.

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Amino Acids

Polypeptide chains from hemoglobin are broken down into these.

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Bilirubin

Heme is degraded into this, then excreted in feces.

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Sickle-Cell Anemia

Hemoglobins with no O2 adhere to one another, causing cells to be misshapen.

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Study Notes

  • Sign in to class and collect a corrected schedule and term list
  • Syllabi and review sheets are available in class
  • To fill in on index cards (if not already done):
  • Name
  • Contact information like phone, LCCC email, preferred email
  • Program goals/career pathway
  • Grade in A&P I
  • Past chemistry courses
  • Any course-related concerns like workload, tech issues, etc

Body Fluids

  • Body fluids include plasma and erythrocytes
  • Every living cell needs resources like oxygen, fuel, and a way to dispose of byproducts through cellular respiration
  • Some organs have direct access to resources, but most do not
  • The body ensures that cells obtain necessary resources to meet their energy needs, regardless of their location

Blood

  • Classified as a built-in delivery service, actively propelled and free-flowing
  • Serves as a transport medium for solutes, water, and heat
  • Contains multiple components suspended in watery plasma
  • Plasma proteins stabilize osmotic balance
  • Erythrocytes and carrier proteins facilitate transport
  • Leukocytes and antibodies fight infections
  • Platelets and fibrinogen perform hemostasis
  • Blood types are determined by cells' surface composition

Hematocrit Test

  • Demonstrates the multiple components of blood
  • About 12% of body fluid, also the most active kind
  • Plasma is more complex than other body fluids (CSF, endolymph, mucus, etc.) because it performs dozens of functions

Body Water Content

  • Infants have 73% or more water due to low body fat and less calcified skeleton
  • Adult males have ~60% water due to higher muscle mass, which carries more water
  • Adult females have ~50% water due to higher body fat %, which carries less water
  • Water content declines to ~45% in old age
  • Adipose is the driest tissue, while compact bone is the second
  • Muscle, blood, and loose fibrous types are water-rich
  • Total body water is ~40L for an average adult

Fluid Compartments

  • Two main fluid compartments within the human body:
  • Intracellular Fluid (ICF): liquids inside cells, 40% of body weight, 25 L
  • Extracellular Fluid (ECF): liquids outside cells, 20% of body weight, 15 L
  • Plasma: 3L in heart & blood vessels
  • Interstitial Fluid (IF): 12 L in spaces between cells
  • Some IF is also known as Transcellular Fluid (TF): lymph CSF, humors of the eye & ear, synovial fluid, serous fluid, mucus, gastrointestinal secretions

Interstitial Fluid

  • Defined as being in the gaps between tissues
  • Also known as tissue fluid
  • Interstitium is all the gaps it's in

Blood Plasma

  • Carries resources to the interstitial fluid from their source organs and waste products from IF to organs of elimination
  • Individual cells absorb what they need from the Interstitial Fluid (IF) and release their wastes into it
  • Intracellular fluid maintains a chemically stable environment while obtaining resources

Composition Similarities

  • Plasma and interstitial fluid are chemically similar due to constant exchange and free mixing.
  • Plasma and interstitial fluid are high in Na+, Cl-, HCO3- and low in K+, Mg2+, HPO42-
  • Plasma has more proteins
  • Intracellular fluid exchanges materials under the cell's control, allowing it to maintain a distinct mix of high and low solutes

Concentration of Solutes

  • High Na+ outside cells, high K+ inside cells
  • Plasma contains:
  • 90% water, dissolving and suspending medium for solutes, absorbs heat, transports and distributes thermal energy and solvent for dissolved materials
  • Electrolytes: Maintain osmotic pressure
  • Plasma Proteins: Contribute to viscosity of blood, most facilitate lipid transport
  • Albumin: Contributes to osmotic pressure and maintain water balance in blood and tissues
  • Globulins: Produced mostly by the liver and transport proteins that bind to lipids, metal ions, and fat-soluble vitamins
  • Alpha is for copper & hemoglobin transport, triggering coagulation
  • Beta is for iron transport and defense
  • Gamma globulin antibodies that fight infection
  • Fibrinogen that is produced by liver forms fibrin threads of blood clots

Plasma Additional Substances:

  • Nonprotein nitrogenous substances are by-products of cellular metabolism and include urea, uric acid, creatinine, and ammonium salts
  • Nutrients (organic) Materials come from the digestive tract Include glucose and other simple carbohydrates, amino acids (protein digestion products), fatty acids, glycerol and triglycerides (fat digestion products), cholesterol, and vitamins, Fuel and building materials necessary for cells.
  • Respiratory gases Oxygen and carbon dioxide oxygen mostly bound to hemoglobin inside RBCs carbon dioxide transported, are dissolved as bicarbonate ion or CO2, or bound to hemoglobin in RBCs O2 & CO2 (cellular respiration!)
  • Hormones Steroid and thyroid hormones carried by plasma proteins, others flow free communication by the endocrine system

Consequences of Low Dietary Protein

  • Lack of dietary protein shuts down plasma protein production causing Albumin and globulin levels to fall
  • Osmotic imbalance causes water to leave plasma and seep into the ventral body cavity, i.e. Kwashiorkor

Formed Elements

  • Include whole or incomplete cells
  • Almost entirely generated in bone marrow
  • Derived from hemopoietic stem cells
  • Erythrocytes ~45% of whole blood
  • Leukocytes & platelets = "buffy coat" ~1% of the volume of whole blood
  • Plasma ~55% of blood

Erythrocytes

  • Most plentiful of the formed elements, also known as "red blood cells."
  • Biconcave disc-shaped and lacks a nucleus
  • Flexible and stackable
  • Very small by cell standards
  • About 1/4 of the cells are erythrocytes, That's 20-30 trillion.
  • Small size, round shape, and ability to stack let erythrocytes pass easily through capillaries which allows them to reach practically every cell that needs O2 delivered or has CO2 to get rid of.
  • "Red blood cell" is a nickname and convenience for abbreviation (RBC), not the official term for these cells; always call them erythrocytes

Hemoglobin

  • Gas-carrying protein molecule
  • Made of 2 pairs of polypeptide chains that can hold 2 CO2 total
  • Has 4 heme groups that can hold one O2 each totaling 4
  • Has 250 million hemoglobins per RBC = ~6.25 billion trillion in whole body
  • Iron loosely connects to oxygen molecules long enough for transport
  • Iron within the heme groups loosely binds to O2 and turns oxygen-rich blood crimson.
  • Blood turns maroon when O2 leaves the iron and moves into the interstitial fluid

Erythropoiesis

  • Production of erythrocytes occurs in red bone marrow
  • Generates ribosomes and hemoglobin to make erythrocytes,

Erythropoiesis Steps

  • Hemocytoblast, aka hemopoietic stem cells,
  • Colony-forming unit(CFU)
  • Erythrocyte CFU
  • Erythroblast
  • Reticulocyte ejects the nucleus
  • Mature Erythrocyte with a life span of ~4 months and migrates from red marrow to blood

Erythropoietin

  • RBC production must keep up with how frequently the erythrocytes wear out and/or are lost to injury, menstruation, etc.
  • Too few erythrocytes are called anemia and limit the blood's delivery of O2 affecting energy-using tissues' metabolism
  • Too many erythrocytes are called polycythemia and mean thickness of the blood and raising the BP and straining the heart and blood vessels.

Erythrocyte Life Story

Nutrients like Amino acids, Iron, Folic acid, and Vitamin B12 are absorbed

  • Hemoglobin raw materials conveyed by plasma proteins (= transferrin) from the gut to red marrow
  • Hemopoietic stem cells are stimulated by EPO to produce new erythrocytes
  • Erythrocytes circulate for about 120 days, continuously circulating and wearing away at RBCs, which cannot self-repair without a nucleus
  • Worn-out erythrocytes are "recycled" in the spleen, liver, or red marrow
  • Cell fragments are then phagocytized
  • Pieces of erythrocyte (plasma membrane) of are consumed by macrophages and broken down for lipids, etc.
  • Hemoglobin gets degraded
  • Pieces of Heme groups' iron are recycled, while the rest is degraded into bilirubin and excreted in bilirubin and excreted in feces.
  • Finally, hemoglobins' polypeptide chains get catabolized used for amino acids

Causes of Anemia

Some possible causes of deficient RBC's and anemia:

  • Genetically slow rate of production e.g. erythropoietin deficiency
  • Accelerated rate of destruction e.g. hemolytic anemia
  • -Faulty produced e.g. thalassemia
  • Genetically-faulty hemoglobin produced (e.g. sickle-cell anemia)
  • Dietary iron deficiency
  • Temporary iron deficiency due to bleeding injury or menstruation
  • Impaired hemoglobin function e.g. carbon monoxide poisoning

Sickle Cell Anemia

  • Hemoglobins with no attached O2 adhere to one another
  • The long chains press on the plasma membrane until the cell folds over into a "sickle".

Blood Recap

  • Our body's only propelled, free-flowing body fluid
  • The transport medium for solutes, water, and heat
  • Plasma proteins stabilize osmotic balance
  • Erythrocytes and carrier proteins facilitate transport
  • Leukocytes and antibodies fight infections
  • Platelets and fibrinogen perform hemostasis
  • Blood typing

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Description

This quiz covers the composition of blood, including plasma, interstitial fluid, and cellular components. Explore the critical roles of erythrocytes, plasma proteins, and platelets. Understand fluid distribution and electrolyte balance within the body.

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