8 Blood Flashcards
only fluid tissue in the human body
Blood
Blood is classified as a _ tissue
connective
connective tissue of blood
- living cells - formed elements 45%
- non-living matrix - plasma 55%
plasma contains
1. water
2. salts (electrolytes)
* sodium
* potassium
* calcium
* magnesium
* chloride
* bicarbonate
3. plasma proteins
* albumin
* fibrinogen
* globulins
4. substances transported by blood
* nutrients (glucose, fatty acids, vitamins, amino acids)
* waste of metabolism (urea, uric acid)
* respiratory gases (O2, CO2)
* hormones
plasma constituent
solvent for carrying other substances
water
plasma constituent
osmotic balance, pH buffering, and regulation of membrane permeability
salts (electrolytes)
* sodium
* potassium
* calcium
* magnesium
* chloride
* bicarbonate
plasma constituent
osmotic balance, pH buffering, clotting of blood, defense (antibodies), and lipid transport
plasma proteins
* albumin
* fibrinogen
* globulins
formed elements (living matrix) constituents
erythrocytes
leukocytes
basophil
eosinophil
lymphocyte
neutrophil
platelets
monocyte
formed element constituent
transport oxygen and help transport carbon dioxide
erythrocyte RBC
4-6 million per mm3 of blood
formed element constituent
defense and immunity
leukocytes WBC
basophil
eosinophil
neutrophil
monocyte
4,000-11,000 per mm3 of blood
formed element constituent
blood clotting
platelets
250,000-500,000 per mm3 of blood
Physical Characteristics of Blood
Color?
pH?
Temperature?
- color range
* oxygen-rich blood - scarlet red
* oxygen-poor blood - dull red - pH
* 7.35-7.45 - blood temperature
* slightly higher than body temp
Blood Plasma
- Composed of approximately _ percent water
- examples of dissolved substances
90
nutrients
salts (metal ions)
respiratory gases
hormones
proteins
waste products
Plasma Proteins
Albumin
clotting proteins
antibodies
plasma proteins
regulates osmotic pressure
albumin
plasma proteins
help to stem blood
loss when a blood vessel is injured
clotting proteins
plasma proteins
help protect the body from
antigens
antibodies
Erythrocytes (Red Blood Cells)
- The main function is to carry oxygen
- Outnumber white blood cells _
1000:1
Anatomy of circulating erythrocytes
disk?
bag?
nucleus?
organelles?
- Biconcave disks
- Essentially bags of hemoglobin
- Anucleate (no nucleus)
- Contain very few organelles
Hemoglobin
- Iron-containing protein
- Binds strongly, but reversibly, to oxygen
- Each hemoglobin molecule has _ oxygen binding sites
- Each erythrocyte has _ hemoglobin molecules
four
250 million
Leukocytes (White Blood Cells)
- Crucial in the body’s defense against disease
- These are complete cells, with a nucleus and organelles
- Able to move into and out of blood vessels (_)
- Can move by _
- Can respond to chemicals released by damaged tissues
diapedesis
ameboid motion
Leukocyte Levels in the Blood
Normal levels are between 4,000 and
11,000 cells per millimeter
- Above 11,000 leukocytes/ml
- Generally indicates an infection
Leukocytosis
- Abnormally low leukocyte level
- Commonly caused by certain drugs
Leukopenia
Types of Leukocytes
- granulocytes
- agranulocytes
Leukocytes
granulocytes includes
- neutrophils
- eosinophils
- basophils
Leukocytes
Granules in their
cytoplasm can be
stained
granulocytes
Leukocytes
Lack visible
cytoplasmic
granules
agranulocytes
Leukocytes
agranulocytes include
- lymphocytes
- monocytes
Granulocytes
- Multilobed nucleus with fine granules
- Act as phagocytes at active sites of infection
Neutrophils
Granulocytes
- Large brick-red cytoplasmic granules
- Found in repsonse to allergies and parasitic worms
Eosinophils
Granulocytes
- Have histamine-containing granules
- Initiate inflammation
Basophils
Agranulocytes
- Nucleus fills most of the cell
- Play an important role in the immune response
Lymphocytes
Agranulocytes
- Largest of the white blood cells
- Function as macrophages
- Important in fighting chronic infection
Monocytes
- Derived from ruptured multinucleate cells (megakaryocytes)
- Needed for the clotting process
Platelets
Normal platelet count
300,000/mm3
Blood cell formation
Hematopoiesis
Hematopoiesis Occurs in
red bone marrow
All blood cells are derived from a
common _ (hemocytoblast)
stem cell
Hemocytoblast differentiation
what produces other formed
elements
Myeloid stem cell
Hemocytoblast differentiation
what produces lymphocytes
Lymphoid stem cell
Fate of Erythrocytes
Unable to _
divide, grow, or synthesize
proteins
Fate of Erythrocytes
Wear out in _
100 to 120 days
Fate of Erythrocytes
When worn out, are eliminated by
phagocytes in the _
spleen or liver
Fate of Erythrocytes
Lost cells are replaced by division of _
hemocytoblasts
Control of Erythrocyte Production
Rate is controlled by what hormone
erythropoietin
Control of Erythrocyte Production
_ produce most erythropoietin as a response to reduced oxygen levels in the blood
Kidneys
Control of Erythrocyte Production
Homeostasis is maintained by negative
feedback is dependent from _ levels
blood oxygen
kapag nasense na mataas ang blood oxygen level, para mabalance magstop ang production ng RBC
Stoppage of blood flow
Hemostasis
Result of a break in a blood vessel
Hemostasis
Hemostasis involves three phases
- Platelet plug formation
- Vascular spasms
- Coagulation
Platelet Plug Formation
- Collagen fibers are exposed by a _ in a blood vessel
- Platelets become “sticky” and _ to fibers
- _ release chemicals to attract more platelets
- Platelets _ to form a platelet plug
- break
- cling
- anchored platelets
- pile up
Vascular Spasms
- Anchored platelets release serotonin
- Serotonin causes blood vessel muscles to _
- Spasms _ the blood vessel, decreasing blood loss
- spasm
- narrow
Coagulation
- Injured tissues release _
- _ (a phospholipid) interacts with thromboplastin, blood protein clotting factors, and calcium ions to trigger a clotting cascade
- _ converts prothrombin to thrombin (an enzyme)
- Thrombin joins _ proteins into hair-like fibrin
- Fibrin forms a _ (the basis for a clot)
- thromboplastin
- PF3
- Prothrombin activator
- fibrinogen
- meshwork
Blood Clotting
- Blood usually clots within _ minutes
- The clot remains as _ regenerates
- The clot is broken down after _
repair
- 3 to 6
- endothelium
- tissue
Undesirable Clotting
- A thrombus that breaks away and floats freely in the bloodstream
- Can later clog vessels in critical areas such as the brain
Embolus
Undesirable Clotting
- A clot in an unbroken blood vessel
- Can be deadly in areas like the heart
Thrombus
Bleeding Disorders
- Platelet deficiency
- Even normal movements can cause bleeding from small blood vessels that require platelets for clotting
Thrombocytopenia
Bleeding Disorders
- Hereditary bleeding disorder
- Normal clotting factors are missing
Hemophilia
missing Factor 8 and 9
Loss of _ percent causes shock, which can be fatal
Large losses of blood have serious consequences
over 30
Loss of _ percent causes weakness
Large losses of blood have serious consequences
15 to 30
_ are the only way to replace blood quickly
Transfusions
Transfused blood must be of the _ blood group
same
Human Blood Groups
Blood contains _ determined proteins
genetically
Human Blood Groups
A foreign protein (antigen) may be attacked by the _
immune system
Human Blood Groups
Blood is “typed” by using _ that will cause blood with certain proteins to clump (agglutination)
antibodies
Human Blood Groups
Human Blood Groups
There are over 30 common _ antigens
red blood
cell
Human Blood Groups
The most vigorous transfusion reactions are caused by _ blood group antigens
ABO and Rh
- Based on the presence or absence of two antigens
- The presence of either A or B is called
Type A
Type B
The lack of these antigens is called _
type O
The presence of both A and B is called
type AB
Named because of the presence or
absence of one of eight Rh antigens
(agglutinogen D)
Rh Blood Groups
Most Americans are _
Rh+
Problems can occur in mixing _ blood
into a body with _ blood
Problems can occur in mixing Rh+ blood
into a body with Rh– blood
Danger is only when the mother is _ and the father is Rh+, and the child inherits the _ factor
Rh–
Rh+
Rh Dangers During Pregnancy
The mismatch of an Rh– mother carrying an Rh+ baby can cause problems for the unborn child
1. The first pregnancy usually proceeds without problems
2. The immune system is sensitized after the first pregnancy
3. In a second pregnancy, the mother’s immune system produces _ blood (hemolytic disease of the newborn)
antibodies to attack the Rh+
Blood Typing
- Blood samples are mixed with anti-A and anti-B serum
- _ leads to determining blood type
- Typing for ABO and Rh factors is done in the same manner
- _ – testing for agglutination of donor RBCs by the recipient’s serum, and vice versa
Coagulation or no coagulation
Cross matching
Developmental Aspects of Blood
Sites of blood cell formation
* The _ are early sites of blood cell formation
* Bone marrow takes over hematopoiesis by the _
fetal liver and spleen
seventh month
Developmental Aspects of Blood
Fetal hemoglobin _ from hemoglobin produced after birth
differs