Test 3 Chapters 11 and 12

Blood accounts for roughly ____ of body mass
___ L in males
___ L females

8%
5-6
4-5

Why does blood account for more male body mass?

Because there is more male musculature to profuse with blood

Circulation of blood - pumped away from heart via ________
Branch into arterioles then capillaries where (gas) ________ exchange takes place, out of the blood into different areas of the body
Capillaries merge into veins to ___________________

arteries
O2/CO2
return blood to heart

Other functions of blood:
-Hormone ________
-Body's_____ system
-Regulation of_______

-Hormone transport
-Body's defense system
-Regulation of body temperature

What is plasma?

The liquid component of blood

Three types of solid specialized cells in plasma

Erythrocytes
Leukocytes
Platelets

Erythrocytes
-ex
-specialized for______ transport

Red blood cells (RBCs)
Specialized for O2 transport

Leukocytes
-ex
-immune system's__________ unit; fight off_____

White blood cells (WBCs)
Immune systems mobile defense units; fight off anything not supposed to be there

Platelets
-cell______
-important in the blood________

Cell fragments (not full cells, fragments of larger cell that breaks apart)
Important in the blood clotting cascade

Blood contains

cellular and liquid components
-centrifugation
-hematocrit

Centrifugation: to separate the two parts by spinning
-Heavier elements (by force of gravity)
-Less dense elements

-Heavier elements (RBCs) packed toward bottom
-Less dense elements (plasma) remain at top

After centrifugation, there is thin layer between plasma and RBC made up of

WBC in the buffy coat

Hematocrit

(packed cell volume [PCV]): percentage of blood volume that consists of RBCs

PCV

Height of red blood cells in test tube divided by the entire liquid length

Blood plasma
-color
-_______ fluid
-90 %_______

Straw-colored, sticky fluid (90% water)

Blood plasma contains over 100 different molecules

(Na+, Cl-, simple sugars, AAs, lipids, urea, ammonia, CO2, O2, hormones, vitamins)

Three groups of plasma proteins

Albumin
Globulins
Fibrinogen

Albumin
-Most...
-Determines osmotic pressure of blood to keep water from

-Most abundant
-diffusing into tissues and into the capillaries for reabsorption

Globulins
-example
-transporter of (3)
-clotting factors initiate...

-Antibodies
-Transport of lipids, iron, copper
-Clotting factors (clotting cascade) initiate huge reaction to form blood clot

Fibrinogen

Blood clotting cascade

Serum =

plasma - clotting factors

Erythrocytes (RBCs): Most

numerous element in blood (25 trillion in healthy adult)

___________ new RBCs made per day

250 billion

Erythrocytes (RBCs): Contains no

Nucleus, organelles or ribosomes

Since RBC"s have no nucleus, they have no.....
No organelles means can only make energy through ......... No mitochondria means no ............
With or without oxygen?.....
No ribosome means can't make .........

DNA
glycolysis
oxidative phosphorylation
Anaerobic
Proteins

Erythrocytes (RBCs): More room for packing the cytoplasm with

hemoglobin for carrying/binding O2 and re cell will transport hemoglobin bound to the oxygen throughout the entire circulatory system

Erythrocytes (RBCs): _______ in shape

Biconcave

Erythrocytes (RBCs): Surface area for diffusion of

O2 across membrane to bind with hemoglobin

Erythrocytes (RBCs): Flexible membrane allows RBC to travel through

capillary without rupturing

Hemoglobin shape
-________ structure
-How many out together?

Quaternary structure, 4 put together

Hemoglobin found only in

RBCs

Hemoglobin composed of two parts

Heme group
Global portion

Heme groups

-Four iron containing, non-protein groups
-Each iron atom binds one O2 molecule

Globin portion

Protein composed of four highly folded peptide chains

Hemoglobin: Primary role is to transport

O2

Oxidation of iron atom in hemoglobin gives blood its
-Also involved with

Red color
CO2 transport

If no oxygen bound to heme group..

Color will appear crimson red (deoxygenated) no iron bound

When iron is oxydized, oxygen bound to iron makes

Bright red blood

RBCs pick up O2 in pulmonary capillaries and release it in

Systemic capillaries

Process of oxygen and CO2 in systemic circulation

Oxygen will then bind to the hemoglobin in the red cell, red cell will then go to left side of heart to be pumped to the end of the systemic circuit and eventually into the systemic capillaries. once red cell in SC it will deliver the oxygen it has been b

RBC: Biconcave shape provides 30% more

surface area than sphere of same volume (pack more oxygen in quicker)

RBC: All energy produced via

anaerobic metabolism (glycolysis)

RBC's live for

100-200 days

Erythropoiesis: formation of RBCs in

bone marrow of sternum, ribs, pelvis, long bones of extremities

Erythropoiesis process
First step: Pluripotent stem cell
-Has ability to become a lot of different.......depending on.......
-In marrow, becomes.......

-Has ability to become a lot of different cells in the body depending on external factors around it.
-In marrow, becomes red cells.

Erythropoiesis process
Second step: Pluripotent cell becomes...

Goes into myeloid stem cell.

Erythropoiesis process
Third step: Starts to become erythroblast, an...
-blast means....
-has two things

-Immature red blood cell
-immature cell.
-Has nucleus and organelles.

Erythropoiesis process
Fourth step: Next becomes....which expels.....

-Reticulocyte which is stage where red blood cell will expel its nucleus and organelles.

Erythropoiesis process
Final step:Finally forms mature...

Red blood cell. Ready to enter circulatory system.

RBC's Expel nucleus and organelles before entering

blood thru discontinuous capillaries

Control of erythropoiesis: When there is reduced O2 delivery (not enough oxygen carried in blood) blood goes to the kidneys stimulate the release of

Erythropoietin hormone (Look at this slide for steps)

Control of erythropoiesis: Erythropoietin hormone will travel from kidney out to the__________ and will stimulate bone marrow to speed up________ or increase number of______________

bone marrow; erythropoiesis; red blood cells that are developing.

Control of erythropoiesis: More red blood cells go to blood which will increase....

Carrying capacity of oxygen.
(The more red blood cells, the more oxygen we can carry)

Control of erythropoiesis: This mechanism is what kind of feedback system?

Negative feedback system.

Blood doping: Enhancing the O2 carrying capacity of blood in order to

gain a competitive advantage

Blood doping: Process:
-blood is...
-then is _____ to separate blood and plasma
-plasma ______ immediately
-RBC's two steps before competitive event

450 - 1800 mL blood drawn, then centrifuged to separate blood and plasma---plasma reinfused immediately, RBCs frozen----- RBCs reinfused 1 to 7 days before competitive event

Blood doping: Erythropoietic activity restores
-also....

RBC count in the interim
Undetectable

Blood doping: Benefits _________ most
Illegal in

endurance athletes because rely on aerobic metabolism and need lots of oxygen in blood to do do
tour de france, college, olympics

What effect would infusing too many RBC's have on blood flow?

More red blood cells makes the blood more viscous (more soupy), makes blood thicker. If thicker, slows down blood flow.

RBCs have very specific surface antigens on plasma membrane that vary depending on

blood type

One's blood type is the type of

antigen that you have on the surface of your red blood cell

Antigen is a marker on the

cell membrane that is recognized by an antibody (on outside of red blood cell)

Body destroys cells with antigens that do not

match its own

Type A blood contains
--Plasma contains

A antigens
anti-B antibodies

Type B blood contains
--Plasma contains

B antigens
anti-A antibodies

Type AB blood contains
--Plasma contains

both A and B antigens
neither anti-A nor anti-B antibodies

Type O blood contains
--Plasma contains

neither A nor B antigens
both anti-A and anti-B antibodies
(MOST COMMON)

Type A plasma contains antibodies (anti-B antigens) that will attack

type B antigens (type B blood does opposite)

Any blood that does not belong with antigens other than the ones you have, your body will

Go into attack mode, anything not belonging marked and aimed for destruction

Blood transfusions must use

compatible blood with the recipient

If incompatible, recipients antibodies will

react with donors antigens

Incompatibility results in

agglutination (clumping) of attacked RBCs that can plug small vessels

Two ways to donate blood

RBC's or plasma

Universal donor of RBCs

0

Universal recipient of RBCs =

type AB (recipient makes no antibodies of their own to attack donor's RBC antigens)
-can get red blood cells from anybody because recipient does not make any antibodies

Universal donor of plasma =

type AB (donor plasma has no antibodies to attack recipient's own RBC antigens)
-can give plasma to anyone because it does not have any antibodies

Universal recipient of plasma =

type O (recipient's own RBCs have no antigens for donor antibodies to attack)
-can receive plasma from anyone because don't have any antigens to go and attack

Third way to transfuse blood

Transfuse whole blood transfuse both RBC and plasma, there has to be a perfect match.
Ex: If you are Type A and you need whole blood, you have to receive blood from someone else that was also Type A
With red cells or plasma, can get or receive from anyone

Leukocytes: White blood cells

are the mobile defense system of the body

WBC: Less numerous than

RBCs (35 billion in healthy adult)

Leukocytes: Spherical in shape and contain all the

normal organelles

Unlike RBCs, WBC function outside bloodstream in loose

connective tissues where infections are most likely to occur, outside the circulatory system

What can cause an infection?

Pathogens cause disease causes infection.

Injured cells around injured site will release..... to diffuse towards..... and those signals attract....

chemical signals; capillaries; white blood cells in the capillary.

White blood cells then squeeze thru capillary

endothelial cells and into tissues where white blood cells can chew up whatever is causing the damage like bacteria

WBC: Originate in marrow and release

continuously into blood

Marrow also stores WBCs to be released during

serious infection

Clinicians count WBCs for evidence of (>11,000/uL, 55 billion total)

infection; elevated amount of WBC's

Leukocytes: Neutrophils
-highly mobile..... that destroy...
-has one single....connected by....
-migrate towards...

-Highly mobile phagocytes that destroy bacteria
-has one single nucleus connected by bands
-migrate towards infection site caused by bacteria

Leukocytes: Eosinophils
-End allergic reactions by phagocytizing______ once they are marked and bound y and bound to __________
-Attach to parasitic worms and release

-allergens; antibodies
-chemicals to kill infection

Leukocytes: Basophils
-Similar to mast cells found only in the
-Release __________ in response to injured tissue (results in ______ to increase blood flow near injured tissue)
-best way to make tissue healthy is to

-tissues
-histamine; vasodilation
-profuse with blood

Leukocytes: Monocytes
-Transform into________ upon reaching
-chew up anything not suppose to be_______

-macrophages (phagocytic specialists); destination tissue
-out in the tissue

Leukocytes: Lymphocytes
-B lymphocytes make
-T lymphocytes punch holes in virus- or cancer-infected cell's membrane, then inject

-antibodies to label anything that needs to be chewed up by eosinophils
-chemicals to signal cell to undergo apoptosis (kill itself)

T lymphocytes sometimes punch holes in _______ by accident, which is why....

Transplanted cells attacked by mistake, like when transplanted organs are rejected this is why, recognize its foreign to the host

Relative percentages of WBC's in buffy coat after centrifuge
Never Let Monkeys Eat Bananas

Neutrophils (50%)
Lymphocytes (40%)
Monocytes (5%)
Eosinophils (4%)
Basophils (1%)

Platelets 2

Disc-shaped, plasma membrane enclosed fragments of megakaryocyte cytoplasm

Platelets: Lack
-Contains organelles and cytosolic enzymes for generating__________ and synthesizing_______ involved in _________

nuclei
-energy and synthesizing secretory products involved in blood clotting process

Platelets 1/10 - 1/20 as abundant as

RBCs

Hemostasis - stoppage of bleeding: Prevents blood loss from

broken vessel

Hemostasis - stoppage of bleeding: Three steps:

-Vascular spasm (vasoconstriction)
-Formation of a platelet plug
-Blood coagulation (clotting)

Hemostasis: Vascular spasm (vasoconstriction)
-Intrinsic response by __________ which release _____________ to constrict damaged blood vessel
-Reduces blood flow thru

-Endothelial cells; endothelin
-Damaged vessel

Hemostasis: Formation of a platelet plug
-Platelets aggregate on contact with exposed
-Platelets release chemicals so nearby platelets become
-type of feedback_______ more cells will_________

-collagen in damaged wall of vessel
- "sticky" in same spot to plug
-positive feedback; adhere

Hemostasis: Blood coagulation (clotting)
- Transformation of blood from

liquid into a solid gel

Blood coagulation (clotting): Reinforces platelet plug and converts blood in

vicinity of vessel injury into nonflowing gel

12 clotting factors are always present in blood plasma in

inactive precursor form

Inactive precursor form: Vessel damage that exposes collagen initiates cascade of reactions that involve

successive activation of clotting factors

Inactive precursor form: Leads to final conversion of fibrinogen into a

stabilized fibrin mesh which trade red blood cells

Clot dissolution: Clot slowly dissolved by

plasmin, a fibrinolytic enzyme

Plasmin travels through blood all the time, in _____form

Inactive

Plasminogen is the inactive precursor for

plasmin

Tissue plasminogen activator (tPA) from tissues prevents

unwanted clot activity ("clot buster" during heart attack)

Use tPA to activate plasminogen into plasmin to chop up fibrin which will

Release that clot and will dissolve

tPA busts down clot to restore

Blood flow to the heart

Bruise healing - after clot dissolution by plasmin,

phagocytic removal of debris

Blood accounts for roughly ____ of body mass
___ L in males
___ L females

8%
5-6
4-5

Why does blood account for more male body mass?

Because there is more male musculature to profuse with blood

Circulation of blood - pumped away from heart via ________
Branch into arterioles then capillaries where (gas) ________ exchange takes place, out of the blood into different areas of the body
Capillaries merge into veins to ___________________

arteries
O2/CO2
return blood to heart

Other functions of blood:
-Hormone ________
-Body's_____ system
-Regulation of_______

-Hormone transport
-Body's defense system
-Regulation of body temperature

What is plasma?

The liquid component of blood

Three types of solid specialized cells in plasma

Erythrocytes
Leukocytes
Platelets

Erythrocytes
-ex
-specialized for______ transport

Red blood cells (RBCs)
Specialized for O2 transport

Leukocytes
-ex
-immune system's__________ unit; fight off_____

White blood cells (WBCs)
Immune systems mobile defense units; fight off anything not supposed to be there

Platelets
-cell______
-important in the blood________

Cell fragments (not full cells, fragments of larger cell that breaks apart)
Important in the blood clotting cascade

Blood contains

cellular and liquid components
-centrifugation
-hematocrit

Centrifugation: to separate the two parts by spinning
-Heavier elements (by force of gravity)
-Less dense elements

-Heavier elements (RBCs) packed toward bottom
-Less dense elements (plasma) remain at top

After centrifugation, there is thin layer between plasma and RBC made up of

WBC in the buffy coat

Hematocrit

(packed cell volume [PCV]): percentage of blood volume that consists of RBCs

PCV

Height of red blood cells in test tube divided by the entire liquid length

Blood plasma
-color
-_______ fluid
-90 %_______

Straw-colored, sticky fluid (90% water)

Blood plasma contains over 100 different molecules

(Na+, Cl-, simple sugars, AAs, lipids, urea, ammonia, CO2, O2, hormones, vitamins)

Three groups of plasma proteins

Albumin
Globulins
Fibrinogen

Albumin
-Most...
-Determines osmotic pressure of blood to keep water from

-Most abundant
-diffusing into tissues and into the capillaries for reabsorption

Globulins
-example
-transporter of (3)
-clotting factors initiate...

-Antibodies
-Transport of lipids, iron, copper
-Clotting factors (clotting cascade) initiate huge reaction to form blood clot

Fibrinogen

Blood clotting cascade

Serum =

plasma - clotting factors

Erythrocytes (RBCs): Most

numerous element in blood (25 trillion in healthy adult)

___________ new RBCs made per day

250 billion

Erythrocytes (RBCs): Contains no

Nucleus, organelles or ribosomes

Since RBC"s have no nucleus, they have no.....
No organelles means can only make energy through ......... No mitochondria means no ............
With or without oxygen?.....
No ribosome means can't make .........

DNA
glycolysis
oxidative phosphorylation
Anaerobic
Proteins

Erythrocytes (RBCs): More room for packing the cytoplasm with

hemoglobin for carrying/binding O2 and re cell will transport hemoglobin bound to the oxygen throughout the entire circulatory system

Erythrocytes (RBCs): _______ in shape

Biconcave

Erythrocytes (RBCs): Surface area for diffusion of

O2 across membrane to bind with hemoglobin

Erythrocytes (RBCs): Flexible membrane allows RBC to travel through

capillary without rupturing

Hemoglobin shape
-________ structure
-How many out together?

Quaternary structure, 4 put together

Hemoglobin found only in

RBCs

Hemoglobin composed of two parts

Heme group
Global portion

Heme groups

-Four iron containing, non-protein groups
-Each iron atom binds one O2 molecule

Globin portion

Protein composed of four highly folded peptide chains

Hemoglobin: Primary role is to transport

O2

Oxidation of iron atom in hemoglobin gives blood its
-Also involved with

Red color
CO2 transport

If no oxygen bound to heme group..

Color will appear crimson red (deoxygenated) no iron bound

When iron is oxydized, oxygen bound to iron makes

Bright red blood

RBCs pick up O2 in pulmonary capillaries and release it in

Systemic capillaries

Process of oxygen and CO2 in systemic circulation

Oxygen will then bind to the hemoglobin in the red cell, red cell will then go to left side of heart to be pumped to the end of the systemic circuit and eventually into the systemic capillaries. once red cell in SC it will deliver the oxygen it has been b

RBC: Biconcave shape provides 30% more

surface area than sphere of same volume (pack more oxygen in quicker)

RBC: All energy produced via

anaerobic metabolism (glycolysis)

RBC's live for

100-200 days

Erythropoiesis: formation of RBCs in

bone marrow of sternum, ribs, pelvis, long bones of extremities

Erythropoiesis process
First step: Pluripotent stem cell
-Has ability to become a lot of different.......depending on.......
-In marrow, becomes.......

-Has ability to become a lot of different cells in the body depending on external factors around it.
-In marrow, becomes red cells.

Erythropoiesis process
Second step: Pluripotent cell becomes...

Goes into myeloid stem cell.

Erythropoiesis process
Third step: Starts to become erythroblast, an...
-blast means....
-has two things

-Immature red blood cell
-immature cell.
-Has nucleus and organelles.

Erythropoiesis process
Fourth step: Next becomes....which expels.....

-Reticulocyte which is stage where red blood cell will expel its nucleus and organelles.

Erythropoiesis process
Final step:Finally forms mature...

Red blood cell. Ready to enter circulatory system.

RBC's Expel nucleus and organelles before entering

blood thru discontinuous capillaries

Control of erythropoiesis: When there is reduced O2 delivery (not enough oxygen carried in blood) blood goes to the kidneys stimulate the release of

Erythropoietin hormone (Look at this slide for steps)

Control of erythropoiesis: Erythropoietin hormone will travel from kidney out to the__________ and will stimulate bone marrow to speed up________ or increase number of______________

bone marrow; erythropoiesis; red blood cells that are developing.

Control of erythropoiesis: More red blood cells go to blood which will increase....

Carrying capacity of oxygen.
(The more red blood cells, the more oxygen we can carry)

Control of erythropoiesis: This mechanism is what kind of feedback system?

Negative feedback system.

Blood doping: Enhancing the O2 carrying capacity of blood in order to

gain a competitive advantage

Blood doping: Process:
-blood is...
-then is _____ to separate blood and plasma
-plasma ______ immediately
-RBC's two steps before competitive event

450 - 1800 mL blood drawn, then centrifuged to separate blood and plasma---plasma reinfused immediately, RBCs frozen----- RBCs reinfused 1 to 7 days before competitive event

Blood doping: Erythropoietic activity restores
-also....

RBC count in the interim
Undetectable

Blood doping: Benefits _________ most
Illegal in

endurance athletes because rely on aerobic metabolism and need lots of oxygen in blood to do do
tour de france, college, olympics

What effect would infusing too many RBC's have on blood flow?

More red blood cells makes the blood more viscous (more soupy), makes blood thicker. If thicker, slows down blood flow.

RBCs have very specific surface antigens on plasma membrane that vary depending on

blood type

One's blood type is the type of

antigen that you have on the surface of your red blood cell

Antigen is a marker on the

cell membrane that is recognized by an antibody (on outside of red blood cell)

Body destroys cells with antigens that do not

match its own

Type A blood contains
--Plasma contains

A antigens
anti-B antibodies

Type B blood contains
--Plasma contains

B antigens
anti-A antibodies

Type AB blood contains
--Plasma contains

both A and B antigens
neither anti-A nor anti-B antibodies

Type O blood contains
--Plasma contains

neither A nor B antigens
both anti-A and anti-B antibodies
(MOST COMMON)

Type A plasma contains antibodies (anti-B antigens) that will attack

type B antigens (type B blood does opposite)

Any blood that does not belong with antigens other than the ones you have, your body will

Go into attack mode, anything not belonging marked and aimed for destruction

Blood transfusions must use

compatible blood with the recipient

If incompatible, recipients antibodies will

react with donors antigens

Incompatibility results in

agglutination (clumping) of attacked RBCs that can plug small vessels

Two ways to donate blood

RBC's or plasma

Universal donor of RBCs

0

Universal recipient of RBCs =

type AB (recipient makes no antibodies of their own to attack donor's RBC antigens)
-can get red blood cells from anybody because recipient does not make any antibodies

Universal donor of plasma =

type AB (donor plasma has no antibodies to attack recipient's own RBC antigens)
-can give plasma to anyone because it does not have any antibodies

Universal recipient of plasma =

type O (recipient's own RBCs have no antigens for donor antibodies to attack)
-can receive plasma from anyone because don't have any antigens to go and attack

Third way to transfuse blood

Transfuse whole blood transfuse both RBC and plasma, there has to be a perfect match.
Ex: If you are Type A and you need whole blood, you have to receive blood from someone else that was also Type A
With red cells or plasma, can get or receive from anyone

Leukocytes: White blood cells

are the mobile defense system of the body

WBC: Less numerous than

RBCs (35 billion in healthy adult)

Leukocytes: Spherical in shape and contain all the

normal organelles

Unlike RBCs, WBC function outside bloodstream in loose

connective tissues where infections are most likely to occur, outside the circulatory system

What can cause an infection?

Pathogens cause disease causes infection.

Injured cells around injured site will release..... to diffuse towards..... and those signals attract....

chemical signals; capillaries; white blood cells in the capillary.

White blood cells then squeeze thru capillary

endothelial cells and into tissues where white blood cells can chew up whatever is causing the damage like bacteria

WBC: Originate in marrow and release

continuously into blood

Marrow also stores WBCs to be released during

serious infection

Clinicians count WBCs for evidence of (>11,000/uL, 55 billion total)

infection; elevated amount of WBC's

Leukocytes: Neutrophils
-highly mobile..... that destroy...
-has one single....connected by....
-migrate towards...

-Highly mobile phagocytes that destroy bacteria
-has one single nucleus connected by bands
-migrate towards infection site caused by bacteria

Leukocytes: Eosinophils
-End allergic reactions by phagocytizing______ once they are marked and bound y and bound to __________
-Attach to parasitic worms and release

-allergens; antibodies
-chemicals to kill infection

Leukocytes: Basophils
-Similar to mast cells found only in the
-Release __________ in response to injured tissue (results in ______ to increase blood flow near injured tissue)
-best way to make tissue healthy is to

-tissues
-histamine; vasodilation
-profuse with blood

Leukocytes: Monocytes
-Transform into________ upon reaching
-chew up anything not suppose to be_______

-macrophages (phagocytic specialists); destination tissue
-out in the tissue

Leukocytes: Lymphocytes
-B lymphocytes make
-T lymphocytes punch holes in virus- or cancer-infected cell's membrane, then inject

-antibodies to label anything that needs to be chewed up by eosinophils
-chemicals to signal cell to undergo apoptosis (kill itself)

T lymphocytes sometimes punch holes in _______ by accident, which is why....

Transplanted cells attacked by mistake, like when transplanted organs are rejected this is why, recognize its foreign to the host

Relative percentages of WBC's in buffy coat after centrifuge
Never Let Monkeys Eat Bananas

Neutrophils (50%)
Lymphocytes (40%)
Monocytes (5%)
Eosinophils (4%)
Basophils (1%)

Platelets 2

Disc-shaped, plasma membrane enclosed fragments of megakaryocyte cytoplasm

Platelets: Lack
-Contains organelles and cytosolic enzymes for generating__________ and synthesizing_______ involved in _________

nuclei
-energy and synthesizing secretory products involved in blood clotting process

Platelets 1/10 - 1/20 as abundant as

RBCs

Hemostasis - stoppage of bleeding: Prevents blood loss from

broken vessel

Hemostasis - stoppage of bleeding: Three steps:

-Vascular spasm (vasoconstriction)
-Formation of a platelet plug
-Blood coagulation (clotting)

Hemostasis: Vascular spasm (vasoconstriction)
-Intrinsic response by __________ which release _____________ to constrict damaged blood vessel
-Reduces blood flow thru

-Endothelial cells; endothelin
-Damaged vessel

Hemostasis: Formation of a platelet plug
-Platelets aggregate on contact with exposed
-Platelets release chemicals so nearby platelets become
-type of feedback_______ more cells will_________

-collagen in damaged wall of vessel
- "sticky" in same spot to plug
-positive feedback; adhere

Hemostasis: Blood coagulation (clotting)
- Transformation of blood from

liquid into a solid gel

Blood coagulation (clotting): Reinforces platelet plug and converts blood in

vicinity of vessel injury into nonflowing gel

12 clotting factors are always present in blood plasma in

inactive precursor form

Inactive precursor form: Vessel damage that exposes collagen initiates cascade of reactions that involve

successive activation of clotting factors

Inactive precursor form: Leads to final conversion of fibrinogen into a

stabilized fibrin mesh which trade red blood cells

Clot dissolution: Clot slowly dissolved by

plasmin, a fibrinolytic enzyme

Plasmin travels through blood all the time, in _____form

Inactive

Plasminogen is the inactive precursor for

plasmin

Tissue plasminogen activator (tPA) from tissues prevents

unwanted clot activity ("clot buster" during heart attack)

Use tPA to activate plasminogen into plasmin to chop up fibrin which will

Release that clot and will dissolve

tPA busts down clot to restore

Blood flow to the heart

Bruise healing - after clot dissolution by plasmin,

phagocytic removal of debris