Lecture 17:Circulatory System & Blood Components

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Questions and Answers

If a patient's blood is found to have a significantly lower than normal erythrocyte count, what physiological consequence is most likely to occur?

  • Increased blood clotting efficiency leading to thrombosis
  • Reduced oxygen-carrying capacity resulting in tissue hypoxia (correct)
  • Increased blood viscosity leading to hypertension
  • Elevated blood osmolarity causing cellular dehydration

A patient presents with a blood test indicating elevated levels of lymphocytes. Which potential condition should be investigated, considering lymphocyte function?

  • Active bacterial infection due to increased phagocytosis.
  • Increased blood clotting due to enhanced platelet aggregation.
  • Autoimmune disorder or viral infection as lymphocytes target specific antigens. (correct)
  • Impaired oxygen transport due to lymphocyte interference with hemoglobin.

A researcher is investigating the role of specific blood components in maintaining blood viscosity and osmolarity. Which component would be most relevant to study?

  • Albumin, as it significantly contributes to osmotic pressure and viscosity. (correct)
  • Platelets, due to their role in blood clotting.
  • Erythrocytes, due to their role in oxygen transport.
  • Leukocytes, due to their immune functions.

A patient with a history of liver disease exhibits prolonged bleeding after a minor injury. What is the most likely underlying cause related to liver function?

<p>Impaired synthesis of clotting factors, leading to reduced coagulation. (D)</p> Signup and view all the answers

What is the primary reason erythrocytes rely on anaerobic fermentation for energy, instead of aerobic respiration?

<p>To prevent the consumption of transported oxygen. (B)</p> Signup and view all the answers

Following a blood donation, an individual might experience a temporary decrease in blood volume. What compensatory mechanism does the body primarily employ to restore blood pressure and volume?

<p>Fluid shift from the interstitial space into the bloodstream. (C)</p> Signup and view all the answers

In a patient with chronic kidney disease, erythropoietin production is often impaired. What is the most likely consequence of this impairment?

<p>Anemia due to decreased red blood cell production. (D)</p> Signup and view all the answers

A researcher is studying the effects of different blood components on inflammation. Which of the following cellular components is MOST directly involved in limiting the spread of infection by initiating inflammatory responses?

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

Why is knowledge about blood groups crucial in medicine?

<p>Blood groups are essential for blood transfusions and preventing agglutination. (D)</p> Signup and view all the answers

A patient with a genetic defect lacks the ability to produce fibrinogen. What direct consequence would this deficiency have on their hemostatic capabilities?

<p>Inability to form a stable fibrin clot, leading to uncontrolled bleeding. (A)</p> Signup and view all the answers

What describes the role of Vitamin K in clot formation?

<p>It helps with the synthesis of clotting factors. (D)</p> Signup and view all the answers

During pregnancy, there's an increased risk of blood clot formation (thrombosis). Which of the listed changes in blood composition during pregnancy most directly contributes to this increased risk?

<p>Elevated levels of clotting factors. (C)</p> Signup and view all the answers

What would occur if the intrinsic pathway to coagulation was blocked?

<p>Factor X would not be activated by factor XII (A)</p> Signup and view all the answers

During childbirth, mothers and infants get extra Vitamin K supplements, why is this?

<p>Encourages the activation of clots. (D)</p> Signup and view all the answers

During a normal blood test, normal erythrocytes are observed. However, the patient has a hemoglobin of 33%. What would be the consequences of reducing the hemoglobin count?

<p>Reduced efficiency of oxygen delivery. (B)</p> Signup and view all the answers

Why might a kidney failure patient get shots of erythropoietin?

<p>Releases erythropoieten, leading to more red blood cell production (B)</p> Signup and view all the answers

A patient has a low white blood cell count, otherwise known as leukopenia. What is a possible outcome of this?

<p>More susceptible to infections. (B)</p> Signup and view all the answers

What is the primary reason a blood bank centrifuges blood?

<p>To separate the elements of the blood into layers. (D)</p> Signup and view all the answers

What property of veins prevents abnormal coagulation?

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

Which sequence of events will happen after clotting?

<p>factor XII -&gt; kallikrein -&gt; plasminogen -&gt; plasmin (B)</p> Signup and view all the answers

In a condition of hypoxemia, what direct action will the body undertake?

<p>Increase the production of Erythropoietin, leading to stimulating of red bone marrow (C)</p> Signup and view all the answers

If a patient's digestive tract has trouble absorbing nutrients, this can result in a blood disorder. What is the connection here?

<p>Nutrients in the digestive track trigger reactions, promoting blood health. (D)</p> Signup and view all the answers

What might cause blood to flow slower than normal?

<p>High protein concentration (B)</p> Signup and view all the answers

What is the ultimate goal of coagulation?

<p>Turn fibrinogen into fibrin in plasma (B)</p> Signup and view all the answers

Which of the following lists a series of functions performed by the circulatory system?

<p>Fluid distribution, oxygen/carbon dioxide transport, regulation of pH (B)</p> Signup and view all the answers

Flashcards

Circulatory System: Transport

The circulatory system transports O2, CO2, nutrients, wastes, hormones, and stem cells.

Circulatory System: Protection

The circulatory system protects by limiting infection spread, destroying cancer/foreign cells, and initiating clotting.

Circulatory System: Regulation

The circulatory system regulates fluid distribution, blood pressure, and pH.

Blood Plasma

The liquid component of blood, consisting of water, proteins, nutrients, electrolytes, wastes, hormones and gases.

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Blood Plasma Proteins

Proteins are the most abundant solute in blood plasma and contribute to clotting, pathogen defense, and solute transport.

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Albumin

Maintains blood's osmolarity and viscosity; also transports solutes and impacts buffer pH.

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Globulins

In blood plasma, it contributes to solute transport, clotting, and immunity.

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Fibrinogen

In blood plasma, it is the precursor of fibrin and create framework of blood clots

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Nitrogenous Wastes

Toxic end products of catabolism, such as urea, that are excreted through the kidneys.

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Osmolarity

The solute concentration in blood, affecting water absorption and blood pressure.

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Blood Viscosity

The resistance of blood to flow, influenced by RBCs and protein concentration.

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hemopoiesis

Blood cell formation occuring in the liver (before birth), spleen, thymus and bone marrow.

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Hematocrit

The percentage of blood volume composed of red blood cells.

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Hypoxemia

A condition of inadequate oxygen transport, often due to low RBC count.

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Erythropoietin (EPO)

Negative feedback causes this kidney and liver hormone to increase RBC production when hypoxemia is detected.

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Anemia

Anemia leads to decreased oxygen transport.

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Neutrophils

The granulocyte that phagocytizes bacteria and releases antimicrobial chemicals.

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Eosinophils

The granulocyte that fights large parasites, hookworms, and tapeworms.

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Basophils

The granulocyte that releases histamine (vasodilation) and heparin (anticoagulant).

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Lymphocytes

Agranulocytes that destroy cancer cells, virus-infected cells, and foreign cells; present antigens to activate other immune cells.

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Monocytes

Agranulocytes that destroy pathogens, dead neutrophils, and cell debris.

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Clotting process in blood vessels.

Blood vessels constrict and endothelial cells have prostacyclin which block platelets

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Coagulation goal

Goal is fibrinogen to turn into fibrin

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Coagulation process

  1. damaged blood vessel releases factor III, 2) platelets release factor XII, 3) factor X -> prothrombin -> thrombin, 4) Thrombin -> structural framework
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Study Notes

Circulatory System Functions

  • Transports oxygen and carbon dioxide
  • Transports nutrients from the digestive tract
  • Transports waste from metabolism
  • Transports hormones
  • Transports stem cells to other tissues
  • Provides protection via inflammation (limits infection spread)
  • Destroys cancer cells, foreign cells, and toxins
  • Initiates clotting
  • Regulates fluid distribution and blood pressure
  • Regulates pH

Blood Components

  • Total blood volume is 4-6 Liters
  • Consists of plasma and formed elements
  • Erythrocytes (RBCs) are a formed element
  • Leukocytes (WBCs) are a formed element
    • This includes Neutrophils, Eosinophils, and Basophils
    • Monocytes and Lymphocytes are also leukocytes
  • Platelets are a formed element

Blood Plasma Constituents

  • Clear, light-yellow fluid
  • Water comprises 92% of plasma mass
  • Contains proteins
  • Contains nutrients
  • Contains electrolytes
  • Contains waste
  • Contains hormones
  • Contains gases

Blood Plasma Proteins

  • Proteins are the most abundant solute
  • Functions include clotting, pathogen defense, and solute transport
  • Proteins are produced by the liver, except for some globulins
  • Albumin accounts for 60% of plasma proteins
    • Transports solutes
    • Buffers pH
    • Contributes to viscosity and osmolarity
  • Globulins account for 36% of plasma proteins
    • Involved in solute transport and clotting
    • Contribute to immunity
  • Fibrinogen accounts for 4% of plasma proteins
    • It's the precursor to fibrin
    • Fibrin forms the framework of blood clots

Other Blood Plasma Components

  • Nitrogenous wastes are toxic end products of catabolism
    • Urea is a waste product of amino acid breakdown
    • Excreted through the kidneys into urine
  • Nutrients found in blood plasma
    • Glucose
    • Amino acids
    • Fats
    • Cholesterol
    • Vitamins
    • Minerals
  • Electrolytes comprise 90% of blood plasma

Blood Viscosity and Osmolarity

  • Blood is approximately 5x more viscous than water
  • Viscosity disorders can occur due to
    • RBC or protein deficiency, leading to higher blood flow
    • Too many RBCs or protein, leading to slower blood flow
    • Strain on the heart and heart disease
  • Osmolarity measures solute concentration in blood
    • High osmolarity leads to increased water absorption, causing high blood pressure
    • Sodium and proteins influence osmolarity

Blood Production

  • Blood loss is a trigger for blood production
    • This includes bleeding
    • RBCs aging and dying
    • Plasma components being used or excreted
  • Hemopoietic tissues are responsible for blood formation
    • Liver carries out hemopoiesis until birth
    • Also Spleen, Thymus and bone marrow produce blood cells

Erythrocytes (RBCs)

  • Facilitate gas exchange
  • Mature RBCs lack a nucleus and organelles
    • Rely on anaerobic fermentation for energy
    • Do not respire aerobically, to conserve oxygen for delivery to tissues
  • Cytoplasm contains
    • Hemoglobin constitutes 33% of the cytoplasm
    • Carbonic anhydrase

RBCs and Hemoglobin Measurement

  • Measurement of these constituents provides clinical insight into oxygen carrying capacity
  • Hematocrit measures the % of blood volume that is RBCs
  • Hemoglobin concentration is also measured
  • RBC count is determined
  • Normal values are higher in men (42-52%) than in women (37-48%)
    • Androgens stimulate RBC production
    • Periodic menstrual RBC loss affects RBC levels in women
    • Inversely proportional to body fat
  • Broken down in the spleen

RBC Homeostasis

  • Regulated via negative feedback
  • Low RBC count triggers hypoxemia
  • Kidneys detect hypoxemia and increase EPO output
    • EPO is erythropoietin
  • Normal RBC levels are reached within a few days
  • Other causes of hypoxemia may be
    • Low atmospheric oxygen
    • Lethargy active through exercise
    • Emphysema may cause chronic hypoxemia that can't be corrected

Leukocytes - Granulocytes

  • Neutrophils (60-70%)
    • Lysozyme & antimicrobial agents
    • Antibacterial
    • Phagocytosis & antimicrobial chemicals
  • Eosinophils (2-4%)
    • Mucus membranes
    • Granules; fight large parasites and Hookworms/ tapeworms
    • Allergies
  • Basophils (

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