Blood Components and Function
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Questions and Answers

How would a significant decrease in albumin levels most directly affect blood physiology?

  • Reduced blood osmotic pressure, potentially causing edema. (correct)
  • Increased blood viscosity, leading to slower blood flow.
  • Increased production of red blood cells by the bone marrow.
  • Enhanced oxygen-carrying capacity of hemoglobin.

If a patient is diagnosed with renal anemia, which of the following treatments would directly address the underlying cause?

  • Administering iron supplements to increase hemoglobin production.
  • Providing erythropoietin (EPO) to stimulate red blood cell production. (correct)
  • Prescribing antibiotics to combat potential infections.
  • Performing a bone marrow transplant to replace damaged cells.

Which of the following is a critical function of hemoglobin within red blood cells?

  • Facilitating the transport of a portion of carbon dioxide and oxygen. (correct)
  • Producing antibodies to fight off infections.
  • Regulating blood pH through acid-base balance.
  • Transporting the majority of carbon dioxide as bicarbonate.

In cases of severe aplastic anemia, where the red bone marrow is significantly compromised, what is the most likely consequence?

<p>A decreased number of all blood cell types, resulting in potential complications like increased risk of infection and bleeding. (B)</p> Signup and view all the answers

What is the fundamental role of major histocompatibility complex (MHC) antigens present on leukocytes?

<p>To serve as unique cell identification markers for each individual. (D)</p> Signup and view all the answers

Which scenario would most likely result in pulmonary edema?

<p>Right ventricular output exceeds left ventricular output. (C)</p> Signup and view all the answers

A patient is prescribed Warfarin. What dietary advice should the healthcare provider give regarding Vitamin K intake?

<p>Maintain a consistent intake to avoid fluctuations in clotting factor synthesis. (C)</p> Signup and view all the answers

A patient presents with symptoms of prolonged bleeding times. Which of the following medications would be LEAST helpful in managing this condition?

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

What is the primary role of baroreceptors in the regulation of blood pressure?

<p>Sensing the degree of stretch in blood vessel walls. (B)</p> Signup and view all the answers

During ventricular diastole, what two factors primarily determine the end diastolic volume?

<p>Venous return and duration of diastole. (C)</p> Signup and view all the answers

Which of the following best describes the function of eosinophils?

<p>Attacking parasitic worms and phagocytizing antigen-antibody complexes. (D)</p> Signup and view all the answers

Which of the following scenarios would most likely lead to edema?

<p>Increased capillary blood pressure. (D)</p> Signup and view all the answers

How does Atrial Natriuretic Peptide (ANP) affect blood pressure?

<p>Lowers blood pressure by causing vasodilation and promoting loss of salt and water in urine. (A)</p> Signup and view all the answers

Flashcards

Hematocrit

Percentage of red blood cells in blood volume.

Hematopoiesis

Formation of blood cells in red bone marrow.

Pernicious Anemia

Autoimmune attack on stomach cells, impairs B12 absorption.

Renal Anemia

Lack of EPO, leading to decreased RBC production.

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Sickle Cell Anemia

Abnormal hemoglobin causes RBCs to become sickle-shaped, leading to ruptures and blockages.

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Monocytes

White blood cells that arrive later to infection sites but in greater numbers, they destroy more microbes.

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Basophils

White blood cells that release granules containing heparin, histamine (vasodilator), and serotonin at inflammation sites.

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Eosinophils

White blood cells that attack parasitic worms and release histaminase, also phagocytize antigen-antibody complexes.

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Heparin

Natural anticoagulant that inhibits prothrombin activator and the intrinsic pathway.

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Arrhythmias

Irregular heart rhythms.

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Fibrillation

Quivering of the heart due to irregular contractions.

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Congestive Heart Failure

Fluid accumulation in either circuit due to insufficiency of ventricular pumping.

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Atrial Natriuretic Peptide (ANP)

Lowers blood pressure by causing vasodilation and promoting loss of salt and water in urine; reduces blood volume.

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Study Notes

  • Albumin functions as a transport protein and a buffer, contributing to acid-base balance and blood osmotic pressure.
  • Globulins act as transport proteins and antibodies, also including prothrombin and complement.
  • Hematocrit indicates the percentage of red blood cells in blood volume.
  • Hemoglobin transports 23% of total carbon dioxide by binding to amino acids of globin.
  • Hematopoiesis is the formation of blood cells in red bone marrow.
  • Red blood cell and platelet numbers are regulated by a negative feedback system.
  • Pernicious anemia is an autoimmune disorder that affects stomach cells, which produce intrinsic factor which is necessary for hematopoiesis.
  • Renal anemia results from a lack of EPO (erythropoietin).
  • Aplastic anemia involves the destruction or inhibition of red bone marrow.
  • Sickle cell anemia is caused by abnormal hemoglobin that leads to the sickling of red blood cells.
  • Sickled red blood cells rupture easily and can block small blood vessels.
  • Reduced blood osmolarity leads to edema.
  • Reduced blood viscosity results in a faster heartbeat and lower blood pressure.
  • Leukocytes have MHC antigen proteins protruding from their plasma membrane, serving as a unique cell ID marker.
  • Neutrophils and macrophages phagocytose pathogens, being attracted to the site by chemotaxis.
  • Neutrophils respond quickly to bacterial tissue damage.
  • Monocytes arrive later but in larger numbers, destroying more microbes.

Basophils

  • Leave capillaries and release granules containing heparin (anticoagulant), histamine (vasodilator), and serotonin at sites of inflammation.
  • Intensify the inflammatory response.
  • Involved in allergic reactions.

Eosinophils

  • Leave capillaries and enter tissue fluid.
  • Attack parasitic worms.
  • Release histaminase and phagocytize antigen-antibody complexes.

Undesirable Clotting

  • Anticoagulants are needed.
  • Heparin, produced by basophils and mast cells, is a natural anticoagulant that inhibits prothrombin activator and the intrinsic pathway.
  • Vitamin K is essential for the synthesis of four clotting factors; its deficiency leads to uncontrollable bleeding.
  • Warfarin is a vitamin K antagonist that blocks the synthesis of clotting factors and is therefore an anticoagulant.
  • Aspirin inhibits vasoconstriction and platelet aggregation by blocking thromboxane.
  • Thromboxane agents dissolve blood clots.
  • Aspirin is an anti-platelet agent.

Arrhythmias

  • Arrhythmias are irregular heart rhythms.
  • Fibrillation is the quivering of the heart due to irregular contractions.
  • Systole (depolarization) is the contraction phase, pushing blood out of the ventricles.
  • Diastole is the relaxation phase, allowing ventricular filling.
  • If the right ventricular output exceeds left ventricular output, fluid accumulates in pulmonary tissue, causing pulmonary edema.
  • Congestive heart failure results from fluid accumulation in either circuit due to insufficient ventricular pumping.
  • End diastolic volume is determined by the amount of time in ventricular diastole and venous return.

Mechanisms Regulating Blood Pressure

  • Neural mechanisms
  • Hormonal mechanisms
  • Autoregulation
  • The vagus nerve (parasympathetic) affects heart rate.
  • Cardiac accelerator nerves (sympathetic) affect heart rate.
  • Vasomotor nerves (sympathetic) affect blood vessel diameter.

Neural Regulation of Blood Pressure

  • Baroreceptors sense the stretch in blood vessels, indicating blood pressure; decreased stretch indicates lower blood pressure.
  • Chemoreceptors detect hypoxia, hypercapnia, and acidosis.
  • The cardiovascular center increases sympathetic stimulation, causing vasoconstriction.
  • Operates via a negative feedback loop.

Atrial Natriuretic Peptide

  • Lowers blood pressure by causing vasodilation and promoting the loss of salt and water in urine.
  • Reduces blood volume.
  • Edema is an abnormal increase in interstitial fluid volume, potentially due to increased capillary blood pressure, increased capillary permeability, or decreased concentration of plasma proteins.

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Description

Overview of blood components like albumin, globulins, hematocrit, and hemoglobin with their respective functions. Also includes discussion on hematopoiesis and types of anemia. Focuses on the role of each component in maintaining homeostasis

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