Intro To Structure And Function Of Blood Flashcards
What is blood made up of?
Plasma
Red cells
White cells and platelets
What is a blood film
Same as blood smear
What basic cell organelles do red blood cells not contain?
Nucleus
DNA (not an organelle but still)
RNA
Mitochondria
What is another name for a red blood cell?
Erythrocytes
What is another name for a white blood cell?
Leukocytes
What are the two types of white blood cell?
Neutrophil and lymphocytes
Give some features of neutrophil
Polymorphonuclear (multilobed nucleus)
Granulocyte (prominent cytoplasmic granules)
Give the three types of granulocyte
Neutrophil
Eosinophil
Basophil
How do you distinguish a neutrophil?
Weakly staining
How do you distinguish an eosinophil?
Stain red with eosin 1-4% white blood cell multinuclei within the cytoplasm
How do you distinguish a basophil?
Stain blue/purple with basic dyes less than 0.5% of WBC
Give features of mononuclear cells
Lack granules
Large, regular nuclei
Give the two types of mononuclear cells
Monocytes
Lymphocytes
Give another name for a platelet
Thrombocytes
Give features of platelets
Cytoplasmic fragments
No nucleus
Membrane bound
Contains granules
Where do blood cells come from?
Stem cells in bone marrow
What does plasma contain?
Water salt proteins Metabolites Carbs Lipids
Name the ionic constituents of plasma
Positive: sodium, potassium, calcium, magnesium and hydrogen
Negative: chloride, bicarbonates, phosphate, sulfate and organic anions
What is the difference between plasma and serum?
Serum is plasma without the clotting factors
How much of plasma is protein?
7-9%
How much of the plasma protein is albumin?
90%
What does blood transport?
Carry oxygen/ nutrients to tissues
Remove CO2/ other waste substances from tissues
And other substances from sites of production ->sites of action
What in the blood is involved in immunity?
White blood cells and plasma proteins
What in the blood is involved in clotting?
Platelets and plasma proteins
What is the blood’s role in homeostasis?
Maintaining a pH of 7.4
Controlling distribution of water solutes
Distributing heat
How do blood cells remove CO2 from body tissues?
Most CO2 carried as bicarbonate in plasma
RBC enzyme carbonic anhydrase helps CO2 to dissolve in plasma and in the tissues and come out of solution in the lungs
What is the average life span of RBC’s?
120 days
What is the average diameter of RBC’s?
8 micrometers
What is the average thickness of RBC’s?
2 micrometers
What is haemoglobin made up of?
2 alpha globin chains and two beta globin chains
What type of iron atom does haemoglobin contain?
Fe++
What does oxygen + haemoglobin form?
Oxyhaemoglobin
What colour is oxyhaemoglobin?
Bright red
What colour is deoxyhaemoglobin?
Dark red
How does pulse oximetry work?
Measures the colour of haemoglobin and determines if the patient is hypoxic
What is pulse oximetry?
The thing that measures oxygen saturation on your finger
How many haemoglobin molecules are there in each RBC?
300 million (about 50% of space)
What substances does plasma carry?
Lipids
Lipid soluble hormones and vitamins
Metal ions
What do neutrophils do in the immune system?
Phagocytosis and kill bacteria and fungi
Main mediators of innate immunity
What do lymphocytes do in the immune system?
Main mediators of acquired immunity
Produce antibodies
Kills virus infected cells
What do eosinophils do in the immune system?
Kill parasites
Involved in allergic responses
What do basophils do in the immune system?
Kill parasites
Involved in allergic responses
Involved in inflammation
What do monocytes do in the immune system?
Phagocytosis of dead cells and pathogens
What do immunoglobulins do in the immune system?
Act as antibodies against pathogens
What do complement proteins do in the immune system?
Kill bacteria and other pathogens
Cooperated with immunoglobulins and WBCs
What is the main role of platelets?
Haemostasis
How do platelets mediate haemostasis (basic)
Recognise damage at blood vessel wall
Forms a platelet plug
Prevent/ stops bleeding
How does plasma help in haemostasis?
Fibrinogen ->fibrin which forms a blood clot
Clotting factors control the process
Fibrin clot reinforces primary platelet plug
What is the plasma homeostasis disturbed by?
Disorders in: Kidney Liver Lungs Cardiovascular system Endocrine organs
What must be kept in safe limits in plasma?
pH, ion concentrations and protein concentrations
What are you checking if you check the urea and electrolytes in the blood?
kidney functions
What is the total blood volume in a 70kg male?
5 litres
How much plasma is there in a 70kg male?
2.5-3 litres
What is a haemocrit?
Packed cell volume- total cell volume
What is the normal haemocrit value?
0.4-0.5
What does a full blood count include?
Haemoglobin concentrations Mean red cell volume Mean red cell haemoglobin content Haemocrit Total white blood cell count
What is the haemoglobin concentrations used to diagnose?
Anaemia
What is the total white blood cell count important in diagnosing?
Infections
What are immunoglobulins made by?
B lymphocytes