Introduction to the Structure and Function of Blood Flashcards

1
Q

What is blood made up of?

A

It is made of plasma (fluid) and cells (such as red cells, white cells and platelets).

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2
Q

Describe Red Blood Cells (RBCs).

A
  • they’re also known as erythrocytes
  • they’re in the shape of biconcave discs
  • they have no nucleus and do not contain DNA, RNA or mitochondria
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3
Q

Describe White Blood Cells (WBCs).

A
  • they’re also known as leukocytes
  • they’re colourless
  • the two most common types of leukocytes are neutrophils and lymphocytes
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4
Q

Describe the structure of neutrophils.

A
  • it is polymorphonuclear, so it has an irregular, multi-lobed nucleus
  • it is a granulocyte, which means that it has prominent cytoplasmic granules which are toxic and used for killing microorganisms
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5
Q

List the three different types of granulocytes, and the differences between them.

A

NEUTROPHILS:

  • weakly staining granules
  • the commonest WBC

EOSINOPHILS:

  • granules stain red with eosin
  • make up 1-4% of WBCs

BASOPHILS:

  • granules stain blue/purple with basic dyes
  • make up <0.5% of WBCs
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6
Q

What are the two types of mononuclear cells?

A

The two types are monocytes (the largest type of WBC) and lymphocytes (it has a large nucleus, and not a lot of cytoplasm).

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7
Q

Describe platelets.

A
  • they’re also known as thrombocytes
  • they’re cytoplasmic fragments
  • they have no nucleus
  • they’re membrane-bound
  • they contain granules
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8
Q

Where do blood cells come from?

A

Mature blood cells are produced from the stem cells in the bone marrow. The bone marrow contains many immature cells.

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9
Q

Describe blood plasma, including its ionic constituents.

A

It’s a fluid containing water, salts, proteins and organic molecules (eg. metabolites, carbohydrates, lipids, etc.)

Its ionic constituents are positive ions (such as sodium, potassium, calcium, magnesium and hydrogen ions) and negative ions (such as chloride, bicarbonate, phosphate, sulphate and organic anions).

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10
Q

What is the difference between plasma and serum?

A

Plasma is the fluid component of the whole blood.

Serum is the fluid left over after blood clotting factors have been removed from the plasma.

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11
Q

Describe the percentage of protein in the plasma.

A

Normally, the plasma is about 7-9% protein. It’s complex as there are thousands of different proteins, but over 90% of them is a single protein, albumin.

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12
Q

What are the three main functions of the blood?

A
  • to TRANSPORT
  • to DEFEND
  • HOMEOSTASIS
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13
Q

What does the blood transport?

A

It carries oxygen/nutrients to tissues.
It removes CO2/other waste products from tissues.
It transports other substances (eg. hormones) from the sites of production to the sites of action.

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14
Q

Describe an erythrocyte’s role in oxygen transport and carbon dioxide removal.

A

Erythrocytes transport oxygen from the lungs to the body tissues. They also help in the removal of CO2 from body tissues to the lungs.
Most of the CO2 is carried as the bicarbonate ion (HCO3-) in the plasma. The red cell enzyme carbonic anhydrase helps the CO2 in two ways. It helps it to dissolve in plasma in the tissues, and it helps it come out of solution in the lungs.

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15
Q

Describe haemoglobin.

A

The major constituent in red blood cells is the protein Haemoglobin (Hb). Hb binds oxygen and carries it from the lungs to the tissues.
Hb is a protein tetramer made up of 4 polypeptide chains, 2 α and 2 β globin chains.
Each globin chain carries a haem molecule. Each haem holds a ferrous (Fe2+) iron atom. Oxygen binds reversibly to the iron atom by a coordination bond (dative bond). This is known as oxygenation, not oxidation.

There are two forms of haemoglobin:

  • OXYHAEMOGLOBIN, when it is fully saturated with O2, making it bright red
  • DEOXYHAEMOGLOBIN, when it has lost all of its O2, making it dark red

This is the basis of pulse oximetry. It measures the colour of the haemoglobin and determines if the patient is hypoxic (ie. if the patient is being deprived of adequate O2 supply).

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16
Q

What is the difference in what the plasma carries and what the plasma proteins carry?

A
  • PLASMA: carries soluble metabolites in solution
  • PLASMA PROTEINS: carry substances which are poorly soluble in water (eg. lipids and lipid-soluble hormones and vitamins), they also carry metal ions (eg. Ca2+, Fe2+, Cu2+).

The reason they need to carry metal ions in the blood is:

  • the ions can be toxic
  • if you get a bacterial infection, the bacteria need metal ions (especially Fe2+) for growth, so having them bound slows their growth.
17
Q

List the White Blood Cells (WBCs).

A
  • neutrophils
  • eosinophils
  • basophils
  • lymphocytes
  • monocytes
18
Q

Describe the functions of neutrophils, eosinophils and basophils.

A

NEUTROPHILS:

  • phagocytose and kill bacteria and fungi
  • are the main mediators of innate immunity

EOSINOPHILS:

  • kill parasites
  • involved in allergic responses

BASOPHILS:

  • kill parasites
  • involved in allergic responses
  • involved in inflammation
19
Q

Describe the function of monocytes.

A

They’re known as macrophages when the monocytes leave and sit at various tissues. They phagocytose dead cells and pathogens.

20
Q

What is the role of the plasma in immune defence?

A

They contain Immunoglobins (Ig) which are made by β-lymphocytes. These act as antibodies against pathogens.
They also contain complement proteins (C1, C2, C3a, C3b, etc.) They kill bacteria and other pathogens. They smash holes in the cell membrane; they can also bind to the cell, and if they can’t kill it themselves, they will release proteins that attract neutrophils.

21
Q

Describe the role of platelets in immune defence.

A

Their major role is primary homeostasis.

  • it recognises damage to the blood vessel wall
  • it forms a platelet plug
  • it prevents/ stops bleeding

The platelet plug stops bleeding, but it is insecure and temporary.

22
Q

What is fibrinogen?

A

Fibrinogen is a major plasma protein. It’s converted to Fibrin and forms a blood clot. Clotting factors control the process. The fibrin clot reinforces the primary platelet plug.

23
Q

Describe homeostasis.

A

It is keeping the internal environment of the body constant. Examples would be:

  • maintaining blood pH (7.4)
  • controlling the distribution of water and solutes
  • distributing heat

Plasma pH, ion concentrations and protein concentrations must be kept within safe limits (this is generally done in the ICU to keep the patient alive).

It’s disturbed by disorders of the:

  • kidney
  • liver
  • lungs
  • cardiovascular system
  • endocrine organs
24
Q

How is the analysis of plasma used diagnostically?

A

The analysis of the plasma is an essential part of diagnosis and treatment.
“U and Es” are urea and electrolyte tests. These parameters are used to check kidney function.
“LFTs” are liver function tests, and the plasma is tested to check liver function.