Chapter 13 Part I: Blood Flashcards
Blood
Transports foods, gases, and wastes to and from the cells of the body.
Other transported items:
- Chemical messengers
- Blood proteins, white blood cells, and platelets
Primary Functions of Blood
- Maintains a constant environment for the other living tissues.
- Transports nutrients (digested food particles from Gl), gases (O2, CO2), waste (urea) to/from body cells.
- Transports chemical messengers (hormones) from the sites of their secretion to distant target/regulatory sites.
- Contains proteins (clotting factors), WBC, RBC, antibodies, platelets (thrombocytes).
Composition of Blood
- Cells
- Plasma
- Water
- Proteins
- Sugar
- Salts
- Hormones
- Lipids
- Vitamins
Composition of Blood
- Blood is composed of cells (45% of the blood volume) suspended in a clear liquid called plasma (55% of the blood volume with 90% water).
- 45%: These cells include erythrocytes (RBC), leukocytes (WBC) and platelets/thrombocytes (clotting cells).
- 55%: Plasma which is a solution of water, proteins, sugar, salts, hormones and vitamins.
Erythrocytes
Red blood cells transport nutrients and oxygen.
Leukocytes
White blood cells.
Thrombocytes
Platelets; clot blood.
Types of Leukocytes: Basophils
Contain heparin (prevents clotting) and histamine (involved in allergic responses).
Types of Leukocytes: Eosinophils
Phagocytic cells involved in allergic responses and parasitic infections.
Types of Leukocytes: Neutrophils
Phagocytic cells that accumulate at sites of infection.
Types of Leukocytes: Monocytes
Phagocytic cells that become macrophages and digest bacteria and tissue debris.
Types of Leukocytes: Lymphocytes
Control the immune response; make antibodies to antigens.
Hematopoiesis
• Blood cells originate in the bone marrow cavity of bones.
• Both RBC & WBC arise from hematopoietic stem cells (hematopoiesis). These stem cells further change their shape/size to become specialized (differentiated, mature cells).
Plasma proteins
- Albumin
- Globulins: immunoglobulins (IgG, IgA, IgM, IgD, IgE)
- Fibrinogen
- Prothrombin
RBC (Erythrocytes)
Loses nucleus and assumes a biconcave disk shape that resembles a cough drop that allows for a large surface area to reabsorb & release gases (02 & CO2).
Erythrocytes
• Contains hemoglobin (heme + globin).
• Hg enables RBC’s to carry
O2 and this combination (oxyhemoglobin) produces the bright red color of blood.
• Erythropoietin (EPO, hormone) from the kidney stimulates RBC production in the marrow.
Erythrocytes Cont.
• Life span: ~100-120 days.
• Macrophages (in the spleen, liver, bone marrow) destroy old RBC’s (hemolysis) causing heme to release iron and decompose into yellow/orange pigment called bilirubin (jaundice/icterus).
Leukocytes
- Less numerous than RBC.
- Five mature types:
- Polymorphonuclear: granulocytes (basophil, eosinophil and neutrophil).
- Mononuclear: agranulocytes.
- Lymphocytes: part of immune response with antibody production (against antigens).
- Monocytes: phagocytic cell.
Platelets
Also known as thrombocytes.
- It’s main function is to clot blood.
Plasma
Liquid part of blood containing water, proteins, sugar, wastes, salt, hormones and others.
4 Main Proteins in Plasma
- 4 main proteins:
• Albumin: maintains proper concentration of water in blood.
• Immunoglobulins (Ig): antibodies that bind to antigen & destroy them (eg. IgA found in breast milk).
• Fibrinogen and prothrombin: involved in coagulation. - Plasmapheresis (-apheresis means to remove): process of separating plasma from cells (in a centrifuge machine).
Serum
Plasma minus clotting proteins and cells.
Centrifuge Process and Formed Elements
- Withdraw blood and place in tube.
- Centrifuge the blood sample.
After the blood sample is centrifuged the formed elements from top to bottom are…
Top
- Plasma - 55% of whole blood
- Least dense component
Middle
- Buffy coat - Leukocytes and platelets
- <1% of whole blood
Bottom
- Erythrocytes - 45% of whole blood (hematocrit)
- Most dense component
Composition of Formed Elements in Blood: Plasma
Water, proteins, nutrients, hormones, etc.
Composition of Formed Elements in Blood: Buffy coat
White blood cells, platelets.
Composition of Formed Elements in Blood: Hematocrit
Red blood cells.
Normal Blood:
Girl - 37%-47% hematocrit
Boy - 42%-52% hematocrit
Anemia:
Depressed hematocrit %
Polycythemia:
Elevated hematocrit %
Blood Types: Main Types
- A (41%)
- B (10%)
- AB (4%)
- O (45%)
- Rh +/-
Blood Types: A
Contains A antigen (RBC surface) and anti-B antibody (plasma).
Blood Types: B
Contains B antigen and anti-A antibody.
Blood Types: AB (universal recipient)
Contains A & B antigens and no anti-A or anti-B antibodies.
Blood Types: O (universal donor)
Contains no A or B antigens and both anti-A and anti-B antibodies.
Blood Types: Rh (+)
Contains Rh antigen.
Blood Types: Rh (-)
Contains no Rh antigen.
Blood Types: Note
Introducing A to B will cause hemolysis (A antigen from A will react with anti-A antibodies of B).
Blood Clotting: Coagulation
Fibrin clot
Blood Clotting: Anticoagulants
Heparin, warfarin (Coumadin)
Blood Coagulation (Clotting)
Complex involving many tissue factors, clotting factors, calcium and chains of chemical reactions to form fibrin clot (fibrinogen to fibrin in the final step).
Blood Coagulation (Clotting): Platelet plug
Aggregation
Blood Coagulation (Clotting): Anticoagulant
Substance which inhibits blood clotting.
• Heparin: produced by tissue cells of liver.
• Warfarin (Coumadin): given to patients w/thromboembolic disease.
Platelet Plug Formation
- Injury to vessel lining exposes collagen fibers; platelets adhere.
- Platelet plug forms.
- Fibrin clot with trapped red blood cells.
Albumin
Protein in the blood; maintains the proper amount of water in blood.
Antibody (Ab)
A specific protein produced by the lymphocytes in response to bacteria, viruses, or other antigens.
Antigen
A substance that stimulates production of an antibody.
Basophil
White blood cell that contains granules that stain blue.
Bilirubin
Orange-yellow pigment in bile; formed by breakdown of hemoglobin when
RBCs are destroyed.
Coagulation
Blood clotting.
Colony-stimulating factor (CSF)
Protein that stimulates growth of white blood cells.
Differentiation
The change in structure and function of a cell as it matures; specialization.